Author: Dr Clemens

Uncategorized Published - 1 March, 2024    By - Dr Clemens
Artificial Intelligence in Anesthetic Care

AUTHORS: Estrada Alamo, Carlos E. MD, MBA et al   Anesthesia & Analgesia December 07, 2023. BACKGROUND: This study explored physician anesthesiologists’ knowledge, exposure, and perceptions of artificial intelligence (AI) and their associations with attitudes and expectations regarding its use in clinical practice. The findings highlight the importance of understanding anesthesiologists’ perspectives for the successful integration […]

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Uncategorized Published - 1 March, 2024    By - Dr Clemens
Quercetin, Main Active Ingredient of Moutan Cortex, Alleviates Chronic Orofacial Pain via Block of Voltage-Gated Sodium Channel

AUTHORS: Liu, Zhanli MD et al  Anesthesia & Analgesia November 17, 2023. BACKGROUND: Chronic orofacial pain (COP) therapy is challenging, as current medical treatments are extremely lacking. Moutan Cortex (MC) is a traditional Chinese medicine herb widely used for chronic inflammatory diseases. However, the mechanism behind MC in COP therapy has not been well-established. The […]

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Uncategorized Published - 1 March, 2024    By - Dr Clemens
Low Perfusion and Missed Diagnosis of Hypoxemia by Pulse Oximetry in Darkly Pigmented Skin

AUTHORS: Gudelunas, M. Koa BS et al  Anesthesia & Analgesia 138(3):p 552-561, March 2024. BACKGROUND: Retrospective clinical trials of pulse oximeter accuracy report more frequent missed diagnoses of hypoxemia in hospitalized Black patients than White patients, differences that may contribute to racial disparities in health and health care. Retrospective studies have limitations including mistiming of blood […]

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Uncategorized Published - 1 March, 2024    By - Dr Clemens
Novel Preoperative Risk Stratification Using Digital Phenotyping Applying a Scalable Machine-Learning Approach

AUTHORS: Laferrière-Langlois, Pascal MD, MS et al  Anesthesia & Analgesia December 05, 2023. | BACKGROUND: Classification of perioperative risk is important for patient care, resource allocation, and guiding shared decision-making. Using discriminative features from the electronic health record (EHR), machine-learning algorithms can create digital phenotypes among heterogenous populations, representing distinct patient subpopulations grouped by shared characteristics, […]

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Uncategorized Published - 29 February, 2024    By - Dr Clemens
Poor Agreement Between Preoperative Transthoracic Echocardiography and Intraoperative Transesophageal Echocardiography for Grading Diastolic Dysfunction

AUTHORS: McIlroy, David R. MBBS, MD, MClinEpi, FANZCA et al  Anesthesia & Analgesia 138(1):p 123-133, January 2024. BACKGROUND: Guidelines for the evaluation and grading of diastolic dysfunction are available for transthoracic echocardiography (TTE). Transesophageal echocardiography (TEE) is used for this purpose intraoperatively but the level of agreement between these 2 imaging modalities for grading diastolic dysfunction […]

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Uncategorized Published - 29 February, 2024    By - Dr Clemens
Association Between Loop Diuretics and Mortality in Patients With Cardiac Surgery–Associated Acute Kidney Injury

AUTHORS: Zhu, Shouqiang MD et al Anesthesia & Analgesia November 22, 2023. BACKGROUND: Although loop diuretics (LDs) have been widely used in clinical practice, their effect on mortality when administered to patients experiencing cardiac surgery–associated acute kidney injury (CS-AKI) remains unknown. The study aimed to investigate the effectiveness of LD use in patients with CS-AKI. […]

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Uncategorized Published - 29 February, 2024    By - Dr Clemens
A closer look at how weight loss drug semaglutide improves the cardiovascular health of obese patients without diabetes

Author: Michael Walter Cardiovascular Business | Weekly treatments of semaglutide can reduce the risk of cardiovascular death, heart attack or stroke among obese patients without diabetes, according to new data presented at the American Heart Association’s Scientific Sessions 2023 conference and simultaneously published in The New England Journal of Medicine.[1] Subcutaneous treatments of semaglutide, a GLP-1 receptor agonist […]

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Uncategorized Published - 29 February, 2024    By - Dr Clemens
Cardiologist reprimanded for performing surgery after testing positive for COVID-19

Author: Michael Walter Cardiovascular Business  Malcolm Kirk, MD, a veteran cardiologist who specializes in electrophysiology has been reprimanded by the Rhode Island Board of Medicine Licensure and Discipline for performing a surgery one day after testing positive for COVID-19. WJAR in Providence, Rhode Island, reported on the story, noting that Kirk performed the procedure on Jan. 12 […]

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Uncategorized Published - 29 February, 2024    By - Dr Clemens
Why staffing is anesthesia’s biggest problem

Author: Claire Wallace Becker’s ASC Review Medicare’s average anesthesia rate for 2023 is down 5.5% from 2019 as inflation continues to rise nationwide, according to an analysis by Coronis Health. Another analysis, from VMG Health, found that Medicare reimbursements for anesthesia services decreased from $22.2730 per unit in 2019 to $21.1249 in 2023 under CMS’ final rule. While many advocacy […]

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Uncategorized Published - 28 February, 2024    By - Dr Clemens
Volatile Anesthetic Use Versus Total Intravenous Anesthesia for Patients Undergoing Heart Valve Surgery

AUTHORS: Ju, Jae-Woo MD et al  Anesthesia & Analgesia November 21, 2023. BACKGROUND: Many studies have suggested that volatile anesthetic use may improve postoperative outcomes after cardiac surgery compared to total intravenous anesthesia (TIVA) owing to its potential cardioprotective effect. However, the results were inconclusive, and few studies have included patients undergoing heart valve surgery. […]

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