Author: Dr Clemens

Uncategorized Published - 21 October, 2024    By - Dr Clemens
TECHNOLOGY IN ANESTHESIA

ASA Monitor October 2024, Vol. 88, 26. AI can help rule out abnormal pathology on chest X-rays A commercial artificial intelligence (AI) tool used off-label was effective at excluding pathology and had equal or lower rates of critical misses on chest X-ray than radiologists, according to a study published in Radiology, a journal of the Radiological Society […]

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Uncategorized Published - 18 October, 2024    By - Dr Clemens
Heart under Pressure: Intrathoracic Impact of Large Hiatal Hernia

Authors: Youlei Li, M.D. et al  Anesthesiology November 2024, Vol. 141, 971–972. Large hiatal hernias can have significant implications for perioperative management. The accompanying images display a large hiatal hernia compressing the heart (fig. 1A) and inferior vena cava (fig. 1B). Hiatal hernias are not uncommon, especially in elderly patients. Approximately 25% of people over the […]

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Uncategorized Published - 18 October, 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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Uncategorized Published - 18 October, 2024    By - Dr Clemens
The biodemography of human aging (Gompertz-Makeham law) applied to surgical mortality modelling

Authors: Doug Campbell, FANZCA et al  Anesthesiology September 2024. Background The Gompertz-Makeham law describes a characteristic pattern of mortality in human populations where death rate is near constant between age 18 and 30 years (Makeham’s Law) and rises exponentially thereafter (Gompertz Law). This pattern has not been described in surgical populations, but if true, would […]

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Uncategorized Published - 18 October, 2024    By - Dr Clemens
Perioperative Care for Spine Surgery: Comment

Author: Todd Nelson, M.D. Anesthesiology November 2024, Vol. 141, 1016. To the Editor: Carabini et al. authored an insightful article on caring for patients undergoing complex spine surgery.  Their discussion and referenced studies on the predictive ability of pulse pressure variation in prone-positioned patients during volume expansion merit attention. The referenced studies have limitations, particularly regarding their relevance […]

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Uncategorized Published - 18 October, 2024    By - Dr Clemens
Perioperative Care for Spine Surgery: Comment

Author: Jairo R. Moyano A, M.D., Ph.D. Anesthesiology November 2024, Vol. 141, 1017. To the Editor: I recently dove into the article “Perioperative Management for Complex Spine Fusion Surgery” by Carabini et al., featured in the February 2024 issue of Anesthesiology  and I have to say, it really grabbed my attention. Not only does it offer valuable insights […]

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Uncategorized Published - 18 October, 2024    By - Dr Clemens
Perioperative Care for Spine Surgery: Reply

Authors: Louanne M. Carabini, M.D.; John F. Bebawy, M.D. Anesthesiology November 2024, Vol. 141, 1018. In Reply: We appreciate the insightful comments of Dr. Nelson and the opportunity to respond to him as it relates to our recent Clinical Focus Review on the “Perioperative Management for Complex Spine Fusion Surgery.”  In his letter, Dr. Nelson relates concern […]

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Uncategorized Published - 17 October, 2024    By - Dr Clemens
SEE Question

ASA Monitor October 2024, Vol. 88, 23. A 35-year-old woman with refractory chronic migraine has been referred to the pain clinic for pain management. She reports missing work quite often because of migraines. You consider prescribing intranasal ketamine. Based on a recent study, which of the following was the MOST likely patient-reported outcome of administering intranasal […]

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Uncategorized Published - 17 October, 2024    By - Dr Clemens
Anesthesia Incident Reporting System (AIRS) Case 2024-10: Airway Complications After Deep Extubation

Author: Mohamed Rehman, MD ASA Monitor October 2024, Vol. 88, 9. A 4-year-old male undergoing a procedure with an endotracheal tube who experienced a bronchospasm during induction is nonetheless planned for deep extubation at the end of the procedure in light of a reassuring airway and otherwise stable course. After extubation, the patient coughed and appeared […]

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Uncategorized Published - 17 October, 2024    By - Dr Clemens
Feasibility of an Anesthesia Database on Death by Suicide

Authors: Michael G. Fitzsimons, MD et al  ASA Monitor October 2024, Vol. 88, 1–6. Editor’s Note: The following article contains potentially sensitive content about suicide. Death by suicide has been a widespread occurrence in antiquity across cultures. Physicians are not spared from this tragic end, with the first reported opinion in 1858 (A Manual of […]

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