Author: Dr Clemens

Uncategorized Published - 29 March, 2024    By - Dr Clemens
Physicians want the anesthesia reimbursement model changed now — here’s how

Author: Patsy Newitt Becker’s ASC Review Four anesthesiologists joined Becker’s to discuss why the anesthesia reimbursement model needs to be changed. Editor’s note: These responses were edited lightly for brevity and clarity.  Thomas Durick, MD. Anesthesiologist at the Ohio State University Wexner Medical Center (Columbus): Anesthesia reimbursements continue to be misunderstood by CMS, insurers and even our own […]

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Uncategorized Published - 29 March, 2024    By - Dr Clemens
On-Arrival Lumbar Epidural Analgesia for Lower Limb Trauma Pain in Emergency Care

Authors: Anshul Jain et al Cureus 16(2): e54622. doi:10.7759/cureus.54622 Abstract Background: Lower limb trauma in emergency settings often leads to pain management challenges. Traditional methods, primarily non-steroidal anti-inflammatory drugs (NSAIDs) and opioids, have limitations. This study explores the efficacy of epidural analgesia in emergency for lower limb trauma patients (ELETRA) as an alternative for managing […]

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Uncategorized Published - 29 March, 2024    By - Dr Clemens
APSF 2023 Pierce Memorial Lecture Relates Anesthesia Monitoring and Technology to Improved Clinical Behaviors and Outcomes

Author: John H. Eichhorn, MD Anesthesia Patient Safety Foundation Volume 39, No. 1 • February 2024  APSF’s annual Pierce Memorial lecture this year, titled “Integrating Behavior and Technology for Anesthesia Patient Safety,” was delivered October 14, 2023, during the ASA Annual Meeting in San Francisco. Ellison C. “Jeep” Pierce, Jr., MD, the inspirational founding President of […]

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Uncategorized Published - 28 March, 2024    By - Dr Clemens
Increasing sweep gas flow reduces respiratory drive and dyspnea in non-intubated veno-arterial ECMO patients

Authors: Côme Bureau, M.D., Ph.D. et al  Anesthesiology March 2024. Background. Data on assessment and management of dyspnea in patients on veno-arterial extracorporeal membrane oxygenation (VA-ECMO) for cardiogenic shock are lacking. We hypothesized that increasing sweep gas flow through the VA-ECMO oxygenator may decrease dyspnea in non-intubated VA-ECMO patients exhibiting clinically significant dyspnea, with a […]

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Uncategorized Published - 28 March, 2024    By - Dr Clemens
Long-term survival after volatile or propofol general anesthesia for bladder cancer surgery

Authors: Mats Enlund, M.D., Ph.D. et al  Anesthesiology March 2024. Background Prospective interventional trials and retrospective observational analyses provide conflicting evidence regarding the relationship between propofol versus inhaled volatile general anesthesia and long-term survival after cancer surgery. In specific, bladder cancer surgery lacks prospective clinical trial evidence. Methods Data on bladder cancer surgery performed under […]

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Uncategorized Published - 28 March, 2024    By - Dr Clemens
Could Sleep Be a Modifiable Risk Factor for Later-Life Cognitive Impairment?

Author: Heidi Splete MedCentral Older adults categorized as short sleepers with higher variability in sleep patterns were significantly more likely to show impaired cognitive performance, based on data from more than 800 individuals. While previous research has associated short sleep duration (less than 7 hours) with cognitive impairment in healthy aging adults, most studies have […]

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Uncategorized Published - 28 March, 2024    By - Dr Clemens
Rapid Aggravation of Rhabdomyolysis Caused by Daptomycin After Aortic Arch Replacement

Authors: Kenichi Takechi  et al Cureus 16(2): e53611. doi:10.7759/cureus.53611 Abstract Although rare, rhabdomyolysis is a serious complication of cardiothoracic surgery. Daptomycin is a polypeptide antimicrobial agent used to treat methicillin-resistant Staphylococcus aureus (MRSA) infections of the soft tissues. Daptomycin is associated with elevations in serum creatine kinase (CK). A 50-year-old man with acute Stanford A-type aortic dissection […]

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Uncategorized Published - 28 March, 2024    By - Dr Clemens
Safety Considerations in Peripheral Nerve Blocks

Authors: Christina Ratto, MD; Joseph Szokol, MD, JD, MBA; Paul Lee, MD, MS Anesthesia Patient Safety Foundation Volume 39, No. 1 • February 2024  INTRODUCTION Peripheral nerve blocks (PNB) are safe and effective alternatives or supplements to general anesthesia. They may improve pain control both during and after surgery, thus avoiding many of the side effects […]

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Uncategorized Published - 27 March, 2024    By - Dr Clemens
Fascinating Image of Pentalogy of Cantrell: Navigating Challenges for Optimal Anesthesia Care

Authors: Rosa Maria Lopez-Rincon, M.D. et al  Anesthesiology March 2024. Pentalogy of Cantrell is a rare congenital condition with an incidence of one case for every 65,000 to 200,000 live births with around 250 probably underreported cases described in modern literature.  Pentalogy of Cantrell consists of five midline birth defects in their complete form, which include […]

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Uncategorized Published - 27 March, 2024    By - Dr Clemens
Addressing Postdural Puncture Headache: Guiding Clinicians Through Diagnosis and Management

Authors: Dibash Kumar Das, PhD; Pamela Flood, MD, MA ASA Monitor March 2024, Vol. 88, 1–4. Postdural puncture headache (PDPH) is a well-recognized complication resulting from a dural puncture during epidural analgesia, spinal anesthesia, or other neuraxial interventions. The incidence of unintended dural puncture during placement of an epidural catheter ranges widely, from less than 1% to […]

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