Author: Dr Clemens

Uncategorized Published - 15 November, 2023    By - Dr Clemens
The Human Connection

Author: Amy Castelbaum Benedikt, M.D., M.A. Anesthesiology November 2023. My Sunday 24-hour call shift as a pediatric anesthesiologist began uneventfully. Two patients presented with acute appendicitis, while a third patient had sustained a forearm fracture from a trampoline misadventure. My cases went well, and I started to imagine that I might experience an “easy call.” […]

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Uncategorized Published - 15 November, 2023    By - Dr Clemens
Racial Disparities in Compensation Among US Anesthesiologists

AUTHORS: Vandenberg, Megan T. BA et al  Anesthesia & Analgesia 137(2):p 268-276, August 2023. BACKGROUND: A racial compensation disparity among physicians across numerous specialties is well documented and persists after adjustment for age, sex, experience, work hours, productivity, academic rank, and practice structure. This study examined national survey data to determine whether there are racial differences […]

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Uncategorized Published - 15 November, 2023    By - Dr Clemens
Anesthesiology in the News

ASA Monitor November 2023, Vol. 87, 36. AQPSM research highlighted in Becker’s, OR Manager, and local consumer media In July, Becker’s and OR Manager covered research presented at the Anesthesia Quality and Patient Safety Meeting (AQPSM) on an innovative, anesthesiologist-led infection prevention program that led to a 50% decrease in infections and $540,000 in cost savings. […]

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Uncategorized Published - 14 November, 2023    By - Dr Clemens
Trust the Gold Standard: All Glucagon-like Peptide-1 Receptor Agonists Can Delay Gastric Emptying

Autor: Marissa M. Weber, M.D. Anesthesiology November 2023. To the Editor: The recent release of the “American Society of Anesthesiologists Consensus-Based Guidance on Preoperative Management of Patients (Adults and Children) on Glucagon-Like Peptide-1 (GLP-1) Receptor Agonists” was timely and relevant.  These medications delay gastric emptying and have resulted in significant complications for patients undergoing anesthesia.  These […]

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Uncategorized Published - 14 November, 2023    By - Dr Clemens
Anesthesiology e-Consultants, Tele-evaluation, and Tele-supervision as an Alternative to Surgeon ‘Supervision’

Authors: Michael P. Eaton, MD, FASA et al ASA Monitor September 2023, Vol. 87, 22–23. Anesthesia staffing is driven by the complex interactions between regulations, insurances, reimbursements, local history, and, increasingly, the availability (or, more commonly, lack) of providers. The Centers for Medicare & Medicaid Services (CMS) regulation of hospital “conditions of participation” and professional billing […]

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Uncategorized Published - 14 November, 2023    By - Dr Clemens
Hematoma with Airway Compromise after Thyroidectomy

Authors: Jamel Ortoleva, M.D. et al  Anesthesiology November 2023. Shortly after the patient’s trachea was extubated after a thyroidectomy, a rare but serious complication occurred. A rapidly expanding hematoma formed, leading to airway compromise and inadequate ventilation (fig. 1). Immediate action, including reintubation and evacuation of the hematoma, was required to address the situation (fig.2; […]

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Uncategorized Published - 14 November, 2023    By - Dr Clemens
Anesthesiology in the News

ASA Monitor November 2023, Vol. 87, 36. ASA members tackle important health care issues on KevinMD.com In June, Elizabeth Mahanna-Gabrielli, MD, a member of ASA’s Committee on Geriatric Anesthesia, shared advice for hospitalists caring for patients with post-anesthesia care unit (PACU) delirium and for counseling the patient and their family. Dr. Mahanna-Gabrielli said hospitalists should tell […]

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Uncategorized Published - 14 November, 2023    By - Dr Clemens
Does colon cancer cause back pain?

This is for our anesthesia readers that treat patients with pain. Author: D. M. Pollock MedicalNewsToday Colon cancer can sometimes cause back pain. Changes to bowel movements that occur with back pain may indicate late-stage colon cancer. The main symptoms are changes to a person’s bowel movements or routine. However, a person may not notice […]

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Uncategorized Published - 13 November, 2023    By - Dr Clemens
U.S. Attending Anesthesiologist Burnout in the Postpandemic Era

Authors: Anoushka M. Afonso, M.D. et al  Anesthesiology November 2023. Background Anesthesiologists are experiencing unprecedented levels of workplace stress and staffing shortages. This analysis aims to assess how U.S. attending anesthesiologist burnout changed since the onset of the COVID-19 pandemic and target well-being efforts. Methods The authors surveyed the American Society of Anesthesiologists’ U.S. attending […]

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Uncategorized Published - 13 November, 2023    By - Dr Clemens
The effect of extracerebral contamination on near infrared spectroscopy as revealed during organ donation: A prospective observational study in brain dead organ donors

Authors: Martin Soehle, M.D., Ph.D., MHBA et al  Anesthesiology November 2023. Background Near-infrared spectroscopy (NIRS) has been utilized widely in anesthesia and intensive care to monitor regional cerebral oxygen saturation (rScO2). A normal oxygenation of extracerebral tissues may overlay and thereby mask cerebral desaturations, a phenomenon known as extracerebral contamination. We investigated the effect of […]

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