Author: Dr Clemens

Uncategorized Published - 24 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 - 24 December, 2024    By - Dr Clemens
Effects of Sub-Anesthetic Oro-Mucosal Dexmedetomidine on Sleep in Humans

Authors: Laura K. Schnider, M.Sc. et al  Anesthesiology November 2024. Background The locus coeruleus (LC) noradrenergic system may provide a potential new target for pharmacological insomnia treatment, particularly in patients suffering from elevated distress. The selective α2 noradrenergic agonist dexmedetomidine attenuates LC activity in sub-anesthetic doses, yet no adequate non-parental delivery systems of dexmedetomidine are currently […]

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Uncategorized Published - 24 December, 2024    By - Dr Clemens
ASA, AANA respond to Anthem BCBS’ reversal of controversial anesthesia policy

Author: Patsy Newitt Becker’s ASC Review The American Society of Anesthesiologists and the American Association of Nurse Anesthesiology have both issued responses to Anthem Blue Cross Blue Shield’s recent reversal of a controversial anesthesia policy. The policy update would have introduced a new reimbursement structure based on CMS physician work time values. Claims exceeding these predetermined time […]

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Uncategorized Published - 23 December, 2024    By - Dr Clemens
Technology in Anesthesiology

ASA Monitor December 2024, Vol. 88, 28–29. Shockwave Medical expands U.S. Peripheral IVL portfolio with enhanced catheter Shockwave Medical, Inc., part of Johnson & Johnson MedTech, announced the full U.S. launch of the Shockwave E8 Peripheral IVL Catheter, following clearance by the FDA. The Shockwave E8 catheter is designed to optimize the treatment of patients with calcified femoro-popliteal […]

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Uncategorized Published - 23 December, 2024    By - Dr Clemens
Intraoperative Frontal EEG Alpha Power is Associated with Post-Operative Mortality and Other Adverse Outcomes

Authors: Rory V. Mather, MS et al  Anesthesiology November 2024. Background With estimated global post-operative mortality rates at 1-4% leading to approximately 3-12 million deaths per year, an urgent need exists for reliable measures of perioperative risk. Existing approaches suffer from poor performance, place a high burden on clinicians to gather data, or do not […]

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Uncategorized Published - 23 December, 2024    By - Dr Clemens
The Other Side of the Mask: Navigating Personal and Professional Crises in Anesthesia

Author: 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 - 23 December, 2024    By - Dr Clemens
Short-term Outcomes in Infants after General Anesthesia with Low-dose Sevoflurane/Dexmedetomidine/Remifentanil versus Standard-dose Sevoflurane (the TREX Trial)

Authors: Rita Saynhalath, M.D et al  Anesthesiology December 2024, Vol. 141, 1075–1085. Background The Trial Remifentanil DEXmedetomidine (TREX) trial aimed to determine whether, in children less than 2 yr old, low-dose sevoflurane/dexmedetomidine/remifentanil anesthesia is superior to standard-dose sevoflurane anesthesia in terms of global cognitive function at 3 yr of age. The aim of the current secondary […]

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Uncategorized Published - 23 December, 2024    By - Dr Clemens
Biodemography of Human Aging (Gompertz–Makeham Law) Applied to Surgical Mortality Modeling

Authors: Doug Campbell et al  Anesthesiology December 2024, Vol. 141, 1086–1094. Background The Gompertz–Makeham law describes a characteristic pattern of mortality in human populations where the death rate is near constant between ages 18 and 30 yr (Makeham law) and rises exponentially thereafter (Gompertz law). This pattern has not been described in surgical populations, but if […]

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Uncategorized Published - 20 December, 2024    By - Dr Clemens
Anesthesiologists per capita in 30 states

Author: Cameron Cortigiano Becker’s ASC Review Massachusetts has the highest number of anesthesiologists per capita out of any state at 26.78 anesthesiologists for every 100,000 residents. California has the highest number of anesthesiologists in total and 13.84 per capita. Data on the number of anesthesiologists in each state are from the Bureau of Labor Statistics, which […]

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Uncategorized Published - 20 December, 2024    By - Dr Clemens
In the Face of Suffering: Anesthesiologists’ Moral Distress when Caring for Patients with Serious Illness

Autnhors: Lara India, MD; Jason N. Batten, MD, MA ASA Monitor November 2024, Vol. 88, 15–17. Imagine a patient presenting with a malignant bowel obstruction from metastatic colon cancer. She recently stopped chemotherapy due to frailty and worsening liver injury. Her oncologist recommended hospice care, which she declined. Now, she presents with severe abdominal discomfort and nausea […]

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