Author: Dr Clemens

Uncategorized Published - 11 December, 2023    By - Dr Clemens
Biased About Our Biases: How Cognitive Bias Impacts Patient Safety

ASA Monitor December 2023, Vol. 87, 13. Human thinking is based on acquired, processed, and stored knowledge. Personal beliefs, emotions, and experiences are also stored and incorporated into thought processes. Bias is defined as a preference toward or away from an idea or action. It is a personal reality based on perception of available information that […]

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Uncategorized Published - 11 December, 2023    By - Dr Clemens
Anesthesia Incident Reporting System Case 2023-12: Bone Cement Implantation Syndrome

ASA Monitor December 2023, Vol. 87, 1–7. Case presentation A 78-year-old male presented with a right femoral head fracture after recent fall. PMH included heart failure with reduced ejection fraction (EF 28%), COPD, hypertension, Type II DM, and chronic renal insufficiency. Outpatient medications included furosemide, quinapril, empagliflozin, and albuterol MDI. The patient was admitted and scheduled […]

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Uncategorized Published - 11 December, 2023    By - Dr Clemens
Labor and Pain Management Strategies for Patients with Opioid Use Disorder

Author: Kim Sumrak ASA Monitor December 2023, Vol. 87, 30. Childbirth can be difficult for any woman, yet for one who has opioid use disorder (OUD), the situation can quickly become even more daunting. Parturients oftentimes face the societal stigma that comes with opioid use disorder. These women may feel very anxious confiding in their practitioners, […]

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Uncategorized Published - 11 December, 2023    By - Dr Clemens
Electrical Impedance Tomography Identifies Evolution of Regional Perfusion in a Porcine Model of Acute Respiratory Distress Syndrome

Authors: Kevin T. Martin, M.D. et al  Anesthesiology December 2023, Vol. 139, 815–826. Background Bedside electrical impedance tomography could be useful to visualize evolving pulmonary perfusion distributions when acute respiratory distress syndrome worsens or in response to ventilatory and positional therapies. In experimental acute respiratory distress syndrome, this study evaluated the agreement of electrical impedance tomography […]

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Uncategorized Published - 11 December, 2023    By - Dr Clemens
Advancing Research in Air Quality, Climate-Related Health Effects, and Patient Safety

Author: Jonathan M. Tan, MD, MPH, MBI, FASA ASA Monitor December 2023, Vol. 87, 36. Example of average annual particulate matter levels in the Los Angeles region using hyperlocal spatial data, in collaboration with industry partners in FAER-funded research. The increasing recognition of climate-related health effects and adverse environmental exposures underscores the urgency of addressing their […]

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Uncategorized Published - 8 December, 2023    By - Dr Clemens
Technology in Anesthesia

ASA Monitor December 2023, Vol. 87, 18. Biomarker for tracking treatment-resistant depression In a recent study of treatment-resistant depression, researchers used a deep brain stimulation (DBS) device that records brain signals and identified a brain activity pattern or “biomarker” associated with clinical improvements in depression symptoms. The study involved 10 adults with treatment-resistant depression who underwent […]

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Uncategorized Published - 8 December, 2023    By - Dr Clemens
The Perioperative Frontal Relative Ratio of the Alpha Power of Electroencephalography for Predicting Postoperative Delirium After Highly Invasive Surgery

AUTHORS: Kinoshita, Hirotaka MD, PhD et al Anesthesia & Analgesia 137(6):p 1279-1288, December 2023. BACKGROUND: We investigated the associations between postoperative delirium (POD) and both the relative ratio of the alpha (α)-power of electroencephalography (EEG) and inflammatory markers in a prospective, single-center observational study. METHODS: We enrolled 84 patients who underwent radical cancer surgeries with reconstruction […]

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Uncategorized Published - 8 December, 2023    By - Dr Clemens
Association Between Intraoperative Landiolol Use and In-Hospital Mortality After Coronary Artery Bypass Grafting

AUTHORS: Iwasaki, Yudai MD et al  Anesthesia & Analgesia 137(6):p 1208-1215, December 2023. BACKGROUND: Ischemic heart disease is a leading cause of death worldwide, and coronary artery bypass grafting (CABG) is a major treatment. Landiolol is an ultra–short-acting beta-antagonist known to prevent postoperative atrial fibrillation. However, the effectiveness of intraoperative landiolol on mortality remains unknown. This […]

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Uncategorized Published - 8 December, 2023    By - Dr Clemens
IARS Mentored Research Award Recipient Interview

The Trajectory and Significance of Perioperative Changes in Alzheimer’s Disease Biomarkers AUTHOR: Miles Berger, MD, PhD When Miles Berger, MD, PhD, received the email to tell him he had been awarded the 2014 IARS Mentored Research Award, he initially thought it was a mistake. Newly on faculty at Duke University Medical Center, he had already […]

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Uncategorized Published - 7 December, 2023    By - Dr Clemens
Anesthesiologists as Leaders in Health Equity

Authors: Adam J. Milam, MD, PhD, FASE; Abimbola (Bola) Faloye, MD, FASE, FASA ASA Monitor December 2023, Vol. 87, 27–29. The COVID-19 pandemic revealed major flaws in the public health system of the United States and exposed profound health care disparities fueled by health inequities. Since 2020, there have been considerable attention and resources directed at diversity, […]

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