Author: Dr Clemens

Uncategorized Published - 13 May, 2024    By - Dr Clemens
Predicting and Mitigating Risk of Postoperative Cognitive Dysfunction: Is a Major Breakthrough on the Horizon?

Authors: George Tewfik, MD, MBA, FASA et al  ASA Monitor May 2024, Vol. 88, 1–6. Postoperative cognitive dysfunction (POCD) – also referred to as perioperative neurocognitive disorders – and delirium are pathologic states that may develop after surgery and often result in distress to the patient, family members, medical practitioners, and the health care system. Patients […]

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Uncategorized Published - 13 May, 2024    By - Dr Clemens
Trends in anesthesiology First treatment approved to reduce reaction to food allergies

ASA Monitor May 2024, Vol. 88, 27. A 16-week clinical trial conducted by the National Institutes of Health (NIH) showcased promising results for the monoclonal antibody, omalizumab, in reducing allergic reactions to multiple foods among children ages 1 year and older with food allergies. The trial revealed that nearly 67% of participants who underwent omalizumab treatment […]

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Uncategorized Published - 12 May, 2024    By - Dr Clemens
Beyond the Books: Unveiling the Latest Trends in Medical Education

Authors: Christopher Fadumiye, MD, FASA et al  ASA Monitor June 2024, Vol. 88, 30. Implementation of curricula is constantly evolving, supporting improvements in the quality of medical education and clinical practice (Eur J Anaesthesiol 2019;36:473-6). Evolution within medical education in anesthesiology reflects many factors, including changes in the health care environment and the role of the physician, […]

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Uncategorized Published - 10 May, 2024    By - Dr Clemens
Risk Stratification to Predict Perioperative Mortality in Children

Authors: Debnath Chatterjee, MD, FAAP, FASA; Viviane Nasr, MD, MPH, FASA ASA Monitor May 2024, Vol. 88, 22–23. Perioperative risk stratification is an integral part of informed consent and medical decision-making processes. It also guides resource allocation and appropriate escalation of care, such as transfer to intensive care settings or tertiary-care hospitals. Fortunately, the incidence of perioperative […]

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Uncategorized Published - 10 May, 2024    By - Dr Clemens
Does Propofol Improve Polyp Detection during Colonoscopy? The Promise and Peril of Clinical Registry Data

Authors: Douglas A. Colquhoun, M.B.Ch.B., M.Sc., M.P.H. et al  Anesthesiology Newly Published on April 2024. “Despite these limitations, this study still calls attention to the importance of preserving access to routine propofol use in patients undergoing screening and surveillance colonoscopy.” In this month’s issue of the Journal, Quaye et al. report findings of their investigation into […]

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Uncategorized Published - 10 May, 2024    By - Dr Clemens
Maternal Postpartum Mortality

Authors: Mohamed A. Ibrahim, MD, PhD, MBA, FASA; Pamela Flood, MD, MA ASA Monitor May 2024, Vol. 88, 20–21. This edition of the ASA Monitor is focused on 30-day postoperative mortality. A search for “30-day mortality” and “obstetrics” on PubMed returns no results! Perhaps women don’t die after labor and delivery. However, the publication of more than 52,000 articles […]

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Uncategorized Published - 10 May, 2024    By - Dr Clemens
ASA Advocacy and 30-Day Mortality

Author: Randall M. Clark, MD, FASA ASA Monitor May 2024, Vol. 88, 14. Early in 2023, my colleagues from the Colorado Society of Anesthesiologists and I were sitting in Governor Jared Polis’ office in the state capitol. The governor’s office had notified us of his intention to extend to the entire state the limited 2010 rural […]

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Uncategorized Published - 10 May, 2024    By - Dr Clemens
Reports of Its Demise Are Greatly Exaggerated! MD-Only Practices Still Thriving

Authors: Zachary Deutch, MD, FASA; Andrew Zimmerman, MD ASA Monitor May 2024, Vol. 88, 24–25. Thank you for joining me for the spring edition of “Ask the Expert.” This month, we delve into the ever-pertinent topic of practice structure and management. The endless debate regarding which operational and staffing models are optimal in perioperative medicine lately […]

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Uncategorized Published - 9 May, 2024    By - Dr Clemens
Classification of Epiglottal Displacement

Authors: Akihiro Suzuki, M.D., Ph.D. et al  Anesthesiology Newly Published on April 2024. Displacement of the epiglottis, also known as epiglottic folding, downfolding, or prolapse, is an unexpected complication associated with tracheal intubation and supraglottic airway device insertion. Recent advancements in endoscopic technology and the widespread use of video/optical devices, such as videolaryngoscopes, have brought this […]

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Uncategorized Published - 9 May, 2024    By - Dr Clemens
Continuous Vital Sign Monitoring on Hospital Wards and Postoperative Mortality

Authors: Megan H. Hicks, MD et al  ASA Monitor May 2024, Vol. 88, 18–19. Mortality during a surgical procedure is so rare that it is hard to quantify risk. However, death within 30 days after surgery comprises approximately 7.7% of all causes of death per year (Lancet 2019;393:401). Stated another way, postoperative mortality is about 140 times […]

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