Author: Dr Clemens

Uncategorized Published - 18 July, 2024    By - Dr Clemens
The Story Behind the MH Hotline

Authors: Teeda Pinyavat, MD et al  ASA Monitor July 2024, Vol. 88, 1–8. An MH Hotline Consultant takes a call. The setting is a typical OR, pulse ox beeping, multiple voices in the background. Consultant: Hi, I’m Dr. Pinyavat, the MH hotline consultant. How can I help you? Caller: Thank you for taking my call. I’m an anesthesiologist […]

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Uncategorized Published - 18 July, 2024    By - Dr Clemens
Emergency Surgery for Adnexal Torsion in Late Preterm Pregnancy Causing Term Vaginal Delivery

Authors: Taniguchi K, Tanaka Y, Amano T, et al. Cureus 16(7): e64268. doi:10.7759/cureus.64268 Abstract Adnexal cyst torsion in late preterm pregnancies is rare, but it frequently causes secondary uterine contractions. Thus, deciding on performing a simultaneous cesarean section due to the potential for early postoperative labor onset is crucial despite no obstetric indications. Here, we […]

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Uncategorized Published - 18 July, 2024    By - Dr Clemens
Comparative Analysis of the Modified Aldrete Score and Fast-Track Criteria for Post-general Anaesthesia Recovery

Authors: Dahake J S, Verma N Cureus 16(7): e64439. doi:10.7759/cureus.64439 Abstract There are two commonly used scoring systems to evaluate recovery from general anaesthesia (GA): the Modified Aldrete Score (MAS) and the Fast-Track Criteria (FTC). Recently, concerns have been expressed about the safety and effectiveness of the Aldrete scoring system due to its exclusion of […]

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Uncategorized Published - 18 July, 2024    By - Dr Clemens
Anesthetic Management of a Neurosurgical Patient With Amyotrophic Lateral Sclerosis

Authors:  Kaur B, Samagh N, Narang A, et al. ( Cureus 16(7): e64492. doi:10.7759/cureus.64492 Abstract Amyotrophic lateral sclerosis (ALS) is a progressive form of neurological disorder that affects both the upper and lower motor neurons. Anesthesia management in these patients is always challenging as they can develop respiratory complications because of pre-existing muscle involvement. We […]

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Uncategorized Published - 18 July, 2024    By - Dr Clemens
The Education Value of Social Media

Authors: Jeff Gadsden, MD, FRCPC, FANZCA et al  ASA Monitor July 2024, Vol. 88, 26–27. Sharing information through social media platforms has become a part of everyday life. However, there’s more to social media than duck-face selfies and cat memes. Physicians have increasingly used social networking sites as alternatives to traditional learning via textbooks, journal subscriptions, […]

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Uncategorized Published - 17 July, 2024    By - Dr Clemens
Tools That Help Identify the Vulnerable Brain

Autohrs: Elizabeth Mahana-Gabrielli, MD et al  ASA Monitor July 2024, Vol. 88, 1–6. Brain vulnerability represents a state of reduced pliability and resilience when exposed to the stressor of surgery, often leading to adverse postoperative complications. Physiologic alterations inherent to aging and the pathologic burden associated with comorbidities contribute to this increased vulnerability. Therefore, it […]

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Uncategorized Published - 17 July, 2024    By - Dr Clemens
Social Media for Advocacy

Authors: Edward R. Mariano, MD, MAS, FASA, FASRA et al  ASA Monitor July 2024, Vol. 88, 25–26. In today’s environment, social media platforms are some of the most powerful communication tools that medical professionals have harnessed for both personal and professional use. The number and variety of those platforms offer abundant choices for each individual (asamonitor.pub/4aUs005). […]

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Uncategorized Published - 17 July, 2024    By - Dr Clemens
Latest proposed cut—2.8%—shows need for Medicare pay reform

Author: Kevin B. O’Reilly, AMA Senior News Editor AMA Health Care Pulse Report What’s the news: Physicians are facing a 2.8% cut in pay under the proposed 2025 Medicare physician payment schedule published yesterday. The proposal from the Centers for Medicare & Medicaid Services (CMS) reinforces the clear need for systemic changes and follows a […]

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Uncategorized Published - 17 July, 2024    By - Dr Clemens
Serial Assessment of Hemodynamic and Cerebrovascular Changes After Administration of Mannitol in Postoperative Neurosurgical Patients in the Intensive Care Unit

Authors: Madhusudan S, Vimala S, S M, et al. Cureus 16(7): e64448. doi:10.7759/cureus.64448 Abstract Introduction: Mannitol is widely used in neurosurgical units to mitigate raised intracranial pressure and cerebral edema, crucial in postoperative management. Its hyperosmolar properties reduce brain extracellular fluid, thereby altering cerebral perfusion and cardiac dynamics. However, the temporal and combined effects of […]

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Uncategorized Published - 17 July, 2024    By - Dr Clemens
Dyspnea Due to Laryngeal Cicatricial Pemphigoid: A Case Report

 Authors: Pazardzhikliev D, Konsulov S, Milkov D, et al. Cureus 16(7): e64495. doi:10.7759/cureus.64495 Abstract Cicatricial pemphigoid (CP) is a rare, chronic, vesiculobullous disease characteristically affecting the mucous membranes and healing with cicatrization. Laryngeal involvement is rare and leads to airway stenosis. We present a 74-year-old Caucasian woman with CP, affecting the oral cavity, esophagus, lower […]

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