Author: Dr Clemens

Uncategorized Published - 8 April, 2024    By - Dr Clemens
Predicting and Preventing Postoperative Mortality and Morbidity in High-Risk Surgical Patients

ASA Monitor April 2024, Vol. 88, 29. Worldwide, over 25% (15 million) of deaths are due to the two leading causes of mortality – heart disease and stroke (Lancet 2019;393:401). The third-leading cause of death in the United States and the world is 30-day postoperative mortality, with 7.7% of all global deaths (4.2 million people) (Lancet 2019;393:401). Postoperative […]

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Uncategorized Published - 8 April, 2024    By - Dr Clemens
What to Consider Before Changing Institutions After Residency

Author: Robin Hocevar ASA Monitor April 2024, Vol. 88, 28. At the end of medical residency, a big question looms: Is it better to stay at the institution where the residency occurred or move to another facility? Opinions seem to be divided, even among millennials and Gen Z, who are generally characterized as “job hoppers.” In […]

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Uncategorized Published - 8 April, 2024    By - Dr Clemens
Trends in Anesthesiology

ASA Monitor April 2024, Vol. 88, 14. Improved brain function with CBT NIH-funded researchers discovered that unmedicated children with anxiety disorders exhibited overactivation in various brain regions, including the frontal and parietal lobes, and the amygdala. A study revealed that cognitive behavioral therapy (CBT) led to both clinical symptom improvements and changes in brain functioning in […]

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Uncategorized Published - 5 April, 2024    By - Dr Clemens
Preoperative Anemia and Postoperative Outcomes in Cardiac Surgery

AUTHORS: Warner, Matthew A. MD Anesthesia & Analgesia 138(4):p 728-737, April 2024. BACKGROUND:  Preoperative anemia is associated with adverse outcomes in cardiac surgery, yet it remains unclear what proportion of this association is mediated through red blood cell (RBC) transfusions. METHODS: This is a historical observational cohort study of adults undergoing coronary artery bypass grafting or […]

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Uncategorized Published - 5 April, 2024    By - Dr Clemens
As Change reviews data impacted by cyberattack, here’s what the notification process could look like

Author: Paige Minemyer Fierce Healthcare Change Healthcare issued an update late Wednesday confirming that an analysis of the data accessed in the cyberattack on its systems is underway, and experts say the process of notifying people whose information was exposed could be messy. Change’s parent company UnitedHealth Group posted the latest status on that investigation […]

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Uncategorized Published - 5 April, 2024    By - Dr Clemens
If Looks Could Kill: Anesthetic Implications of Cosmetic Enhancements

AUTHORS: Melissa Byrne, DO, MPH, FASA; Danielle Saab, MD Anesthesia Patient Safety Foundation Volume 39, No. 1 • February 2024  INTRODUCTION Nonsurgical cosmetic enhancements such as neurotoxins, eyelash extensions, gel manicures, or permanent jewelry, have grown exponentially in popularity over the last several years. Whether individuals seek to alter their appearance to achieve a more youthful […]

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Uncategorized Published - 5 April, 2024    By - Dr Clemens
SEE Question

ASA Monitor April 2024, Vol. 88, 10. A 70-year-old woman with sepsis presents for urgent cystoscopy and stenting. She has already received 1 L of crystalloid fluid, but her systolic blood pressure is currently less than 100 mm Hg and her lactate level is greater than 4 mmol/L. According to a recent trial that compared early […]

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Uncategorized Published - 5 April, 2024    By - Dr Clemens
Trends in Anesthesiology

ASA Monitor April 2024, Vol. 88, 14. New statement on cerebral venous thrombosis The American Heart Association released a statement to raise awareness about cerebral venous thrombosis (CVT) among patients and physicians for timely recognition and treatment. The statement reviews the latest evidence and updates recommendations for diagnosing and managing CVT, focusing on advancements in treatment […]

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Uncategorized Published - 4 April, 2024    By - Dr Clemens
Anesthesia Incident Reporting System (AIRS) Case 2024-04: ‘Fail-Safe’ Does Not Mean ‘Failure-Proof’

ASA Monitor April 2024, Vol. 88, 11–13. 60-year-old coming to OR after redo sternotomy (AVR and ascending aorta aneurysm). Multiple infusions on pumps in addition to insulin infusion via pump (not syringe). Bedside nursing wanted to consolidate and took insulin off pump (patient was euglycemic). The nurse was concerned the clamp and roller had not been […]

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Uncategorized Published - 4 April, 2024    By - Dr Clemens
ACE Question

AS A Monitor April 2024, Vol. 88, 9. In patients with depressed myocardial contractility, how is left ventricular afterload MOST likely to be affected by positive pressure ventilation? □ (A) Increased □ (B) Decreased □ (C) Unchanged Right and left ventricular ejection is affected by alveolar pressure, pleural pressure, and lung volume during the respiratory cycle. During positive pressure […]

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