Author: Dr Clemens

Uncategorized Published - 2 April, 2024    By - Dr Clemens
‘I Have a Safety Concern’

Authors: Kimberley Darey, MD, FACOG, Sherri Leahy, PhD, RN, Linked in Healthcare Leadership Focus When it comes to the satisfaction of our patients, as well as their safety, most of us read the latest research to keep up to date on successes and ways to improve. No doubt many of us are aware of the […]

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Uncategorized Published - 1 April, 2024    By - Dr Clemens
Intracranial Nasogastric Tube Placement in a Nontrauma Patient: Comment

Authors: Ming-Hui Hung, M.D.; Shu-Yueh Cheng, R.N. Anesthesiology March 2024. To the Editor: We read with great concern the image case presented by Patel et al. describing the intracranial misplacement of a nasogastric tube in a nontrauma patient with a history of chronic alcoholism. As anesthesia care providers, we acknowledge the importance of addressing this critical […]

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Uncategorized Published - 1 April, 2024    By - Dr Clemens
Nebulized Versus Intravenously Administered Dexmedetomidine for Obtunding Hemodynamic Responses to Laryngoscopy and Tracheal Intubation

Authors: Akshita Singla et al Cureus 16(2): e54768. doi:10.7759/cureus.54768 Introduction Intravenous dexmedetomidine is known to cause major adverse effects such as bradycardia, hypotension, cardiac arrhythmias, and heart block when used as premedication for attenuation of the laryngoscopy and intubation response, limiting its routine use. Thus, it is important to study other routes of administration of […]

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Uncategorized Published - 1 April, 2024    By - Dr Clemens
Training for Impact in Global Critical Care

Authors: Rebecca Piland, MD et al  ASA Monitor March 2024, Vol. 88, 22–23. Anesthesiologists have long been known as the guardians of patient safety in surgery, and our role extends far beyond the OR. Our expertise and influence are utilized in diverse areas within and beyond our own hospital walls, and we are playing a vital […]

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Uncategorized Published - 1 April, 2024    By - Dr Clemens
AHA: 94% of hospitals financially impacted by Change Healthcare’s cyberattack

Author: Dave Muoio Fierce Healthcare Almost 60% of surveyed hospitals reported at least $1 million of impacted revenues per day, and 74% said that the Change Healthcare incident has had “direct patient care impact” within their facilities. The breadth and scale of the interruption ends the debate over whether hospitals need more relief from payers […]

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Uncategorized Published - 1 April, 2024    By - Dr Clemens
Innovative Technology, Persistent Risk: Electrical Injury from an Automated Quantitative Neuromuscular Blockade Monitoring (QNMT) Device

Authors: Gregory A. Chinn, MD, PhD et al Anesthesia Patient Safety Foundation Volume 39, No. 1 • February 2024  INTRODUCTION Quantitative neuromuscular blockade monitoring (QNMT) is strongly recommended by the ASA1 and APSF2 and can be accomplished with several commercially available devices. The basic principle is that a low voltage stimulus to the ulnar nerve, delivered by paired […]

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Uncategorized Published - 29 March, 2024    By - Dr Clemens
Stability of Epinephrine, Norepinephrine, and Phenylephrine for Intravenous Infusions Stored in Three Commercial Plastic Syringe Brands

Authors: Victor M. Neira, M.D., M.A.Ed. et al  Anesthesiology March 2024. To the Editor: Hypotensive states commonly require intravenous infusions of inopressors such as epinephrine, norepinephrine, and phenylephrine.  Traditionally, these high-alert medications were prepared in plastic bags at “standard” concentrations and administered using high-volume infusion pumps. Several studies have documented the stability of these medications […]

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Uncategorized Published - 29 March, 2024    By - Dr Clemens
A Comparison of 5 Algorithmic Methods and Machine Learning Pattern Recognition for Artifact Detection in Electronic Records of 5 Different Vital Signs

Authors: Mathias Maleczek, MD; et al  Anesthesiology March 2024. Background Research on electronic health record physiological data is common, invariably including artifacts. Traditionally, these artifacts have been handled using simple filter techniques. The authors hypothesized different artifact detection algorithms, including machine learning, may be necessary to provide optimal performance for various vital signs and clinical […]

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Uncategorized Published - 29 March, 2024    By - Dr Clemens
Physicians want the anesthesia reimbursement model changed now — here’s how

Author: Patsy Newitt Becker’s ASC Review Four anesthesiologists joined Becker’s to discuss why the anesthesia reimbursement model needs to be changed. Editor’s note: These responses were edited lightly for brevity and clarity.  Thomas Durick, MD. Anesthesiologist at the Ohio State University Wexner Medical Center (Columbus): Anesthesia reimbursements continue to be misunderstood by CMS, insurers and even our own […]

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Uncategorized Published - 29 March, 2024    By - Dr Clemens
On-Arrival Lumbar Epidural Analgesia for Lower Limb Trauma Pain in Emergency Care

Authors: Anshul Jain et al Cureus 16(2): e54622. doi:10.7759/cureus.54622 Abstract Background: Lower limb trauma in emergency settings often leads to pain management challenges. Traditional methods, primarily non-steroidal anti-inflammatory drugs (NSAIDs) and opioids, have limitations. This study explores the efficacy of epidural analgesia in emergency for lower limb trauma patients (ELETRA) as an alternative for managing […]

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