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Uncategorized Published - 8 September, 2023    By - Dr Clemens
Rural OR Utilization, Surgery Supports, and Urban Congestion

Authors: Matthew C. Miller, MD, FACS et al  ASA Monitor September 2023, Vol. 87, 24. Smaller hospitals often fear that “market share” will be devoured by larger organizations. Rural communities frequently fear that they will lose their local hospital altogether, which is often their largest employer. In reality, by fostering both higher volume and higher-acuity care […]

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Uncategorized Published - 7 September, 2023    By - Dr Clemens
Association Among Preoperative Cognitive Performance, Regional Cerebral Oxygen Saturation, and Postoperative Delirium in Older Portuguese Patients

AUTHORS: Susano, Maria J. MD Anesthesia & Analgesia 132(3):p 846-855, March 2021. BACKGROUND: Postoperative delirium is common among older patients and preoperative identification of high-risk patients is widely recommended. The aim of this study was to assess whether preoperative cognitive performance using brief screening tools or regional cerebral oxygen saturation (Scto2) was associated with the development […]

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Uncategorized Published - 7 September, 2023    By - Dr Clemens
Residency Training Initiatives to Enhance Rural Anesthesia and Perioperative Care

Authors: Suzanne Karan, MD, FASA et al  ASA Monitor September 2023, Vol. 87, 25–26. Anesthesiologist shortages contribute care delivery challenges in the United States (Anesth Analg 2019;129:294-300). Addressing the crisis of access to anesthetic care in our underserved populations requires the incorporation of specific education and training enhancements within our current residency programs about the lifestyle […]

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Uncategorized Published - 7 September, 2023    By - Dr Clemens
Why I Prescribe SNRIs for Chronic Pain, Regardless of a Mental Health Diagnosis

Author: Courtney Kominek, PharmD, BCPS, CPE Practical Pain Management Volume 23 Issue 4 SNRIs are established, guideline-approved treatment options for both psychiatric and chronic pain diagnoses. When to use them, when to avoid them. Two for the price of one. Buy one, get one free. Everyone loves a good deal, right? Chronic pain and mental […]

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Uncategorized Published - 7 September, 2023    By - Dr Clemens
Derivation, Validation, Sustained Performance, and Clinical Impact of an Electronic Medical Record–Based Perioperative Delirium Risk Stratification Tool

AUTHORS: Whitlock, Elizabeth L. MD, MSc et al  Anesthesia & Analgesia 131(6):p 1901-1910, December 2020. BACKGROUND: Postoperative delirium is an important problem for surgical inpatients and was the target of a multidisciplinary quality improvement project at our institution. We developed and tested a semiautomated delirium risk stratification instrument, Age, WORLD backwards, Orientation, iLlness severity, Surgery-specific risk […]

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