Author: Dr Clemens

Uncategorized Published - 7 December, 2023    By - Dr Clemens
Dynamic Nomogram for Predicting the Risk of Perioperative Neurocognitive Disorders in Adults

AUTHORS: Song, Ai-lin MS et al Anesthesia & Analgesia 137(6):p 1257-1269, December 2023. BACKGROUND: Simple and rapid tools for screening high-risk patients for perioperative neurocognitive disorders (PNDs) are urgently needed to improve patient outcomes. We developed an online tool with machine-learning algorithms using routine variables based on multicenter data. METHODS: The entire dataset was composed of […]

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Uncategorized Published - 7 December, 2023    By - Dr Clemens
Women Representation in Anesthesiology Society Leadership Positions

AUTHORS: Harbell, Monica W. MD et al Anesthesia & Analgesia 137(6):p 1171-1178, December 2023. BACKGROUND: Although the number of women in medicine has increased, women remain underrepresented in leadership positions, specifically in medical societies. Specialty societies in medicine are influential in networking, career advancement, research and education opportunities, and providing awards and recognition. The goals of […]

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Uncategorized Published - 6 December, 2023    By - Dr Clemens
A Systematic Review on Long-Term Postsurgical Pain Outcomes; What Is the Effect of Upper Extremity Regional Anesthesia?

AUTHORS: Droog, Wouter MD et al  Anesthesia & Analgesia 137(2):p 365-374, August 2023. BACKGROUND: Chronic pain is a recognized complication of surgery, and it has been hypothesized that regional anesthesia might reduce the risk of development of chronic pain after upper extremity surgery. METHODS: A systematic literature review was performed to assess whether in patients undergoing […]

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Uncategorized Published - 6 December, 2023    By - Dr Clemens
Hospital Leadership – A Difficult Task That Is Not Getting Any Easier

Authors: Zachary Deutch, MD, FASA; Russ Armistead, MBA ASA Monitor November 2023, Vol. 87, 10–11. Behind every successful leader is a great support network! Pictured are members of the Armistead family cheering on the Wake Forest football team. Left to right: Mr. Armistead’s wife, daughter, granddaughter, son-in-law, and grandson. Many ASA members have interacted with members […]

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Uncategorized Published - 6 December, 2023    By - Dr Clemens
Movement-evoked pain versus pain at rest in postsurgical clinical trials, and, in meta-analyses

Authors: Ian Gilron, MD, MSc, FRCPC et al Anesthesiology November 2023. Background Given the widespread recognition that postsurgical movement-evoked pain (MEP) is generally more intense, and more functionally relevant, than pain at rest (PAR), we conducted an update to a previous 2011 review to re-evaluate the assessment of PAR and MEP in more recent postsurgical […]

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Uncategorized Published - 6 December, 2023    By - Dr Clemens
Preoperative Ultrasound-Guided Internal Branch Block of Superior Laryngeal Nerve Reduces Postoperative Sore Throat Caused by Double Lumen Endotracheal Intubation

AUTHORS: Chen, Zheping MM et al Anesthesia & Analgesia 137(6):p 1270-1278, December 2023. BACKGROUND: Postoperative sore throat (POST) is one of the more common side effects of tracheal intubation patients under general anesthesia (GA) after extubation using double-lumen endobronchial tubes (DLTs). The internal branches of the superior laryngeal nerve (SLN) block (iSLNB) have been reported to […]

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Uncategorized Published - 6 December, 2023    By - Dr Clemens
Age-Dependent Electroencephalogram Features in Infants Under Spinal Anesthesia Appear to Mirror Physiologic Sleep in the Developing Brain

AUTHORS: Santa Cruz Mercado, Laura A. MD et al Anesthesia & Analgesia 137(6):p 1241-1249, December 2023.  BACKGROUND: Infants under spinal anesthesia appear to be sedated despite the absence of systemic sedative medications. In this prospective observational study, we investigated the electroencephalogram (EEG) of infants under spinal anesthesia and hypothesized that we would observe EEG features […]

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Uncategorized Published - 6 December, 2023    By - Dr Clemens
National Survey of Combined Pediatrics-Anesthesiology Residents and Graduates: Factors Contributing to Changing Career Aspirations Over Time

AUTHORS: Liu, Jia MD et al Anesthesia & Analgesia 137(6):p 1250-1256, December 2023. BACKGROUND: The Dual Pathway for Certification in Pediatrics and Anesthesiology was created in 2011 to develop leaders in caring for children with complex medical and surgical conditions. While existing dual-trained practitioners report continued practice in both pediatric anesthesiology (PA) and pediatric critical care […]

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Uncategorized Published - 5 December, 2023    By - Dr Clemens
Association of Genetic Variants with Postsurgical Pain

Authors: Stephan G. Frangakis, M.D., Ph.D. et al  Anesthesiology December 2023, Vol. 139, 827–839. Background Postsurgical pain is a key component of surgical recovery. However, the genetic drivers of postsurgical pain remain unclear. A broad review and meta-analyses of variants of interest will help investigators understand the potential effects of genetic variation. Methods This article is […]

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Uncategorized Published - 5 December, 2023    By - Dr Clemens
Determination of the Optimal Volume of Programmed Intermittent Epidural Bolus When Combined With the Dural Puncture Epidural Technique for Labor Analgesia

AUTHORS: Xiao, Fei MD et al Anesthesia & Analgesia 137(6):p 1233-1240, December 2023. BACKGROUND: The dural puncture epidural (DPE) and the programmed intermittent epidural bolus (PIEB) techniques are recent innovations for labor analgesia. The optimal volume of PIEB during traditional epidural analgesia has been investigated previously but it is unknown whether these findings are applicable to […]

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