Author: Dr Clemens

Uncategorized Published - 4 January, 2024    By - Dr Clemens
Prevalence and Persistence of Prescription Opioid Use Following Hospital Discharge After Childbirth

AUTHORS: Varney, Bianca MIPH et al  Anesthesia & Analgesia June 2023. BACKGROUND: Opioid analgesics are used for acute postpartum pain relief but carry risks, including persistent long-term opioid use. Our primary objective was to estimate the prevalence of persistent use following hospital discharge after childbirth. METHODS: We conducted a population-based cohort study of women discharged […]

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Uncategorized Published - 4 January, 2024    By - Dr Clemens
Is Continuous Intraoperative Monitoring of Mean Arterial Pressure as Good as the Hypotension Prediction Index Algorithm?

Authors: Marijn P. Mulder, M.Sc. et al  Anesthesiology June 2023, Vol. 138, 657–658. To the Editor: The Hypotension Prediction Index is a validated machine learning algorithm based on numerous characteristics of the arterial waveform and aimed at predicting hypotension up to 15 min in advance.  The recent special article by Enevoldsen and Vistisen focused on the data […]

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Uncategorized Published - 4 January, 2024    By - Dr Clemens
Visual Illusion Results in Malfunction of Anesthesia Machine Sensors

Authors: Steven Simon et al  Anesthesia Patient Safety Foundation Volume 38, No. 2 • June 2023  A 57-year-old male underwent a robotic assisted ventral hernia repair under general endotracheal anesthesia. This was the first case of the day and the Avance CS2 (GE Healthcare, Chicago, IL) machine passed the automated check. There was no reported malfunction of […]

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Uncategorized Published - 4 January, 2024    By - Dr Clemens
New Practice Guidelines for Neuromuscular Blockade

Authors: Connie Chung, MD et al Anesthesia Patient Safety Foundation Volume 38, No. 2 • June 2023  The American Society of Anesthesiologists (ASA) Committee on Practice Parameters (CPP), chaired by Karen Domino, MD, MPH, created a task force to develop guidelines for neuromuscular blockade (NMB) to improve patient safety and satisfaction. The Anesthesia Patient Safety Foundation […]

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Uncategorized Published - 3 January, 2024    By - Dr Clemens
The Effect of Prophylactic Steroids on Shivering in Adults Undergoing Surgery

AUTHORS: Misra, Satyajeet MD, DNB, PDCC, TOE (EACVI) et al  Anesthesia & Analgesia 137(2):p 332-344, August 2023. BACKGROUND: Shivering is common following anesthesia and surgery. Corticosteroids (steroids) have been tried to reduce the risk of shivering, but the evidence in favor of their use is uncertain. The primary objective of this review was to evaluate the […]

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Uncategorized Published - 3 January, 2024    By - Dr Clemens
Association of Obstructive Sleep Apnea With Unanticipated Admission Following Nonotolaryngologic Pediatric Ambulatory Surgery

AUTHORS: Willer, Brittany L. MD et al  Anesthesia & Analgesia June 2023. BACKGROUND: Approximately 2% of ambulatory pediatric surgeries require unanticipated postoperative admission, causing parental dissatisfaction and suboptimal use of hospital resources. Obstructive sleep apnea (OSA) occurs in nearly 8% of children and is known to increase the risk of perioperative adverse events in children […]

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Uncategorized Published - 3 January, 2024    By - Dr Clemens
Responders and nonresponders to topical capsaicin display distinct temporal summation of pain profiles

AUTHORS: Wong, Felyx PAIN Reports 8(3):p e1071, May/June 2023. Introduction: Topical application of capsaicin can produce an ongoing pain state in healthy participants. However, approximately one-third report no pain response (ie, nonresponders), and the reasons for this are poorly understood. Objectives: In this study, we investigated temporal summation of pain (TSP) profiles, pain ratings and secondary […]

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Uncategorized Published - 3 January, 2024    By - Dr Clemens
Medical Alarms: Critical, Yet Challenging

Authors Kendall J. Burdick, MD et al Anesthesia Patient Safety Foundation Volume 38, No. 2 • June 2023  Ensuring patient safety during surgical procedures remains at the forefront of quality improvement initiatives, as supported by APSF. In addition to administering and monitoring anesthesia, clinicians manage patient vital signs and overall well-being throughout the surgery, often in […]

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Uncategorized Published - 3 January, 2024    By - Dr Clemens
A Review of Adverse Events Associated with Perioperative Intrahospital Transport of Pediatric Patients and Guidance on Improving Safety

Authors: Anila B Elliott, MD et al  Anesthesia Patient Safety Foundation Volume 38, No. 2 • June 2023  Intrahospital transport is a common occurrence for many hospitalized patients. Critically ill children are an especially vulnerable population who experience preventable adverse events at least once a week, on average.1 Transporting these patients throughout the hospital introduces additional hazards […]

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Uncategorized Published - 2 January, 2024    By - Dr Clemens
A Point-Based Risk Calculator for Mortality After Hepatectomy

AUTHORS: Luu, Tiffany MD et al  Anesthesia & Analgesia 137(5):p 1039-1046, November 2023. BACKGROUND: Preoperative risk stratification for hepatectomy patients can aid clinical decision making. The objective of this retrospective cohort study was to determine postoperative mortality risk factors and develop a score-based risk calculator using a limited number of preoperative predictors to estimate mortality risk […]

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