Author: Dr Clemens

Uncategorized Published - 30 August, 2023    By - Dr Clemens
Sedatives and Postoperative Delirium: Comment

Authors: Brandon Goodwin, B.A. et al  Anesthesiology August 2023. To the Editor: We read with great interest, “Postoperative Delirium after Dexmedetomidine versus Propofol Sedation in Healthy Older Adults Undergoing Orthopedic Lower Limb Surgery with Spinal Anesthesia: A Randomized Controlled Trial” by Shin et al.  It reported that the incidence of delirium was less in the group receiving propofol versus dexmedetomidine. The […]

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Uncategorized Published - 30 August, 2023    By - Dr Clemens
Pulsed Electro-magnetic Field Therapy for Musculoskeletal Pain

Authors: TMarovino T, Tassone E. Practical Pain Manag. 2023 July/August;23(4). Science of PEMF Pulsed electro-magnetic field (PEMF) science has evolved over the years, and dedicated research on this topic, specifically as it applies to pain management, has been growing. Independent research on PEMF has consistently demonstrated meaningful physiological treatment effects in three areas: pain, inflammation, […]

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Uncategorized Published - 29 August, 2023    By - Dr Clemens
Association of labor neuraxial analgesia with maternal blood transfusion

Authors: Jean Guglielminotti, MD, PhD et al  Anesthesiology August 2023. Background Labor neuraxial analgesia may reduce the odds of postpartum hemorrhage, the leading indication for maternal blood transfusion during childbirth. This study tested the hypothesis that labor neuraxial analgesia is associated with reduced odds of maternal blood transfusion overall. Methods US birth certificate data in […]

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Uncategorized Published - 29 August, 2023    By - Dr Clemens
Bicarbonate: From Physiology to Clinical Practice: Reply

Authors: Silvia Coppola, M.D. et al  Anesthesiology August 2023. To the Editor: We would like to thank Hess and Long for their comments on our article who emphasized the role of acidemia-associated coagulopathy in terms of decreasing fibrinogen concentration, reducing coagulation factors and promoting a state of hypocoagulability. Furthermore, the correction of the state of […]

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Uncategorized Published - 29 August, 2023    By - Dr Clemens
Bicarbonate: From Physiology to Clinical Practice: Comment

Authors: Aaron S. Hess, M.D., Ph.D.; Micah T. Long, M.D. Anesthesiology August 2023. To the Editor: We deeply appreciated Dr. Coppola et al.’s thorough yet concise review of acid-base physiology and the clinical indications for sodium bicarbonate.  One more complication of acidosis deserves mention: coagulopathy. Although acidosis is often a secondary effect of injury and […]

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Uncategorized Published - 29 August, 2023    By - Dr Clemens
Bridging the Gap With Your Mobile Phone

Authors: Saeedah Asaf, MBBS; M. Saif Siddiqui, MBBS ASA Monitor August 2023, Vol. 87, 22–23. The mobile phone revolution has resulted in more people with access to cell phones than clean water and electricity. Now, 104 per 100 people have access to mobile phones in developing countries (Figure) (asamonitor.pub/462PUVd). In collaboration with tech companies, global health organizations […]

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Uncategorized Published - 29 August, 2023    By - Dr Clemens
“You look young! Are you a doctor?” A qualitative content analysis of anesthesiology resident responses to ageism in clinical encounters

Authors: Morgan D. Stosic, MA et al  Anesthesiology August 2023. Background Healthcare trainees frequently report facing comments from their patients pertaining to their age. Exposure to ageist comments from patients may be related to greater stress and/or burnout in residents and may impact the quality of the resident-patient relationship. However, little empirical work has examined […]

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Uncategorized Published - 29 August, 2023    By - Dr Clemens
Electrical Impedance Tomography Identifies Evolution of Regional Perfusion in a Porcine Model of Acute Respiratory Distress Syndrome

Authors: Kevin T Martin, M.D. et al  Anesthesiology August 2023. Background Bedside electrical impedance tomography (EIT) could be useful to visualize evolving pulmonary perfusion distributions when acute respiratory distress syndrome (ARDS) worsens or in response to ventilatory and positional therapies. In experimental ARDS, we evaluated the agreement of EIT and dynamic-contrast enhanced computed tomography (CT) […]

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Uncategorized Published - 28 August, 2023    By - Dr Clemens
Quality of recovery after surgery

Authors: Mike Charlesworth and Andrew Klein #TheAnesthesiaBlog We often hear calls for the use of PROMs and PREMs in research, and a range of studies report their use in the September issue. O’Carroll et al. report the largest multicentre dataset of day 1 and 30 postpartum recovery metrics using PROMs in patients from the UK. They […]

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Uncategorized Published - 28 August, 2023    By - Dr Clemens
University of Toronto: Edgy, Dissatisfied, Curious, and Committed

Author: Madeline Talbot ASA Monitor August 2023, Vol. 87, 37. The University of Toronto’s Department of Anesthesiology & Pain Medicine is enormous. Composed of over 700 faculty members and trainees, the university is part of the Toronto Academic Health Science Network, and the department currently closely partners with six fully affiliated hospitals and 11 community hospitals. […]

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