Author: Dr Clemens

Uncategorized Published - 17 June, 2024    By - Dr Clemens
Combined Dexamethasone and Dexmedetomidine as Adjuncts to Popliteal and Saphenous Nerve Blocks in Patients Undergoing Surgery of the Foot or Ankle

Authors: Mathias Maagaard, M.D. et al  Anesthesiology June 2024, Vol. 140, 1165–1175. Background Both dexamethasone and dexmedetomidine increase the duration of analgesia of peripheral nerve blocks. The authors hypothesized that combined intravenous dexamethasone and intravenous dexmedetomidine would result in a greater duration of analgesia when compared with intravenous dexamethasone alone and placebo. Methods The authors randomly […]

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Uncategorized Published - 17 June, 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 June 2024, Vol. 140, 1126–1133. 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. Specifically, bladder cancer surgery lacks prospective clinical trial evidence. Methods Data on bladder cancer surgery performed under general […]

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Uncategorized Published - 17 June, 2024    By - Dr Clemens
Intraoperative Methadone and Postoperative Anesthesia Care Unit Outcomes

Author: Evan D. Kharasch, M.D., Ph.D. Anesthesiology May 2024. To the Editor: Methadone has been used in perioperative anesthesia practice for at least four decades, and there is increasing interest in perioperative methadone use and even more so recently in both inpatients and outpatients.  Intraoperative methadone, compared with short-duration opioids, results in less postoperative opioid […]

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Uncategorized Published - 17 June, 2024    By - Dr Clemens
PROBAST Assessment of Machine Learning: Comment

Authors: Elena Bignami, M.D. et al  Anesthesiology May 2024. To the Editor: We read with interest the article by Arina et al.To our knowledge, it is the most comprehensive and complete review on this topic. As underlined by the authors, the subject is very heterogeneous. For this reason and because data processing is not yet standardized, […]

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Uncategorized Published - 17 June, 2024    By - Dr Clemens
PROBAST Assessment of Machine Learning: Reply

Authors: Pietro Arina, M.D. et al  Anesthesiology May 2024. In Reply: We thank Bignami et al.  for their insightful letter and their kind remarks regarding our recent publication. We fully concur that the challenge of refining search terms to enhance the specificity and breadth of literature searches is a genuine concern. This is fundamental in ensuring […]

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Uncategorized Published - 15 June, 2024    By - Dr Clemens
Paravertebral Block for Multiple Rib Fractures in an Anticoagulated Trauma Patient

 Authors: Lee M, Ayad M, Diz Ferre J L, et al. Cureus  June 06, 202416(6): e61834. Abstract This case report presents the complex analgesia management of a 52-year-old male with a significant medical history including atrial fibrillation treated with apixaban, essential trigeminal neuralgia, non-ischemic cardiomyopathy, and chronic systolic heart failure. The patient experienced a loss […]

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Uncategorized Published - 14 June, 2024    By - Dr Clemens
Stanford’s Pediatric Immersive Technology Program Reduces Pain Perception, Anxiety

Author: Pamela Schumacher, MSC, CCMP ASA Monitor June 2024, Vol. 88, 35–37. Immersive technologies such as augmented reality (AR), virtual reality (VR), and mixed reality (MR) have the potential to transform health care, alleviate pain and anxiety, deliver new types of treatments and diagnostics, and change how and where care is delivered (asamonitor.pub/49UMbu2). “The use of […]

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Uncategorized Published - 14 June, 2024    By - Dr Clemens
The average anesthesia cost for 5 common ASC procedures

Author: Claire Wallace Becker’s ASC Review Here is the average cost of anesthesia care in the ASC setting for five procedures commonly performed at ASCs, according to data from Sidecar Health: Upper GI endoscopy: $302 Knee arthroscopy: $1,017 Colonoscopy: $258 Cataract eye surgery: $386 Shoulder arthroscopy: $778

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Uncategorized Published - 14 June, 2024    By - Dr Clemens
Teamwork

ASA Monitor June 2024, Vol. 88, 34. “Teamwork may be just as hard in certain lines of work. Under conditions of extreme complexity, we inevitably rely on a division of tasks and expertise – in the operating room, for example, there is a surgeon, the surgical assistant, the scrub nurse, the circulating nurse, the anesthesiologist, and […]

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Uncategorized Published - 14 June, 2024    By - Dr Clemens
A Unique Educational Collaboration: Team-Based Learning Modules to Enhance Dental Sedation Safety

Authors: Andrea M. Fonner, DDS et al  ASA Monitor June 2024, Vol. 88, 11. In the dynamic environment of a dental office or surgery center, the ability to swiftly and effectively respond to adverse events is paramount. The nature of sedation necessitates not only individual competence but also a well-coordinated team effort. Recognizing this, ASA and […]

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