Author: Dr Clemens

Uncategorized Published - 17 October, 2023    By - Dr Clemens
Association between “Balance Billing” Legislation and Anesthesia Payments in California

Authors: Anjali A. Dixit, M.D., M.P.H. et al  Anesthesiology November 2023, Vol. 139, 580–590. Background Insured patients who receive out-of-network care may receive a “balance bill” for the difference between the practitioner’s charge and their insurer’s contracted rate. In 2017, California banned balance billing for anesthesia care. This study examined the association between California’s law and […]

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Uncategorized Published - 17 October, 2023    By - Dr Clemens
Development of a Prediction Score for Evaluation of Extubation Readiness in Neurosurgical Patients with Mechanical Ventilation

Authors: Shan-Shan Xu, M.D. et al  Anesthesiology November 2023, Vol. 139, 614–627. Background There is no widely accepted consensus on the weaning and extubating protocols for neurosurgical patients, leading to heterogeneity in clinical practices and high rates of delayed extubation and extubation failure−related health complications. Methods In this single-center prospective observational diagnostic study, mechanically ventilated neurosurgical […]

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Uncategorized Published - 17 October, 2023    By - Dr Clemens
Baseline Intraoperative Left Ventricular Diastolic Function Is Associated with Postoperative Atrial Fibrillation after Cardiac Surgery

Authors: Lisa Q. Rong, M.D. et al  Anesthesiology November 2023, Vol. 139, 602–613. Background Detailed understanding of the association between intraoperative left atrial and left ventricular diastolic function and postoperative atrial fibrillation is lacking. In this post hoc analysis of the Posterior Left Pericardiotomy for the Prevention of Atrial Fibrillation after Cardiac Surgery (PALACS) trial, we aimed to […]

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Uncategorized Published - 17 October, 2023    By - Dr Clemens
Relationship between clinic and ambulatory blood pressure and mortality

Authors: Natalie Staplin et al Lancet 2023 Jun 17;401(10393):2041-2050. Background: Ambulatory blood pressure provides a more comprehensive assessment than clinic blood pressure, and has been reported to better predict health outcomes than clinic or home pressure. We aimed to examine associations of clinic and 24-h ambulatory blood pressure with all-cause and cardiovascular mortality in a large […]

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Uncategorized Published - 17 October, 2023    By - Dr Clemens
3 anesthesia legal battles in 1 month

Author: Patsy Newitt  Becker’s ASC Review Here are three lawsuits filed or resolved in the last month involving anesthesiologists or anesthesia groups: An anesthesiologist was accused of negligence during a 2021 spinal surgery in a lawsuit filed against Morgantown. W.Va.-based J.W. Ruby Memorial Hospital. On Oct. 8, 2021, David Gentry underwent a spinal procedure requiring anesthesia. He […]

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Uncategorized Published - 16 October, 2023    By - Dr Clemens
Mild Hypercapnia or Normocapnia after Out-of-Hospital Cardiac Arrest

Authors: Glenn Eastwood et al N Engl J Med 2023 Jul 6;389(1):45-57. Background: Guidelines recommend normocapnia for adults with coma who are resuscitated after out-of-hospital cardiac arrest. However, mild hypercapnia increases cerebral blood flow and may improve neurologic outcomes. Methods: We randomly assigned adults with coma who had been resuscitated after out-of-hospital cardiac arrest of presumed cardiac […]

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Uncategorized Published - 16 October, 2023    By - Dr Clemens
Opioid analgesia for acute low back pain and neck pain (the OPAL trial)

Authors: Caitlin M P Jones et al Lancet. 2023 Aug 19;402(10402):612 Background: Opioid analgesics are commonly used for acute low back pain and neck pain, but supporting efficacy data are scarce. We aimed to investigate the efficacy and safety of a judicious short course of an opioid analgesic for acute low back pain and neck pain. […]

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Uncategorized Published - 16 October, 2023    By - Dr Clemens
Effectiveness of Lumbar Cerebrospinal Fluid Drain Among Patients With Aneurysmal Subarachnoid Hemorrhage

Authors: Stefan Wolf et al JAMA Neurol 2023 Aug 1;80(8):833-842. Importance: After aneurysmal subarachnoid hemorrhage, the use of lumbar drains has been suggested to decrease the incidence of delayed cerebral ischemia and improve long-term outcome. Objective: To determine the effectiveness of early lumbar cerebrospinal fluid drainage added to standard of care in patients after aneurysmal subarachnoid hemorrhage. […]

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Uncategorized Published - 16 October, 2023    By - Dr Clemens
Association of Genetic Variants with Postsurgical Pain

Authors: Stephan G. Frangakis, M.D., Ph.D. et al  Anesthesiology September 2023. Background Postsurgical pain is a key component of surgical recovery. However, the genetic drivers of postsurgical pain remain unclear. A broad review and meta-analyses of variants of interest will help investigators understand the potential effects of genetic variation. Methods This article is a systematic […]

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Uncategorized Published - 16 October, 2023    By - Dr Clemens
Evaluation of malignant hyperthermia features in patients with pathogenic or likely pathogenic RYR1 variants disclosedthrough a population genomic screening program

Authors: Kristen D. Yu, M.S. et al  Anesthesiology October 2023. Background Malignant hyperthermia (MH) susceptibility is a heritable musculoskeletal disorder that can present as a potentially fatal hypermetabolic response to triggering anesthesia agents. Genomic screening for variants in MH-associated genes RYR1 and CACNA1S provides an opportunity to prevent morbidity and mortality. There are limited outcomes data from disclosing variants […]

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