Author: Dr Clemens

Uncategorized Published - 13 August, 2024    By - Dr Clemens
Drug Titration Paradox: Reply

Authors: Charles F. Minto, F.A.N.Z.C.A., Ph.D. et al  Anesthesiology August 2024, Vol. 141, 412–413. In Reply: We appreciate the interest from Sarraf et al. in our recent clinical focus review of the drug titration paradox.  Although their insights on anesthesiologists’ dosing strategies are appreciated, their control systems’ engineering-based interpretation might overlook the statistical and mathematical underpinnings of the […]

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Uncategorized Published - 13 August, 2024    By - Dr Clemens
Drug Titration Paradox: Comment

Authors: Elie Sarraf, M.D., C.M. et al  Anesthesiology August 2024, Vol. 141, 411–412. To the Editor: We continue to read with great interest the description of the drug titration paradox by Minto et al.  They are, in essence, describing a classical control theory problem on how to tune a control system, with an anesthesiologist being at the center […]

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Uncategorized Published - 13 August, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

Anesthesiology August 2024, Vol. 141, A13–A15. Differences in donor heart acceptance by race and gender of patients on the transplant waiting list. JAMA 2024; 331:1379–86. PMID: 38526480. Approximately 40% of heart transplant recipients are from minoritized racial and ethnic groups, and approximately 25% of heart recipients are women. Black persons and women are less likely to […]

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Uncategorized Published - 13 August, 2024    By - Dr Clemens
Use of Baclofen Premedication as an Analgesic Adjuvant in Patients Undergoing Percutaneous Nephrolithotripsy

Authors: Mandabach M, Deichmann P, Massoll A, et al. Cureus 16(7): e64235. Introduction: Baclofen, a clinically available GABAB receptor agonist, produces nonopioid analgesia in multiple models of pain but has had limited studies related to perioperative pain control. The present study seeks to study effects of baclofen on postoperative pain measures and opioid use in adult patients subjected […]

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Uncategorized Published - 12 August, 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 - 12 August, 2024    By - Dr Clemens
Comparison of the Magnesium Sulphate With Paracetamol Combination vs the Fentanyl With Lignocaine Combination in Attenuating the Hemodynamic Response During Laryngoscopy and Intubation

Authors: Murugesan N, Kamalnath A, Ranjan R V, et al. Cureus 16(8): e66241. Background and aims Laryngoscopy and intubation cause an increased sympatho-adrenergic pressor response, which can be detrimental to patients with coronary artery disease, hypertension, etc. Various drugs and manoeuvres have been tried to reduce the pressor response with acceptable results but the quest for […]

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Uncategorized Published - 12 August, 2024    By - Dr Clemens
Single-Dose Calcium Channel Blocker Toxicity in a Patient With Severe Liver Disease

Authors: Lodha S, Loriaux D, Faulkner A L, et al. Cureus 16(8): e66308. Abstract Calcium channel blockers (CCBs) are commonly used in the management of multiple diseases, including hypertension, arrhythmia, and vasospastic disorder. Nimodipine, a dihydropyridine CCB, has demonstrated utility in preserving hearing following vestibular schwannoma resection surgery. Due to its widespread use, CCB overdose is common. […]

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Uncategorized Published - 12 August, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

Anesthesiology August 2024, Vol. 141, A13–A15. An electroencephalogram microdisplay to visualize neuronal activity on the brain surface. Sci Transl Med 2024; 16:eadj7257. PMID: 38657026. Ideally, neurosurgeons would be able to resect all pathologic brain tissue without disrupting any of the surrounding healthy tissue. However, existing methods to identify the pathologic tissue boundaries are not very accurate. […]

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Uncategorized Published - 12 August, 2024    By - Dr Clemens
Effect of Ondansetron on Maternal Hypotension During Spinal Anesthesia With Ropivacaine for Cesarean Sections

Authors: Karachanidi S, Paraskeva A, Theodosopoulou P, et al. Cureus 16(7): e65073. Introduction: Ondansetron, a selective 5-hydroxytryptamine 3 (5-HT3) receptor antagonist, has been proven to be effective in the prevention of spinal-induced hypotension for elective cesarean section. Methods: A total of 138 primigravida parturients scheduled for elective cesarean section were randomly assigned to three groups. Groups […]

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Uncategorized Published - 12 August, 2024    By - Dr Clemens
Anesthetic Management of a 24-Year-Old Male With Tracheal Stenosis Planned for Tracheal Resection and Anastomosis:

Authors:  Humane S, Jaykar S, Garg I, et al. Cureus 16(6): e63424. Abstract Tracheal resection and anastomosis are among the most challenging surgeries. Advancements in this field have made a variety of surgical, anesthetic, and airway management options possible. This procedure calls for multidisciplinary preoperative planning and close communication during surgery and recovery. Here, we […]

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