Author: Dr Clemens

Uncategorized Published - 26 July, 2024    By - Dr Clemens
Sugammadex-Associated Anaphylaxis: Summary and Proposed Management

Authors: Chia, Pamela A. MD, MS; Wolfe, Michael W. MD Anesthesia & Analgesia 139(2):p 273-277, August 2024. Sugammadex, a modified γ cyclodextrin, was approved by the US Food and Drug Administration (FDA) in 2015 for reversal of steroidal neuromuscular blockade. Used in the perioperative setting for reversal of amino-steroid paralytics, such as rocuronium and vecuronium, […]

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Uncategorized Published - 26 July, 2024    By - Dr Clemens
Feasibility of Focused Cardiac Ultrasound Performed by Trainees During Cesarean Delivery

AUTHORS: Ortner, Clemens M. MS, MD et al  Anesthesia & Analgesia 139(2):p 332-338, August 2024. | BACKGROUND: Anesthesiology experts advocate for formal education in maternal critical care, including the use of focused cardiac ultrasound (FCU) in high-acuity obstetric units. While benefits and feasibility of FCU performed by experts have been well documented, little evidence exists on the […]

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Uncategorized Published - 26 July, 2024    By - Dr Clemens
ACE Question

ASA Monitor July 2024, Vol. 88, 35. Based on the depth of sedation continuum published by ASA, which of the following patient responses is MOST consistent with moderate sedation? (A) Purposeful response to verbal or tactile stimulation (B) Purposeful response only to repeated or painful stimulation (C) Reflex withdrawal following a painful stimulus ASA developed a […]

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Uncategorized Published - 26 July, 2024    By - Dr Clemens
Association of Early Dexmedetomidine Utilization With Clinical Outcomes After Moderate-Severe Traumatic Brain Injury

AUTHORS: Liu, Sunny Yang BA et al Anesthesia & Analgesia 139(2):p 366-374, August 2024. BACKGROUND: Traumatic brain injury (TBI) is an expensive and common public health problem. Management of TBI oftentimes includes sedation to facilitate mechanical ventilation (MV) for airway protection. Dexmedetomidine has emerged as a potential candidate for improved patient outcomes when used for early […]

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Uncategorized Published - 26 July, 2024    By - Dr Clemens
A Spicy New Treatment for Postoperative Pain

Author: J. David Clark, M.D., Ph.D. Anesthesiology August 2024, Vol. 141, 201–203. “[T]his new [capsaicin] prodrug formulation may provide a novel approach to postoperative analgesia resulting from a single local injection that lasts for days.” Image: A. Johnson, Vivo Visuals Studio. Fundamental advancements in our field do not occur every day, so it is particularly exciting […]

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Uncategorized Published - 25 July, 2024    By - Dr Clemens
Should Obesity Be an Exclusion Criterion for Extracorporeal Membrane Oxygenation Support?

Authors: Ripoll, Juan G. MD et al  Anesthesia & Analgesia 139(2):p 300-312, August 2024 Abstract Obesity is often considered a contraindication to extracorporeal membrane oxygenation (ECMO) candidacy due to technical challenges with vascular access, higher cardiac output requirements, and known associations between obesity and overall increased morbidity and mortality due to chronic health conditions. However, a […]

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Uncategorized Published - 25 July, 2024    By - Dr Clemens
The Cost-Effectiveness of Early High-Acuity Postoperative Care for Medium-Risk Surgical Patients

AUTHORS: Leaman, Esrom E. MBBS et al  Anesthesia & Analgesia 139(2):p 323-331, August 2024. BACKGROUND: Initiatives in perioperative care warrant robust cost-effectiveness analysis in a cost-constrained era when high-value care is a priority. A model of anesthesia-led early high-acuity postoperative care, advanced recovery room care (ARRC), has shown benefit in terms of hospital and patient outcomes, […]

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Uncategorized Published - 25 July, 2024    By - Dr Clemens
Development of an Artificial Intelligence–Based Image Recognition System for Time-Sequence Analysis of Tracheal Intubation

AUTHORS: Wu, Yu-Hwa MD et al  Anesthesia & Analgesia 139(2):p 357-365, August 2024. BACKGROUND: Total intubation time (TIT) is an objective indicator of tracheal intubation (TI) difficulties. However, large variations in TIT because of diverse initial and end targets make it difficult to compare studies. A video laryngoscope (VLS) can capture images during the TI process. […]

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Uncategorized Published - 25 July, 2024    By - Dr Clemens
Perioperative Primary Care Utilization and Postoperative Readmission, Emergency Department Use, and Mortality in Older Surgical Patients

AUTHORS: Ron, Donna MD et al   Anesthesia & Analgesia 139(2):p 291-299, August 2024. BACKGROUND: Postdischarge primary care follow-up is associated with lower readmission rates after medical hospitalizations. However, the effect of primary care utilization on readmission has not been studied in surgical patients. METHODS: Retrospective cohort study of Medicare beneficiaries aged 65 and older undergoing major […]

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Uncategorized Published - 25 July, 2024    By - Dr Clemens
Women Anesthesiologists in Sub-Saharan Africa in the Pre-COVID Era: A Multinational Demographic Study

AUTHORS: Ki, Bertille K. MD Anesthesia & Analgesia 139(1):p 4-14, July 2024 BACKGROUND: Gender imbalance and poor representation of women complicate the anesthesiology workforce crisis in sub-Saharan Africa (SSA). This study was performed to obtain a better understanding of gender disparity among medical graduates and anesthesiologists in SSA. METHODS: Using a quantitative, participatory, insider research study, […]

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