Author: Dr Clemens

Uncategorized Published - 31 January, 2024    By - Dr Clemens
Anesthesia Incident Reporting System Case 2024-02: Supply and Demand – Importance of the Supply Chain

ASA Monitor February 2024, Vol. 88, 1–11. Case presentation: A 15-year-old adolescent female was scheduled for two surgical procedures on a Monday morning. The surgeon for the second procedure uses a harmonic scalpel. The OR nursing coordinator discovered on the previous Friday that the OR had no harmonic scalpels in stock and escalated this to hospital […]

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Uncategorized Published - 31 January, 2024    By - Dr Clemens
Trends in Anesthesiology

ASA Monitor February 2024, Vol. 88, 16. Norepinephrine deficiencies could reveal likelihood of Parkinson’s and Lewy body dementia In a recent National Institutes of Health (NIH) study, researchers utilized positron emission tomography (PET) scans of the heart to identify individuals at risk of developing Parkinson’s disease or Lewy body dementia. Scientists at the National Institute of […]

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Uncategorized Published - 31 January, 2024    By - Dr Clemens
Challenges Abound for Indigenous Peoples of North America

Author: Elizabeth T. Drum, MD, FAAP, FCPP, FASA ASA Monitor February 2024, Vol. 88, 17–18. Our world, our nation, our communities, and our specialty have struggled with access to health care and issues related to diversity, equity, and inclusion. The COVID-19 pandemic laid bare many more inequities that were “hidden” in plain view, and struggles for […]

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Uncategorized Published - 31 January, 2024    By - Dr Clemens
4 prior authorization updates

Author” Andrew Cass  Becker’s Payer Issues From the finalization of a rule CMS estimates will save $15 billion over 10 years to the implementation of another, here are four prior authorization updates Becker’s has reported on since Dec. 29: 1. CMS finalized a rule to streamline the prior authorization process and improve the electronic exchange of health information that […]

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Uncategorized Published - 30 January, 2024    By - Dr Clemens
Reversal of propofol-induced depression of the hypoxic ventilatory response by BK-channel blocker ENA-001

Authors: Simone C Jansen, MD et al  Anesthesiology January 2024 Background The use of anesthetics may result in depression of the hypoxic ventilatory response. Since there are no receptor-specific antagonists for most anesthetics, there is the need for agnostic respiratory stimulants, that increase respiratory drive irrespective of its cause. We tested whether ENA-001, an agnostic […]

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Uncategorized Published - 30 January, 2024    By - Dr Clemens
Gastric volume and antral area in the fasting state. A meta-analysis of individual patient data.

Authors: Anahi Perlas, MD, FRCPC et al  Anesthesiology January 2024. Background Pulmonary aspiration of gastric content is a serious anesthetic complication. Gastric point-of-care ultrasound can determine the type and volume of gastric content when clinical information is equivocal. However, a cut-off value of either antral cross-sectional area or volume that may be considered as the […]

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Uncategorized Published - 30 January, 2024    By - Dr Clemens
Antithrombin levels and heparin responsiveness during veno-arterial extracorporeal membrane oxygenation

Authors: Alexandre Mansour et al  Anesthesiology January 2024. Background Unfractionated heparin, administered during veno-arterial extracorporeal membrane oxygenation to prevent thromboembolic events, largely depend on plasma antithrombin for its antithrombotic effects. Decreased heparin responsiveness seems frequent on extracorporeal membrane oxygenation however its association with acquired antithrombin deficiency is poorly understood. Our objective was to describe longitudinal […]

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Uncategorized Published - 30 January, 2024    By - Dr Clemens
Good news, bad news for physicians in 2024

Author: Patsy Newitt Becker’s ASC Review From noncompete bans to pay cuts, here are three pieces of good news and three pieces of bad news facing physicians in 2024: The good news More states ban noncompetes States have been increasingly changing noncompete laws, which affect between 37% and 45% of physicians, according to a June 13 blog […]

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Uncategorized Published - 30 January, 2024    By - Dr Clemens
Rock n’ Open Brain Surgery

RocaNews A Florida guitarist played rock music while undergoing brain surgery, WSVN Miami reported Christian Nolen, a professional guitarist, was diagnosed with a brain tumor. Doctors scheduled him for an awake craniotomy, a type of surgery in which the patient is kept awake for parts of it During those operations, doctors ask patients to perform tasks […]

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Uncategorized Published - 29 January, 2024    By - Dr Clemens
Celebrating Anesthesiologist Week: The Unsung Heroes of Modern Medicine

  Author: Rob Clemens MD, MBA, PhD Anesthesiologists are often the unsung heroes in the world of healthcare, working tirelessly behind the scenes to ensure that patients receive safe and pain-free surgical and medical procedures. As we celebrate Anesthesiologist Week, it’s time to shine a spotlight on these dedicated medical professionals and recognize the crucial […]

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