Author: Dr Clemens

Uncategorized Published - 18 April, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

Anesthesiology May 2024, Vol. 140, A13–A15. Hormonal basis of sex differences in anesthetic sensitivity. Proc Natl Acad Sci USA 2024; 121:e2312913120. PMID: 38190526. Article Selection: Michael Zaugg, M.D., M.B.A. Image: Adobe Stock. Recent studies suggest an increased likelihood of intraoperative awareness in female patients. However, most investigations were not designed to identify sex differences in anesthetic […]

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Uncategorized Published - 18 April, 2024    By - Dr Clemens
Forgotten Goiter Presenting As Acute Respiratory Distress Following a Thyroidectomy

Authors:  Marques B et al Cureus 16(2): e54933. doi:10.7759/cureus.54933 Abstract Airway complications account for a significant amount of post-thyroidectomy complications. Forgotten goiter is a residual thyroid mass left after total thyroidectomy, an event already depicted in the literature. Clinical presentation is diverse, ranging from asymptomatic tracheal deviation to symptoms caused by hormonally active thyroid tissue […]

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Uncategorized Published - 18 April, 2024    By - Dr Clemens
Drug Utilization Research and Predictors of Outcomes in the Intensive Care Unit of a Tertiary Care Hospital

Authors: Mittal N et al Cureus 15(12): e50653. doi:10.7759/cureus.50653 Abstract Background: Multiple drugs are commonly prescribed to intensive care unit (ICU) patients owing to the disease profile, multiple organ dysfunction, prophylaxis, management of stress ulcers, nosocomial infections, etc. This study aimed to evaluate the drug utilization patterns and factors influencing mortality and duration of stay […]

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Uncategorized Published - 18 April, 2024    By - Dr Clemens
Anesthesiologist found guilty of poisoning IV bags at ASC

Author: Patsy Newitt Becker’s ASC Review Raynaldo Ortiz Jr., MD, a former anesthesiologist at Baylor Scott & White Surgicare North Dallas, has been found guilty on 10 counts of tampering with IV bags and the adulteration of drugs, NBC affiliate KXAS reported April 12. Dr. Ortiz was accused of injecting drugs into five IV bags and putting […]

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Uncategorized Published - 17 April, 2024    By - Dr Clemens
Off‐pump coronary surgery (OPCAB), advatages and disadvantages

Cardiac Anesthesiologist “Off-pump” coronary bypass bypass surgery (OPCAB) was developed in response to concerns regarding the potential side effects of CPB. The goal of this procedure is to achieve total revascularization while avoiding CPB. Positioning the heart for transplantation without compromising hemodynamics is achieved with the use of several retraction devices and deep pericardial sutures. […]

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Uncategorized Published - 17 April, 2024    By - Dr Clemens
Liposomal Bupivacaine for Peripheral Nerve Blockade

Authors: Markus Zadrazil et al  Anesthesiology April 2024. d Background Little is known about the pharmacodynamic characteristics of liposomal bupivacaine. Hypothesizing that we would not identify pharmacodynamic differences from plain bupivacaine during the initial period after administration, but would find better long-term pharmacodynamic characteristics, we designed a randomized, controlled, triple-blinded, single-center study in volunteers. Methods […]

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Uncategorized Published - 17 April, 2024    By - Dr Clemens
The Association between Preoperative Blood Pressures and Postoperative Adverse Events

Authors: Jeremy P. Walco, M.D. et al  Anesthesiology April 2024. Background The relationship between postoperative adverse events and blood pressures in the preoperative period remains poorly understood. This study tested the hypothesis that day-of-surgery preoperative blood pressures are associated with postoperative adverse events. Methods We conducted a retrospective, observational study of adult patients having elective […]

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Uncategorized Published - 17 April, 2024    By - Dr Clemens
Development and Evaluation of An In-House Lumbar Puncture Simulator for First-Year Resident Lumbar Puncture Procedure Learning

Authors: Muñoz-Leija D et al Cureus 16(3): e56567. doi:10.7759/cureus.56567 Abstract Introduction: Lumbar puncture (LP) is a common invasive technique considered an essential learning milestone for anesthesiologists due to its application in spinal anesthesia. We aimed to develop an in-house LP simulator, test its effectiveness in learning the steps to perform an LP and analyze its impact on […]

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Uncategorized Published - 17 April, 2024    By - Dr Clemens
Role of Acute Normovolemic Hemodilution in Pregnancy for Emergency Cesarean Section in a Patient With Bombay Blood Group

Authors: Chatterjee P et al Cureus 15(4): e37995. doi:10.7759/cureus.37995 Abstract Postpartum hemorrhage (PPH) is among the leading causes of maternal morbidity and mortality, and various blood conservation strategies can be implemented to minimize blood loss. Acute normovolemic hemodilution (ANH) is a simple yet effective blood management tool in the armamentarium of an anesthesiologist, the use […]

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Uncategorized Published - 16 April, 2024    By - Dr Clemens
Comparison of differences in cohort (forwards) and case control (backwards) methodological approaches for validation of the Hypotension Prediction Index

Authors: Simon J Davies, FRCA, MD et al  Anesthesiology April 2024. Background The Hypotension Prediction Index (the index) software is a machine learning algorithm that detects physiological changes that may lead to hypotension. The original validation used a case control (backwards) analysis that has been suggested to be biased. We therefore conducted a cohort (forwards) […]

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