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Uncategorized Published - 12 July, 2023    By - Dr Clemens
PACU Delirium in Older Adults: Is Aldrete Enough?

Authors: Julia Klein, MD et al  ASA Monitor July 2023, Vol. 87, 27–28. The PACU functions as a triage center where decisions are made as to whether the patient is ready for discharge, transfer to the floor, or whether continued ICU-level of care is needed. Although the 2013 ASA Practice Guidelines for Postanesthetic Care include mental […]

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Uncategorized Published - 12 July, 2023    By - Dr Clemens
Increasing Physician Engagement: How to Be Compensated for Nonclinical Time

Authors: Jennifer J. Yuan, MD, MBA et al  ASA Monitor July 2023, Vol. 87, 21. Traditionally, a doctor’s role has been as a patient’s advocate, with a focus on medical care and clinical decision-making. To be an effective clinician, some believe that a physician should be separated from conflicting financial interests, and administrative management should be […]

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Uncategorized Published - 12 July, 2023    By - Dr Clemens
Emotional Intelligence for Individuals and Organizations

Alexander S. Choi, MD, MPH, FASA; Authors: Michael B. Simon, MD, MBA, FASA; Carie M. Twichell, CAA, MSA ASA Monitor July 2023, Vol. 87, 19–20. In medicine, understanding verbal and nonverbal cues and effectively communicating with peers, colleagues, and patients are invaluable skills. It is an art form for some and a learned skillset for others. No […]

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Uncategorized Published - 12 July, 2023    By - Dr Clemens
Updated meta-analysis on intraoperative inspired fraction of oxygen and the risk of surgical site infection in adults undergoing general and regional anesthesia.

DG Journal Club AUTHORS: Yoann El Maleh et al Sci Rep. 2023 Feb 11; 13(1): 2465 This updated meta-analysis aims at exploring whether the use of systematic high vs low intraoperative oxygen fraction (FiO2) may decrease the incidence of postoperative surgical site infection during general (GA) or regional anesthesia (RA). PubMed, Cochrane CENTRAL, ClinicalTrials.gov databases […]

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Uncategorized Published - 12 July, 2023    By - Dr Clemens
Changing OR Culture: Where Fact Meets Fiction

Authors: Keya A. Locke, MD, MBA et al  ASA Monitor July 2023, Vol. 87, 14–15. “The operating room should be at the disposal of the surgeons 24/7, no questions asked.” “Every day at 3 p.m. it’s like rats scurrying off the deck of the Titanic, and we can’t get any work done.” “1:30 p.m. is the […]

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