Author: Dr Clemens

Uncategorized Published - 1 May, 2024    By - Dr Clemens
The Evolving Importance of Cardiovascular Anesthesia

Author: Rita Astani, Coronis Anesthesia Summary Heart cases involve lots of base units and lots of time units, but how much value do they really bring to an anesthesia practice?  Today’s article examines the current volume and relative value of cardiac anesthesia cases. There was a time, not too long ago, when cardiovascular anesthesiologists were […]

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Uncategorized Published - 1 May, 2024    By - Dr Clemens
Nationwide Clinical Practice Patterns of Anesthesiology Critical Care Physicians

AUTHORS: Shaefi, Shahzad MD, MPH et al  Anesthesia & Analgesia 136(2):p 295-307, February 2023. BACKGROUND: Despite the growing contributions of critical care anesthesiologists to clinical practice, research, and administrative leadership of intensive care units (ICUs), relatively little is known about the subspecialty-specific clinical practice environment. An understanding of contemporary clinical practice is essential to recognize the […]

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Uncategorized Published - 1 May, 2024    By - Dr Clemens
Association of Mechanical Energy and Power with Postoperative Pulmonary Complications in Lung Resection Surgery

Authors: Susie Yoon, M.D., Ph.D et al  Anesthesiology May 2024, Vol. 140, 920–934. Background Mechanical power (MP), the rate of mechanical energy (ME) delivery, is a recently introduced unifying ventilator parameter consisting of tidal volume, airway pressures, and respiratory rates, which predicts pulmonary complications in several clinical contexts. However, ME has not been previously studied in […]

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Uncategorized Published - 1 May, 2024    By - Dr Clemens
Regional anaesthesia practices: insights from a European survey

AUTHORS: Konijn, Arjan et al  European Journal of Anaesthesiology and Intensive Care 2(4):p e0026, August 2023. BACKGROUND The use of regional anaesthesia has increased and evolved over the past two decades but to what extent is unclear. Moreover, there is no clear standardisation of best practice in the current European landscape, which could result in inconsistencies […]

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Uncategorized Published - 1 May, 2024    By - Dr Clemens
Randomized controlled trial assessing intubation time with and without an aerosol biocontainment device

Authors: Kohanski, Michael A. MD, PhD et al Journal of Head & Neck Anesthesia 7(1):p e43, June 2023. Introduction: The emergence of the coronavirus disease 2019 (COVID-19) pandemic renewed interest in infectious aerosols and methods to reduce risk of airborne respiratory pathogen transmission. This has led to the development of novel aerosol protective devices for which […]

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Uncategorized Published - 30 April, 2024    By - Dr Clemens
Topographical Features of Pediatric Electroencephalography during High Initial Concentration Sevoflurane for Inhalational Induction of Anesthesia

Authors: Jessica C. Martin, Ph.D., B.Sc. (Hons.) et al  Anesthesiology May 2024, Vol. 140, 890–905. Background High-density electroencephalographic (EEG) monitoring remains underutilized in clinical anesthesia, despite its obvious utility in unraveling the profound physiologic impact of these agents on central nervous system functioning. In school-aged children, the routine practice of rapid induction with high concentrations of […]

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Uncategorized Published - 30 April, 2024    By - Dr Clemens
Novel Resuscitation Strategies in Severe Trauma: Comment

Authors: John J. Kowalczyk, M.D.; Michaela K. Farber, M.D., M.S. Anesthesiology April 2024. To the Editor We read with great interest the review of “Early Fibrinogen Replacement to Treat the Endotheliopathy of Trauma: Novel Resuscitation Strategies in Severe Trauma” by Douin et al. This article explores endothelial dysfunction that can occur with the coagulopathy of trauma, its […]

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Uncategorized Published - 30 April, 2024    By - Dr Clemens
It’s Time for Hospital Workers to Identify and Eliminate Roadblocks to Reprocessing!

Author: Daniel Vukelich, JD ASA Monitor June 2023, Vol. 87, 20. The February 2023 report issued by the U.N. Intergovernmental Panel on Climate Change stated that if human-caused global warming isn’t slowed to a couple tenths of a degree, deadly heat, drought, fires, and floods could impact the planet in “potentially irreversible” ways. Putting off cuts […]

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Uncategorized Published - 30 April, 2024    By - Dr Clemens
Novel Resuscitation Strategies in Severe Trauma: Reply

Authors: David J. Douin, M.D. et al  Anesthesiology April 2024. In Reply We are grateful to Drs. Kowalczyk and Farber for their thorough review and insightful response to our recent clinical focused review of the administration of fibrinogen to mitigate endothelial dysfunction after acute traumatic injury. We appreciate their constructive critique regarding the fibrinogen concentration in […]

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Uncategorized Published - 30 April, 2024    By - Dr Clemens
Health Care Wastage: An Affliction On Our Nation’s Health and Our Planet!

Author: Lalitha Sundararaman, MBBS, MD ASA Monitor June 2023, Vol. 87, 18–19. Health care expenditure (HCE) in the United States stands at around $4.3 trillion annually – about 18% of its gross domestic product (GDP) (JAMA 2019;322:1501-9). A study in JAMA revealed a startling fact about this remarkable number – that nearly 20%-30% of it is wasteful (JAMA 2019;322:1501-9). This […]

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