Author: Dr Clemens

Uncategorized Published - 6 August, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

Anesthesiology September 2024, Vol. 141, A13–A15. Trial of early minimally invasive removal of intracerebral hemorrhage. N Engl J Med 2024; 390:1277–89. PMID: 38598795. It is widely accepted that the evacuation of acute supratentorial intracerebral hemorrhages does not improve patient outcomes. However, recent advances in minimally invasive neurosurgical techniques (such as trans-sulcal parafascicular surgery) enable effective hematoma […]

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Uncategorized Published - 6 August, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

Anesthesiology August 2024, Vol. 141, A13–A15. Coronary sinus reducer for the treatment of refractory angina (ORBITA-COSMIC): A randomised, placebo-controlled trial. Lancet 2024; 403:1543–53. PMID: 38604209. Limited information is available from only canine or single-arm human observational studies for coronary sinus reduction devices, a mesh percutaneously placed in primary venous drainage of the heart as antianginal therapy. […]

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Uncategorized Published - 6 August, 2024    By - Dr Clemens
Painstaking Progress: A Call for Comprehensive Research and Consistent Outcome Measures of Postsurgical Pain

Authors: Stephan G. Frangakis, M.D., Ph.D.; Chad M. Brummett, M.D. Anesthesiology August 2024, Vol. 141, 211–213. “[I]n reality patients are spread along a spectrum of severity […], the use of continuous outcomes increases statistical power of a study, allowing for better detection of more subtle clinical effects.” Chronic postsurgical pain (CPSP) remains a significant challenge in healthcare, […]

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Uncategorized Published - 5 August, 2024    By - Dr Clemens
Artificial Intelligence in Anesthesiology: Field of Dreams or Fire Swamp? Preemptive Strategies for Optimizing Our Inevitable Future

Authors: Megan E. Salwei, Ph.D. Matthew B. Weinger, M.D., M.S. Anesthesiology August 2024, Vol. 141, 217–221. “This ‘field of dreams’ will quickly become a ‘fire swamp’ if AI is not designed and implemented with a human-centered approach.” Artificial intelligence (AI) is generating widespread enthusiasm due to its potential to transform the way we work and live. […]

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Uncategorized Published - 5 August, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

Anesthesiology September 2024, Vol. 141, A13–A15. A body-brain circuit that regulates body inflammatory responses. Nature 2024; 630:695–703. PMID: 38692285. Previous work has shown the significance of electrical stimulation of the vagal nerve to attenuate inflammation. To decipher how the brain regulates the body’s immune response, activities of neurons in the brain stems of mice were monitored […]

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Uncategorized Published - 5 August, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

Anesthesiology August 2024, Vol. 141, A13–A15. Preoperative GLP-1 receptor agonist use and risk of postoperative respiratory complications. JAMA 2024; 331:1672–3. PMID: 38648036. Current guidance suggests that GLP-1 (glucagon-like peptide 1) receptor agonists be held preoperatively due to an increased risk of pulmonary complications, but large-scale data examining this risk have been missing. This retrospective observational study […]

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Uncategorized Published - 5 August, 2024    By - Dr Clemens
Awake Total Neuromuscular Blockade as Experienced by Anesthesiologist Volunteers: Comment

Authors: Jeffrey Park, M.D.; Alan M Smeltz, M.D. Anesthesiology July 2024. d To the Editor: We read with great interest the recent follow-up by Schuller et al.  to the well-known study from 2015 demonstrating a decrease in modified encephalography values in unsedated volunteers given neuromuscular blocking agents.  In this update, the unsettling accounts experienced by study participants was […]

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Uncategorized Published - 5 August, 2024    By - Dr Clemens
Awake Total Neuromuscular Blockade as Experienced by Anesthesiologist Volunteers: Reply

Authors: Peter J. Schuller, M.D. et al  Anesthesiology July 2024. In Reply: We thank the authors for their comments and appreciate the opportunity to clarify several aspects of our study. The 12 to 15 ml/kg was not the volume of the first breath after sugammadex, but rather was the tidal volume required during paralysis to alleviate […]

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Uncategorized Published - 5 August, 2024    By - Dr Clemens
Preoperative Blood Pressures and the Physician Anesthesiologist

Author: Robert B. Schonberger, M.D., M.H.C.D.S. Anesthesiology August 2024, Vol. 141, 208–210. Physicians who have the opportunity to read the article “Association between Preoperative Blood Pressures and Postoperative Adverse Events” in this issue of Anesthesiology, written by a superb team from Vanderbilt University (Nashville, Tennessee) led by Dr. Walco under the senior authorship of Dr. Freundlich  may […]

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Uncategorized Published - 2 August, 2024    By - Dr Clemens
Discover The Best Anesthesiologist Opportunity in New Mexico

We are seeking a dedicated anesthesiologist to join our all-anesthesiologist group. Our team will consist of 4 full-time providers and 1 for vacation relief, managing 3 operating rooms. Position Highlights: Zero call for 3 weeks, followed by 1 week of call without daytime work only call after 7 PM therefore you may not work the […]

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