Author: Dr Clemens

Uncategorized Published - 30 December, 2024    By - Dr Clemens
Optimal Maternal Ventilation During Laparotomy with General Anesthesia in Pregnancy in the Ovine Model

AUTHORS: Bleeser, Tom MD, PhD et al Anesthesia & Analgesia 140(1):p 175-184, January 2025. BACKGROUND: General anesthesia during pregnancy is not uncommon, for example, for trauma surgery, cerclage, or cesarean delivery. Current recommendations are to maintain maternal partial pressure of carbon dioxide in arterial blood (paCO2) at 30 mm Hg, which is based solely on the […]

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Uncategorized Published - 27 December, 2024    By - Dr Clemens
Blood Pressure Estimation Using Explainable Deep-Learning Models Based on Photoplethysmography

AUTHORS: Perdereau, Jade MSc et al Anesthesia & Analgesia 140(1):p 119-128, January 2025. BACKGROUND: Due to their invasiveness, arterial lines are not typically used in routine monitoring, despite their superior responsiveness in hemodynamic monitoring and detecting intraoperative hypotension. To address this issue, noninvasive, continuous arterial pressure monitoring is necessary. We developed a deep-learning model that reconstructs […]

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Uncategorized Published - 27 December, 2024    By - Dr Clemens
The Role of Sleep Apnea in Postoperative Neurocognitive Disorders Among Older Noncardiac Surgery Patients

AUTHORS: Devinney, Michael J. MD, PhD et al Anesthesia & Analgesia 140(1):p 99-109, January 2025. BACKGROUND: Obstructive sleep apnea is associated with increased dementia risk, yet its role in postoperative neurocognitive disorders is unclear. Here, we studied whether the severity of untreated obstructive sleep apnea is associated with the severity of postoperative neurocognitive disorder. METHODS: In […]

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Uncategorized Published - 27 December, 2024    By - Dr Clemens
Factors Associated With Decision to Use and Dosing of Sugammadex in Children

AUTHORS: Brown, Sydney E.S. MD, PhD et al Anesthesia & Analgesia 140(1):p 87-98, January 2025. BACKGROUND: Sugammadex was initially approved for reversal of neuromuscular blockade in adults in the United States in 2015. Limited data suggest sugammadex is widely used in pediatric anesthesia practice however the factors influencing use are not known. We explore patient, surgical, […]

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Uncategorized Published - 27 December, 2024    By - Dr Clemens
Occurrence of Low Cardiac Index During Normotensive Periods in Cardiac Surgery

AUTHORS: Goeddel, Lee A. MD, MPH et al Anesthesia & Analgesia 140(1):p 77-86, January 2025. BACKGROUND: Continuous cardiac output monitoring is not standard practice during cardiac surgery, even though patients are at substantial risk for systemic hypoperfusion. Thus, the frequency of low cardiac output during cardiac surgery is unknown. METHODS: We conducted a prospective cohort study […]

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Uncategorized Published - 27 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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Uncategorized Published - 27 December, 2024    By - Dr Clemens
Discover The Best Anesthesiologist and CRNA Opportunity in Atlanta Georgia

We are forming a new group in Riverdale GA which is 10 minutes from the Atlanta Airport.  We are seeking a dedicated anesthesiologist and CRNA to join our new anesthesia group. Our care team will consist of 4 full-time CRNAs  and 2 anesthesiologists managing 4 operating rooms. Position Highlights: Bread and Butter cases no heads, […]

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Uncategorized Published - 27 December, 2024    By - Dr Clemens
Permutation Entropy Does Not Track the Electroencephalogram-Related Manifestations of Paradoxical Excitation During Propofol-Induced Loss of Responsiveness

AUTHORS: Ostertag, Julian MSc et al Anesthesia & Analgesia 140(1):p 136-144, January 2025. BACKGROUND: During the anesthetic-induced loss of responsiveness (LOR), a “paradoxical excitation” with activation of β-frequencies in the electroencephalogram (EEG) can be observed. Thus, spectral parameters—as widely used in commercial anesthesia monitoring devices—may mistakenly indicate that patients are awake when they are actually losing […]

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Uncategorized Published - 26 December, 2024    By - Dr Clemens
Hospital profitability headed into 2025: 10 notes

Author: Laura Dyrda Becker’s CFO Report Hospital financial metrics overall have improved slightly in 2024 and on average, hospitals are more financially stable heading into 2025 when compared with last year, according to Kaufman Hall’s National Hospital Flash Report. However, many hospitals are still well below pre-pandemic and even 2021 financial benchmarks. Syntellis Performance Solutions, […]

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Uncategorized Published - 26 December, 2024    By - Dr Clemens
Original Clinical Research Report The Effect of Intravenous Lidocaine, Ketamine, and Lidocaine–Ketamine Combination in Colorectal Cancer Surgery

AUTHORS: Ostović, Helena MD et al Anesthesia & Analgesia 140(1):p 67-76, January 2025. BACKGROUND: Colorectal resections are associated with a pronounced inflammatory response, severe postoperative pain, and postoperative ileus. The aim of this study was to evaluate the main effects of lidocaine and ketamine, and their interaction in colorectal cancer (CRC) patients after open surgery. The […]

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