Author: Dr Clemens

Uncategorized Published - 25 October, 2023    By - Dr Clemens
Thoracic Epidural Anesthesia in Cardiac Surgery

AUTHORS: Chiew, John Keong MBBS et al  Anesthesia & Analgesia 137(3):p 587-600, September 2023. BACKGROUND: Research on fast-track recovery protocols postulates that thoracic epidural anesthesia (TEA) in cardiac surgery contributes to improved postoperative outcomes. However, concerns about TEA’s safety hinder its widespread usage. We conducted a systematic review and meta-analysis to assess the benefits and risks […]

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Uncategorized Published - 25 October, 2023    By - Dr Clemens
Association Between the FRAIL Scale and Postoperative Complications in Older Surgical Patients

AUTHORS: Gong, Selena BhSc et al  Anesthesia & Analgesia 136(2):p 251-261, February 2023. BACKGROUND: Several frailty screening tools have been shown to predict mortality and complications after surgery. However, these tools were developed for in-person evaluation and cannot be used during virtual assessments before surgery. The FRAIL (fatigue, resistance, ambulation, illness, and loss of weight) scale […]

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Uncategorized Published - 25 October, 2023    By - Dr Clemens
Transnasal Humidified Rapid Insufflation Ventilatory Exchange Augments Oxygenation in Children With Juvenile Onset Recurrent Respiratory Papillomatosis During Surgery

AUTHORS: Lei, Guiyu MD et al  Anesthesia & Analgesia 137(3):p 578-586, September 2023. BACKGROUND: Evidence is lacking regarding the efficacy of transnasal humidified rapid insufflation ventilatory exchange (THRIVE) in tubeless anesthesia, especially in pediatric patients. This study aimed to evaluate the use of THRIVE for juvenile onset recurrent respiratory papillomatosis (JORRP) patients. METHODS: Twenty-eight children aged […]

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Uncategorized Published - 25 October, 2023    By - Dr Clemens
Monitoring and Antagonism of Neuromuscular Blockade: Problems with Succinylcholine

Authors: Patrick Wong, F.R.C.A.; Oliver Ashby, F.A.N.Z.C.A. Anesthesiology November 2023, Vol. 139, 712–714. To the Editor: We congratulate Thilen et al. for their comprehensive and pragmatic guidelines for neuromuscular blockade monitoring and antagonism. They highlight the problems associated with neuromuscular monitoring after administration of succinylcholine (a depolarizing neuromuscular blocker): the utilization of single-twitch monitoring; occurrence of fade in […]

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Uncategorized Published - 25 October, 2023    By - Dr Clemens
External Validation of a Multivariable Prediction Model for Placenta Accreta Spectrum

AUTHORS: Singh, Shubhangi MD et al  Anesthesia & Analgesia 137(3):p 537-547, September 2023. BACKGROUND: Placenta accreta spectrum (PAS) is a disorder of abnormal placentation associated with severe postpartum hemorrhage, maternal morbidity, and mortality. Predelivery prediction of this condition is important to determine appropriate delivery location and multidisciplinary planning for operative management. This study aimed to validate […]

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Uncategorized Published - 24 October, 2023    By - Dr Clemens
Difficult Airway Management in Neonates: Reply

Author: James Joseph Thomas, M.D Anesthesiology November 2023, Vol. 139, 712. In Reply: Dr. Asai appears to be discussing a slightly different, yet intriguing concept that he has previously published.  It is important to clarify, as he mentioned in his letter, that depending on the patient, the endotracheal tube could extend beyond the glottis, surpassing the […]

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Uncategorized Published - 24 October, 2023    By - Dr Clemens
Difficult Airway Management in Neonates: Comment

Author: Takashi Asai, M.D., Ph.D. Anesthesiology November 2023, Vol. 139, 711–712. To the Editor: I read with interest the article by Thomas et al. on fiberoptic tracheal intubation via a laryngeal mask airway (LMA) Unique (Laryngeal Mask Company Limited, USA) in neonates. They state that, to perform this, it is necessary to use a second tracheal tube as […]

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Uncategorized Published - 24 October, 2023    By - Dr Clemens
Texas anesthesiologist suspended following patient death

Author: Patsy Newitt Becker’s ASC Review The Texas Medical Board has suspended the license of anesthesiologist Michael Gallagher, MD, after a patient died July 10 at the Wortham, Texas-based med spa where he was the medical director, D Magazine reported Oct. 18. The patient died after receiving an IV treatment from Amber Johnson, the non-licensed business owner […]

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Uncategorized Published - 24 October, 2023    By - Dr Clemens
Skill Translation Following the Vital Anesthesia Simulation Training Facilitator Course

AUTHORS: Mossenson, Adam I. FANZCA, MPH, MBBS et al  Anesthesia & Analgesia 137(3):p 551-558, September 2023. BACKGROUND: Simulation-based education (SBE) is common in resource-rich locations, but barriers exist to widespread implementation in low-resource settings (LRSs). Vital Anesthesia Simulation Training (VAST) was developed to offer low-cost, immersive simulation to teach core clinical practices and nontechnical skills to […]

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Uncategorized Published - 24 October, 2023    By - Dr Clemens
Skill Translation Following the Vital Anesthesia Simulation Training Facilitator Course

AUTHORS: Mossenson, Adam I. FANZCA, MPH, MBBS et al  Anesthesia & Analgesia 137(3):p 551-558, September 2023. BACKGROUND: Simulation-based education (SBE) is common in resource-rich locations, but barriers exist to widespread implementation in low-resource settings (LRSs). Vital Anesthesia Simulation Training (VAST) was developed to offer low-cost, immersive simulation to teach core clinical practices and nontechnical skills to […]

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