Author: Dr Clemens

Uncategorized Published - 23 July, 2024    By - Dr Clemens
Effect of Propofol Infusion on Need for Rescue Antiemetics in Postanesthesia Care Unit After Volatile Anesthesia

AUTHORS: Sprung, Juraj MD, PhD* Anesthesia & Analgesia 139(1):p 26-34, July 2024. BACKGROUND: Postoperative nausea and vomiting (PONV) are frequent after volatile anesthesia. We hypothesized that coadministration of propofol with volatile anesthetic compared to pure volatile anesthetics would decrease the need for postoperative antiemetic treatments and shorten recovery time in the postanesthesia care unit (PACU). METHODS: […]

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Uncategorized Published - 23 July, 2024    By - Dr Clemens
Global IT outage takes down health system EHRs, forces hospitals to cancel or delay services

Author: Heather Landi Fierce Healthcare A widespread global IT outage impacted health systems, hospitals and clinics as electronic health record software has been knocked offline, forcing providers to cancel or delay non-emergency procedures and services. Several states across the U.S. also reported that their emergency 911 call centers have been hit. The outage also impacted […]

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Uncategorized Published - 22 July, 2024    By - Dr Clemens
Don’t Always Default to Transfusion: The Case for Diagnosing and Treating Anemia

Author: Pamela Schumacher, MS, CCMP ASA Monitor July 2024, Vol. 88, 9–11. Experience with people who refused to be transfused got one doctor thinking about the benefits of screening and treating all surgical patients for anemia. “The inception of the preoperative anemia clinic (PAC) occurred in 2014 when I was the medical director of our Center […]

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Uncategorized Published - 22 July, 2024    By - Dr Clemens
Airway Emergencies Outside the OR: A Potential Patient Safety Hazard for Anesthesiologists

Autors: George Tewfik, MD, MBA, FASA et al  ASA Monitor July 2024, Vol. 88, 34–35. When anesthesiologists manage airways in a remote setting, there is an added degree of complexity due to unfamiliar surroundings. A closed claims analysis of airway cases outside of the OR from 2000-2017 (conducted by our team using data from the Anesthesia […]

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Uncategorized Published - 22 July, 2024    By - Dr Clemens
Navigating Ketamine’s Promise: A Comprehensive Overview of Its Role in Chronic Pain Management

Authors: Alexander Bautista, MD, MBA, FASA et al  ASA Monitor July 2024, Vol. 88, 1–4. Chronic pain is defined as pain that persists for more than three months beyond the time frame of healing. It stands as a pervasive health challenge, emerging as a primary contributor to years lost due to disability on a global scale, […]

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Uncategorized Published - 22 July, 2024    By - Dr Clemens
SEE Question

ASA Monitor July 2024, Vol. 88, 14. A 19-year-old man is admitted to your trauma center after a gunshot wound to the chest. He is in hemorrhagic shock, and you are considering 4-factor prothrombin complex concentrate (4-PCC) in addition to blood transfusion. According to a recent study that compared 4-PCC with placebo for traumatically injured patients […]

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Uncategorized Published - 22 July, 2024    By - Dr Clemens
Leveling the Playing Field: Leveraging Social Media to Improve Equity in Mentorship

Authors: John W. Patton, III, MD, MBA et al  ASA Monitor July 2024, Vol. 88, 29–30. Social media is defined as “forms of electronic communication (e.g., social networking and microblogging) through which users create online communities to share information, ideas, personal messages, and other content” (asamonitor.pub/3y9rAVf). Its origins can be traced back to the United States […]

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Uncategorized Published - 19 July, 2024    By - Dr Clemens
Assessment of the Efficacy of Nalbuphine as an Adjuvant to Intrathecal Bupivacaine in Endoscopic Urological Surgeries for the Prolongation of Postoperative Analgesia

Authors: Raut Dessai S, Ninave S, Verma N, et al. Cureus 16(7): e64257. doi:10.7759/cureus.64257 Background In anaesthesiology, intrathecal drugs play pivotal roles in spinal anaesthesia. Despite their ability to induce a high sensory block, bupivacaine alone may not be adequate for postoperative analgesia. It often requires a substantial dose of postoperative rescue analgesia to manage […]

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Uncategorized Published - 19 July, 2024    By - Dr Clemens
Anesthetic Management of Thoracoscopic Pulmonary Cystectomy in a Patient With Fontan Circulation and Disturbed Lung Inflation During Leakage Testing

Authors: Higashi A, Kinoshita M, Sudo K, et al. Cureus 16(7): e64391. doi:10.7759/cureus.64391 Abstract Congenital heart disease may require multiple cardiac surgeries during childhood. Subsequent non-cardiac surgeries increase the perioperative bleeding and hypoxia because of changes in circulation. An 18-year-old male patient with a history of multiple cardiac interventions, including Fontan surgery, underwent a thoracoscopic […]

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Uncategorized Published - 19 July, 2024    By - Dr Clemens
Anesthesia Incident Reporting System (AIRS) Case 2024-07: ChatANES∗

ASA Monitor July 2024, Vol. 88, 12. An anesthesiology resident was caring for a patient scheduled for removal of a baclofen pump due to suspected infection, and during the preoperative period the neurosurgery resident assisting on the case requested the anesthesiology resident consider an appropriate dose to cover until the pump was working again. The […]

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