Author: Dr Clemens

Uncategorized Published - 17 December, 2024    By - Dr Clemens
USAMRIID and the US Biodefense Apparatus: A Comprehensive Overview for Anesthesiologists

Authors: Sachin “Sunny” Jha, MD, MS, FASA; Robert Carter, III, Colonel (U.S. Army), PhD ASA Monitor December 2024, Vol. 88, e4–e7. In an era marked by evolving biothreats and emerging infectious diseases, the U.S. biodefense apparatus has become a critical component of national security. As key players in the health care system, anesthesiologists have a pivotal role […]

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Uncategorized Published - 16 December, 2024    By - Dr Clemens
SEE Question

ASA Monitor December 2024, Vol. 88, 26. A 20-year-old man presents to the emergency department with a severe headache. Upon evaluation, he is found to have a large intracranial mass and is scheduled to undergo craniotomy for resection. According to a recent meta-analysis comparing scalp nerve blocks, scalp infiltration, and placebo, which of the following statements […]

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Uncategorized Published - 16 December, 2024    By - Dr Clemens
Rethinking Physician Health and Well-Being Programs: Building Trust Through Confidential Support

Author: Melina Davis ASA Monitor December 2024, Vol. 88, 24. In the high-stress world of medicine, physicians’ mental health and well-being are often overlooked. Physician/provider health programs (PHPs) were established by physician and health care worker regulatory boards and were introduced with the noble intention of providing support to struggling doctors. They also serve as […]

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Uncategorized Published - 16 December, 2024    By - Dr Clemens
AIRS Case 2024-12: Managing Anomalies

Author: David Polaner, MD, FAAP, on behalf of the AIRS Committee. ASA Monitor December 2024, Vol. 88, 1–8. A 3-month-old infant with an unspecified mitochondrial/metabolic disorder underwent general anesthesia for cardiac catheterization for VSD. The anesthetic administered was 200 mcg/kg/min of propofol for three hours. The child subsequently developed severe metabolic acidosis, circulatory collapse, myoglobinuria, and […]

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Uncategorized Published - 16 December, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

Molecular mechanism of ligand gating and opening of NMDA receptor. Nature 2024; 632:209–17. PMID: 39085540. Author: Ru-Rong Ji, Ph.D. I Anesthesiology December 2024, Vol. 141, A13–A15. Glutamate-induced excitatory synaptic transmission, vital for brain function, is partly mediated by N-methyl-d-aspartate receptors (NMDARs), which are critical in synaptic plasticity and learning and memory. NMDARs are ligand-gated ion channels composed […]

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Uncategorized Published - 16 December, 2024    By - Dr Clemens
Closed Claims Case 2024-12: IV Infiltrations and Extravasations

Author: Christopher D. Kent on behalf of the Closed Claims Oversight Committee ASA Monitor December 2024, Vol. 88, 27. Case presentation 1 An ASA 3 patient with a BMI 45 received general anesthesia (GA) for a cranioplasty. The antecubital I.V. was placed with ultrasound by a provider who was not part of the anesthesia team. There […]

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Uncategorized Published - 13 December, 2024    By - Dr Clemens
ACE Question

ASA Monitor December 2024, Vol. 88, 23. What is the MOST likely complication associated with the placement of a radial artery catheter in an adult? (A) Hematoma (B) Transient arterial occlusion (C) Local infection By some estimates, about 8 million arterial catheters are placed annually in the United States, with the radial artery being the most […]

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Uncategorized Published - 13 December, 2024    By - Dr Clemens
How to Cope When Things Go Wrong

Author: Allen N. Gustin, Jr., MD, FCCP, FASA, FCCM ASA Monitor December 2024, Vol. 88, 18. Each health care professional reacts and copes differently to stress, especially when their patients don’t do well clinically. Everyone must find a method to manage their emotions when stressful events occur, whether in one’s personal life or professional life. I […]

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Uncategorized Published - 13 December, 2024    By - Dr Clemens
The Other Side of the Mask: Navigating Personal and Professional Crises in Anesthesia

Autor: Muhammad B. Rafique, MD, FASA ASA Monitor December 2024, Vol. 88, 13–14. He was a brilliant anesthesiologist at the top of his career when, one day, he could not intubate a neonate and was worried. The next day, his family thought he did not look well and took him to the emergency room. A CT […]

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Uncategorized Published - 13 December, 2024    By - Dr Clemens
Discover The Best Anesthesiologist Opportunity in New Mexico

We are seeking a dedicated anesthesiologist to join our all-anesthesiologist group. Our team will consist of 4 full-time providers and 1 for vacation relief, managing 3 operating rooms. Position Highlights: Zero call for 3 weeks, followed by 1 week of call without daytime work only call after 7 PM therefore you may not work the […]

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