Author: Dr Clemens

Uncategorized Published - 11 March, 2024    By - Dr Clemens
Feasibility of Prone Positioning for Brain-injured Patients with Severe Acute Respiratory Distress Syndrome

Authors: Yoann Elmaleh, M.D. et al  Anesthesiology March 2024, Vol. 140, 495–512. Background Prone position is a key component to treat hypoxemia in patients with severe acute respiratory distress syndrome. However, most studies evaluating it exclude patients with brain injuries without any medical evidence. Methods This study includes a systematic review to determine whether brain-injured patients […]

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Uncategorized Published - 11 March, 2024    By - Dr Clemens
Comparative Analysis of the Performance of Electroencephalogram Parameters for Monitoring the Depth of Sedation During Remimazolam Target-Controlled Infusion

AUTHORS: Bae, Myung Il MD et al  Anesthesia & Analgesia December 05, 2023. BACKGROUND: The changes in hypnotic indicators in remimazolam sedation remain unclear. We investigated the correlation of the electroencephalogram (EEG) parameters with the effect-site remimazolam concentration and the depth of sedation in patients receiving a target-controlled infusion of remimazolam. METHODS: This prospective observational […]

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Uncategorized Published - 11 March, 2024    By - Dr Clemens
Stress Pathways Induced by Volatile Anesthetics and Failure of Preconditioning in a Mitochondrial Complex I Mutant

Authors: Zachariah P. G. Olufs, B.S. et al Anesthesiology March 2024, Vol. 140, 463–482. Background Carriers of mutations in the mitochondrial electron transport chain are at increased risk of anesthetic-induced neurotoxicity. To investigate the neurotoxicity mechanism and to test preconditioning as a protective strategy, this study used a Drosophila melanogaster model of Leigh syndrome. Model flies carried a […]

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Uncategorized Published - 8 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 - 8 March, 2024    By - Dr Clemens
Congress moves to halve physician pay cut: 3 things to know

Author: Paige Haeffele Becker’s ASC Review Congress released a $460 billion spending package that would halve 2024’s 3.4% Medicare pay cut for physicians to approximately 1.7%. The package, which consists of six bills, would be used to fund the entire government, The Washington Post reported. Here are three things ASC leaders should know about the package: 1. The package would […]

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Uncategorized Published - 8 March, 2024    By - Dr Clemens
REGAINing the Freedom to Choose Insensibility for Hip Fracture Surgery

Authors: Elizabeth L. Whitlock, M.D., M.Sc.; Alexander K. Smith, M.D., M.P.H. Anesthesiology March 2024, Vol. 140, 352–354. “It is remarkable how little difference there is between the REGAIN randomization groups at 1 yr. All estimates, directionally, suggest we need not bend over backward to avoid general anesthesia. Any differences between techniques are small and unlikely to be […]

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Uncategorized Published - 8 March, 2024    By - Dr Clemens
Heart surgery outcomes comparable at high- and low-volume children’s hospitals

Author: Michael Walter Cardiovascular Business High-volume pediatric heart surgery centers do not always achieve the best outcomes, according to new research presented at STS 2024, the annual meeting of the Society of Thoracic Surgeons (STS). Likewise, some low-volume centers deliver outcomes as good as anywhere in the world. The analysis was based on nearly 26,000 heart […]

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Uncategorized Published - 8 March, 2024    By - Dr Clemens
PE-backed anesthesiology group ends contracts with 5 Colorado hospitals, phases out noncompetes to resolve monopoly inquiry

Author: Dave Muoio FIERCE Healthcare A private-equity-backed anesthesia provider group that’s been in federal regulators’ crosshairs has reached a voluntary agreement with the state of Colorado to cut ties with five hospitals, thereby resolving its allegations of anticompetitive conduct. According to Colorado Attorney General Phil Weiser’s office, U.S. Anesthesia Partners (USAP) of Colorado began purchasing […]

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Uncategorized Published - 7 March, 2024    By - Dr Clemens
Movement-evoked Pain versus Pain at Rest in Postsurgical Clinical Trials and in Meta-analyses

Authors: Ian Gilron, M.D., M.Sc., F.R.C.P.C. et al  Anesthesiology March 2024, Vol. 140, 442–449. Background Given the widespread recognition that postsurgical movement-evoked pain is generally more intense, and more functionally relevant, than pain at rest, the authors conducted an update to a previous 2011 review to re-evaluate the assessment of pain at rest and movement-evoked pain […]

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Uncategorized Published - 7 March, 2024    By - Dr Clemens
Effect of an Individualized Lung Protective Ventilation on Lung Strain and Stress in Children Undergoing Laparoscopy

Authors: Cecilia M. Acosta, M.D. et al  Anesthesiology March 2024, Vol. 140, 430–441. Background Exaggerated lung strain and stress could damage lungs in anesthetized children. The authors hypothesized that the association of capnoperitoneum and lung collapse in anesthetized children increases lung strain-stress. Their primary aim was to describe the impact of capnoperitoneum on lung strain-stress and […]

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