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Uncategorized Published - 4 August, 2022    By - Dr Clemens
Personalized Surgical Transfusion Risk Prediction Using Machine Learning to Guide Preoperative Type and Screen Orders

Authors: Sunny S. Lou, M.D., Ph.D. et al  Anesthesiology July 2022, Vol. 137, 55–66. Background Accurate estimation of surgical transfusion risk is essential for efficient allocation of blood bank resources and for other aspects of anesthetic planning. This study hypothesized that a machine learning model incorporating both surgery- and patient-specific variables would outperform the traditional approach […]

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Uncategorized Published - 4 August, 2022    By - Dr Clemens
Mechanical Power during General Anesthesia and Postoperative Respiratory Failure

Authors: Peter Santer, M.D., D.Phil. et al Anesthesiology July 2022, Vol. 137, 41–54. Background Mechanical power during ventilation estimates the energy delivered to the respiratory system through integrating inspiratory pressures, tidal volume, and respiratory rate into a single value. It has been linked to lung injury and mortality in the acute respiratory distress syndrome, but little […]

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Uncategorized Published - 3 August, 2022    By - Dr Clemens
Major peri-operative complications

Authors: Mike Charlesworth and Andrew Klein #theanesthesiablog Major airway complications are rare and the best evidence on which we base current practice comes from NAP4, which was published in 2011. This new contribution from Cumberworth et al. used similar methods within six hospitals to see what has changed and highlight key areas for further training and development. […]

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Uncategorized Published - 3 August, 2022    By - Dr Clemens
What’s Next for Patient Safety in Non-OR Anesthesia? Exploring Opportunities for Teamwork

Authors: Emily Methangkool, MD, MPH; Richard D. Urman, MD, MBA ASA Monitor June 2022, Vol. 86, 25–26. Figure: Opportunities for quality improvement in non-operating room anesthetizing locations. NORA=non-operating room anesthesia; M&M=mortality and morbidity. Communication failures contribute to adverse events, morbidity, and mortality and may be complicated by both interprofessional and interdisciplinary dynamics within the procedural setting (J […]

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Uncategorized Published - 3 August, 2022    By - Dr Clemens
Purging ‘Clearance’ from Our Lexicon

Author: Sarah G. Bodin, MD, FASA ASA Monitor June 2022, Vol. 86, 30. Today I reviewed another “low-risk clearance” checkbox note from an advanced practice registered nurse, for a topical cataract case, under monitored anesthesia care. Prior to the patient’s topical cataract extraction, my healthy 64-year-old patient had visited her primary care physician to be cleared […]

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