Author: Dr Clemens

Uncategorized Published - 4 April, 2024    By - Dr Clemens
Dexmedetomidine Prevents Chronic Incisional Pain After Brain Tumor Resection

AUTHORS: Zeng, Min MD, PhD et al  Anesthesia & Analgesia 138(4):p 839-847, April 2024. | BACKGROUND: Dexmedetomidine was reported to reduce postoperative acute pain after neurosurgery. However, the efficacy of dexmedetomidine for preventing chronic incisional pain is uncertain. METHODS: This article is a secondary analysis of a randomized, double-blind, placebo-controlled trial. Eligible patients were randomly allocated to […]

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Uncategorized Published - 4 April, 2024    By - Dr Clemens
Three Quarters of Preventable Patient Harm Stems from Situation Awareness Breakdowns: Recognizing and Addressing the Core Issue

AUTHORS: David W. Tscholl, MD et al  Anesthesia Patient Safety Foundation Volume 39, No. 1 • February 2024  BACKGROUND The principles of Situation Awareness (SA) originated in aviation psychology, a field that bears similarities to medicine in its daily challenges of dealing with complex, dynamic, and often unforeseen situations. David Gaba, MD, an anesthesiologist at Stanford […]

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Uncategorized Published - 4 April, 2024    By - Dr Clemens
Trends in Anesthesiology

ASA Monitor April 2024, Vol. 88, 14. Lower risk of suicidal ideation with semaglutide A study funded by the National Institutes of Health (NIH) has found that semaglutide, an FDA-approved medication for obesity and type 2 diabetes, is associated with a 49%-73% lower risk of first-time or recurring suicidal ideations compared to other medications with different […]

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Uncategorized Published - 3 April, 2024    By - Dr Clemens
Keeping Pace: 2023 Update on the Perioperative Management of Cardiovascular Implantable Electronic Devices (CIEDs)

Authors: Drew Disque, MD et al Anesthesia Patient Safety Foundation Volume 39, No. 1 • February 2024  Cardiovascular Implantable Electronic Device (CIED) technology continues to evolve and the global population of individuals with CIEDs is expanding. We present a focused update to the perioperative management of CIEDs since our last publication in 2020. LEADLESS CIEDS In […]

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Uncategorized Published - 3 April, 2024    By - Dr Clemens
Association Between Age- and Sex-Specific Body Mass Index Percentile and Multiple Intubation Attempts

AUTHORS: Chhabada, Surendrasingh MD et al  Anesthesia & Analgesia 138(4):p 821-828, April 2024. BACKGROUND: Obesity distorts airways and slightly complicates intubations in adults, but whether obesity complicates pediatric intubations remains unclear. We, therefore, tested the primary hypothesis that increasing age- and sex-specific body mass index (BMI) percentile is associated with difficult intubation, defined as >1 intubation […]

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Uncategorized Published - 3 April, 2024    By - Dr Clemens
Oxytocin at Elective Cesarean Delivery: A Dose-Finding Study in Pregnant People With Twin Pregnancy

AUTHORS: Peska, Emil MD et al  Anesthesia & Analgesia 138(4):p 814-820, April 2024. BACKGROUND: Multiple pregnancy is associated with higher risk of uterine atony, postpartum hemorrhage (PPH), blood transfusion, hysterectomy, and death. The optimal dose of oxytocin at cesarean delivery in people with twin pregnancy is unknown. We sought to determine the effective bolus dose of […]

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Uncategorized Published - 3 April, 2024    By - Dr Clemens
User-Centered Design of a Machine Learning Dashboard for Prediction of Postoperative Complications

AUTHORS: Fritz, Bradley A. MD, MSCI et al Anesthesia & Analgesia 138(4):p 804-813, April 2024. BACKGROUND: Machine learning models can help anesthesiology clinicians assess patients and make clinical and operational decisions, but well-designed human-computer interfaces are necessary for machine learning model predictions to result in clinician actions that help patients. Therefore, the goal of this study […]

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Uncategorized Published - 3 April, 2024    By - Dr Clemens
Public Knowledge and Awareness of Anesthesiology and Anesthesiologists in China

AUTHORS: Ma, Yulong MD, PhD et al  Anesthesia & Analgesia 138(4):p 829-838, April 2024. BACKGROUND: In the past 20 years, anesthesiology has become one of the most advanced specialties and has undergone rapid development. However, public awareness regarding anesthesiology and anesthesiologists is limited, especially in developing countries. It is important for anesthesiologists to make the public […]

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Uncategorized Published - 2 April, 2024    By - Dr Clemens
Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers: To Continue or Stop Preoperatively—the Debate Continues

Authors: Rajan, Niraja MD, FASA, SAMBA-F et al  Anesthesia & Analgesia 138(4):p 760-762, April 2024. Angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs) lower blood pressure through inhibition of the renin-angiotensin system. Both groups of drugs are recommended as first-line medications in the treatment of hypertension carrying the strongest (class I) recommendation based on the […]

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Uncategorized Published - 2 April, 2024    By - Dr Clemens
How Real Are the Effects of Virtual Reality in Decreasing Acute Pain?

Authors: Shanthanna, Harsha MD, PhD et al  Anesthesia & Analgesia 138(4):p 746-750, April 2024. Virtual reality (VR) is best described as a collection of technologies that allow people to interact with a simulated 3-dimensional virtual environment using their physical senses, whether for pleasure or other specific purpose.1 With significant advancement in the field of computer modeling and […]

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