Author: Dr Clemens

Uncategorized Published - 7 March, 2024    By - Dr Clemens
In Vitro Model of Prepacked Carbon Dioxide Absorber Use

Authors: Jennifer Jouwena, M.D. et al Anesthesiology March 2024, Vol. 140, 450–462. Background Carbon dioxide absorbers allow the use of fresh gas flow below minute ventilation (⁠V˙E⁠). Models are developed and tested in vitro to quantify their performance with variable carbon dioxide load (⁠V˙CO2⁠), fresh gas flow, V˙E⁠, end-tidal carbon dioxide (ETco2) fraction, and the type of workstation used. […]

Read More
Uncategorized Published - 7 March, 2024    By - Dr Clemens
Isoflurane Inhibits the Na+/K+-ATPase: Reply

Authors: Clemens Reiffurth, Ph.D. et al  Anesthesiology March 2024, Vol. 140, 635–636. In Reply: We thank Dr. Enlund very much for his comments and motivating words.  The interactions of anesthetics with key mechanisms in energy metabolism and ion homeostasis occur simultaneously as we observed in our experiments.  These complex interactions might be relevant for both neuroprotection and neurotoxicity […]

Read More
Uncategorized Published - 7 March, 2024    By - Dr Clemens
Astrocytes: Dual Roles in Chronic Pain and Memory Formation

Author: Vivianne L. Tawfik, M.D., Ph.D.  Anesthesiology March 2024, Vol. 140, 358–360. “[…] these experiments nicely demonstrate that CA1 astrocytes, and their L-lactate release, are both necessary and sufficient for pain modulation and memory formation.” Astrocytes are glial cells, abundant in the central nervous system, that form a highly interconnected and organized network of cells.  They make […]

Read More
Uncategorized Published - 7 March, 2024    By - Dr Clemens
How the anesthesia shortage is impacting orthopedics

Author: Riz Hatton Becker’s Orthopedic Review The anesthesiologist shortage is affecting every area of healthcare, and orthopedics is no exception. Three orthopedic surgeons connected with Becker’s to answer, “How has the anesthesia shortage impacted the orthopedic industry?” Ask Orthopedic Surgeons is a weekly series of questions posed to surgeons around the country about clinical, business and policy […]

Read More
Uncategorized Published - 6 March, 2024    By - Dr Clemens
Anesthesia Needs to Lead the Way in Safety—Again—through the Universal Adoption of Structured Handoffs

Authors: Jeffrey B. Cooper, Ph.D.; Meghan B. Lane-Fall, M.D., M.S.H.P. Anesthesiology March 2024, Vol. 140, 355–357. “The report by Saha and Segal should be a call-to-action for all anesthesia professionals to conduct a deliberate, structured process for every instance in which responsibility for care of a patient is permanently transferred from one clinician or team to another.” […]

Read More
Uncategorized Published - 6 March, 2024    By - Dr Clemens
Lung Ultrasound Score on Postoperative Day 1 Is Predictive of the Occurrence of Pulmonary Complications after Major Abdominal Surgery

Authors: Jeremy Boussier, M.D., Ph.D. et al  Anesthesiology March 2024, Vol. 140, 417–429. Background Postoperative pulmonary complications after major abdominal surgery are frequent and carry high morbidity and mortality. Early identification of patients at risk of pulmonary complications by lung ultrasound may allow the implementation of preemptive strategies. The authors hypothesized that lung ultrasound score would […]

Read More
Uncategorized Published - 6 March, 2024    By - Dr Clemens
Remimazolam Dosing for Gastroscopy

Authors: Huichen Zhu, M.D. et al  Anesthesiology March 2024, Vol. 140, 409–416. Background Remimazolam, an ultra-short-acting benzodiazepine, may provide adequate sedation for endoscopy while causing less cardiovascular or respiratory disturbance than propofol. Although fixed-dose administration is suggested, body weight affects the volume of the central chamber and thus affects the sedation depth that can be achieved […]

Read More
Uncategorized Published - 6 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. […]

Read More
Uncategorized Published - 6 March, 2024    By - Dr Clemens
Young Stroke Risk Factors Include Social Determinants and Race

Author: Leah Lawrence MedCentral “Everyone is talking about young stroke,” said Lakeisha M. Mixon, MSW, LCSW-C, and understanding the racial and ethnic differences in risk factors is an important part of that conversation. Mixon is a health program manager at the University of Maryland School of Medicine and she presented at this week’s International Stroke […]

Read More
Uncategorized Published - 5 March, 2024    By - Dr Clemens
Opioid use disorder treatment retention improves with insurance coverage: study

Author: Noah Tong FIERCE Healthcare Insurance network coverage dramatically impacts whether a person remains in treatment for opioid use disorder, according to results shared by treatment provider Ophelia. A new study finds that nearly three-quarters (72.3%) of patients receiving opioid treatment through network insurance stayed in treatment for at least six months. Patients received telehealth […]

Read More