Author: Dr Clemens

Uncategorized Published - 19 February, 2024    By - Dr Clemens
Examining Bleeding Risk, Transfusion-related Complications, and Strategies to Reduce Transfusions in Lung Transplantation

BAuthors: randi Bottiger, M.D. et al  Anesthesiology February 2024. In 2021, the Organ Procurement and Transplantation Network (Richmond, Virgina) recorded greater than 40,000 solid organ transplants, despite the COVID-19 pandemic.  Most of them were kidney transplants, an operation with less blood loss and need for allogeneic transfusions compared to liver, heart, or lung transplantation. Due to […]

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Uncategorized Published - 19 February, 2024    By - Dr Clemens
Perioperative Red Blood Cell Transfusion Is Associated With Adverse Cardiovascular Outcomes in Heart Valve Surgery

AUTHORS: Kim, Hee Jung MD, PhD et al  Anesthesia & Analgesia 137(1):p 153-161, July 2023. BACKGROUND: We examined the relationship between blood transfusion and long-term adverse events to evaluate the clinical impact of red blood cell (RBC) transfusion on patients undergoing cardiac valve surgery. METHODS: From the National Health Insurance Service database, individuals undergoing heart valve […]

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Uncategorized Published - 19 February, 2024    By - Dr Clemens
Good news, bad news for ASCs in 2024

Author: Patsy Newitt Becker’s ASC Review Here are four pieces of good news and three pieces of bad news affecting the ASC industry at the moment. Good news 1. CMS added 11 procedures to the ASC-covered list that were not included in the proposed rule, including total shoulder arthroplasty. “When I think of my patient population, I […]

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Uncategorized Published - 16 February, 2024    By - Dr Clemens
Cardiologists give recycled pacemakers to heart patients in need

Author: Michael Walter Cardiovascular Business When patients with pacemakers die, what happens to the device? Typically, it ends up being discarded and forgotten—they were designed to be single-use devices, after all—but that does not have to be the case. For several years now, cardiologists, electrophysiologists and other heart specialists with the Frankel Cardiovascular Center at the University […]

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Uncategorized Published - 16 February, 2024    By - Dr Clemens
Loss-of-Resistance Versus Dynamic Pressure-Sensing Technology for Successful Placement of Thoracic Epidural Catheters

AUTHORS: Ranganath, Yatish S. MD, FASA et al  Anesthesia & Analgesia January 08, 2024. BACKGROUND: The traditional loss-of-resistance (LOR) technique for thoracic epidural catheter placement can be associated with a high primary failure rate. In this study, we compared the traditional LOR technique and dynamic pressure-sensing (DPS) technology for primary success rate and secondary outcomes […]

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Uncategorized Published - 16 February, 2024    By - Dr Clemens
Association of Early Dexmedetomidine Utilization With Clinical Outcomes After Moderate-Severe Traumatic Brain Injury

AUTHORS: Liu, Sunny Yang BA et al Anesthesia & Analgesia February 09, 2024. BACKGROUND: Traumatic brain injury (TBI) is an expensive and common public health problem. Management of TBI oftentimes includes sedation to facilitate mechanical ventilation (MV) for airway protection. Dexmedetomidine has emerged as a potential candidate for improved patient outcomes when used for early […]

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Uncategorized Published - 16 February, 2024    By - Dr Clemens
Thoracic Epidural Analgesia Is Not Associated With Improved Survival After Pancreatic Surgery

AUTHORS: Klotz, Rosa MD et al  Anesthesia & Analgesia February 09, 2024. BACKGROUND: Perioperative thoracic epidural analgesia (EDA) and patient-controlled intravenous analgesia (PCIA) are common forms of analgesia after pancreatic surgery. Current guidelines recommend EDA over PCIA, and evidence suggests that EDA may improve long-term survival after surgery, especially in cancer patients. The aim of […]

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Uncategorized Published - 16 February, 2024    By - Dr Clemens
Gender and Pathways to Leadership in Academic Anesthesiology

AUTHORS: Lane-Fall, Meghan B. MD, MSHP, FCCM et al  Anesthesia & Analgesia January 30, 2024. BACKGROUND: Women are underrepresented in medicine and academic anesthesiology, and especially in leadership positions. We sought to characterize career achievement milestones of female versus male academic anesthesiology chairs to understand possible gender-related differences in pathways to leadership. METHODS: We conducted […]

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Uncategorized Published - 15 February, 2024    By - Dr Clemens
Preoperative Anemia and Postoperative Outcomes in Cardiac Surgery

AUTHORS: Warner, Matthew A. MD et al  Anesthesia & Analgesia February 09, 2024. BACKGROUND: Preoperative anemia is associated with adverse outcomes in cardiac surgery, yet it remains unclear what proportion of this association is mediated through red blood cell (RBC) transfusions. METHODS: This is a historical observational cohort study of adults undergoing coronary artery bypass […]

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Uncategorized Published - 15 February, 2024    By - Dr Clemens
Association of Preoperative Diabetes With Postoperative Delirium in Older Patients Undergoing Major Orthopedic Surgery

AUTHORS: Shang, Zixiang MD et al  Anesthesia & Analgesia ():10.1213/ANE.0000000000006893, February 09, 2024. BACKGROUND: Postoperative delirium (POD) is a common form of postoperative brain dysfunction, especially in the elderly. However, its risk factors remain largely to be determined. This study aimed to investigate whether (1) preoperative diabetes is associated with POD after elective orthopedic surgery and […]

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