Author: Dr Clemens

Uncategorized Published - 27 March, 2024    By - Dr Clemens
2023 President’s Report: The Continued Quest To Fulfill Our Vision “That No One Shall Be Harmed By Anesthesia Care”

Author: Dan Cole, MD Anesthesia Patient Safety Foundation Volume 39, No. 1 • February 2024  Recent data continues to confirm the epidemic of preventable harm in American health care. In 2022 the U.S. Department of Health and Human Services Office of Inspector General released a report titled “Adverse Events in Hospitals: A Quarter of Medicare Patients […]

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Uncategorized Published - 26 March, 2024    By - Dr Clemens
Intraoperative Mechanical Power and Postoperative Pulmonary Complications in Noncardiothoracic Elective Surgery Patients

Authors: Bertrand Elefterion, M.D. et al  Anesthesiology March 2024, Vol. 140, 399–408. Background Postoperative pulmonary complications is a major issue that affects outcomes of surgical patients. The hypothesis was that the intraoperative ventilation parameters are associated with occurrence of postoperative pulmonary complications. Methods A single-center retrospective cohort study was conducted at the Lille University Hospital, France. […]

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Uncategorized Published - 26 March, 2024    By - Dr Clemens
Post-Alcohol Consumption Cognitive Performance

Authors: Todd Nelson, MD; Michael G. Fitzsimons, MD Anesthesia Patient Safety Foundation Volume 39, No. 1 • February 2024  To the Editor: For passenger safety and pilot performance, The Federal Aviation Administration (FAA) has several recommendations regarding alcohol consumption for pilots.1 A few are listed below. As a minimum, adhere to all the guidelines of 14 CFR […]

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Uncategorized Published - 26 March, 2024    By - Dr Clemens
Multicenter, Randomized, Placebo-controlled Crossover Trial Evaluating Topical Lidocaine for Mechanical Cervical Pain

Authors: Steven P. Cohen, M.D. et al  Anesthesiology March 2024, Vol. 140, 513–523. Background There are few efficacious treatments for mechanical neck pain, with controlled trials suggesting efficacy for muscle relaxants and topical nonsteroidal anti-inflammatory drugs. Although studies evaluating topical lidocaine for back pain have been disappointing, the more superficial location of the cervical musculature suggests […]

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Uncategorized Published - 26 March, 2024    By - Dr Clemens
Technology in Anesthesia

ASA Monitor March 2024, Vol. 88, 14. Test to assess risk for opioid use disorder The FDA has granted approval to the AutoGenomics, Inc. AvertD test, the first genetic laboratory test designed to assess the elevated risk of developing opioid use disorder in certain individuals. The test is a prescription-use-only genetic test for patients aged 18 […]

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Uncategorized Published - 26 March, 2024    By - Dr Clemens
An Alternative Approach for Selective Lung Ventilation

Authors: Husam Alsamman et al Cureus 15(4): e38126. doi:10.7759/cureus.38126 Abstract Single lung ventilation (SLV) with the double lumen tube (DLT) has been an effective process for providing surgical exposure in the thoracic cavity and has been applied effectively in the operating room. SLV also aids in protecting a healthy lung from the ill effects of […]

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Uncategorized Published - 25 March, 2024    By - Dr Clemens
We have a great full time job for an anesthesiologist in Key West FL

Readers we need an anesthesiologist for our Key West FL hospital.  Please call me at 660-596-2224 for job details. Rob Clemens MD MBA PhD PLEASE NO AGENCIES Key West, Florida, is a captivating island city nestled at the southernmost tip of the continental United States. Renowned for its laid-back atmosphere, vibrant culture, and stunning natural […]

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Uncategorized Published - 25 March, 2024    By - Dr Clemens
Wearables and Improving Perioperative Patient Safety—Searching for Solutions!

Authors: Megan H. Hicks, MD; Ashish K. Khanna, MD, MS, FCCP, FCCM, FASA Anesthesia Patient Safety Foundation Volume 39, No. 1 February 2024 INTRODUCTION Surgeons operate on patients with a significant comorbidity burden. Despite this, the intraoperative period is now safer than ever. However, postoperative adverse events are astonishingly common, accounting for approximately 7.7% of […]

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Uncategorized Published - 25 March, 2024    By - Dr Clemens
An Initial Investigation of Diaphragm Neurostimulation in Patients with Acute Respiratory Distress Syndrome

Authors: Mélodie Parfait, M.D. et al  Anesthesiology March 2024, Vol. 140, 483–494. Background Lung protective ventilation aims at limiting lung stress and strain. By reducing the amount of pressure transmitted by the ventilator into the lungs, diaphragm neurostimulation offers a promising approach to minimize ventilator-induced lung injury. This study investigates the physiologic effects of diaphragm neurostimulation […]

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Uncategorized Published - 25 March, 2024    By - Dr Clemens
Technology in Anesthesia

ASA Monitor March 2024, Vol. 88, 14. Phantom limb pain relief from spinal cord stimulation A proof-of-concept study conducted by the University of Pittsburgh School of Medicine demonstrated that spinal cord stimulation can induce sensation in the missing foot and alleviate phantom limb pain in individuals with lower limb amputations. Among the 1.5 million Americans with […]

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