Author: Dr Clemens

Uncategorized Published - 25 January, 2024    By - Dr Clemens
The Heat Is On: Anesthesiologists Confronting Health Complications in a Warming World

Authors: Dibash Kumar Das, PhD; Steven Shafer, MD, FASA ASA Monitor November 2023, Vol. 87, 1–5. Anesthesiologists are often at the forefront of new challenges in patient care. Anesthesiologists will be leaders in adapting health care delivery and hospital infrastructure to the escalating impacts of climate change. Climate change has led to more frequent and severe extreme […]

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Uncategorized Published - 25 January, 2024    By - Dr Clemens
Comparison of intravenous and inhalation anesthesia on postoperative behavior changes in children undergoing ambulatory endoscopic procedures

Authors: Vinícius Caldeira Quintão et al  Pediatric Anesthesia 13 November 2022 Background Early and delayed behavioral changes are well recognized after anesthesia. Intravenous anesthesia may prevent emergence delirium. However, it has not been evaluated as a preventive strategy for delayed postoperative behavior changes. Aims We aimed to determine whether intravenous anesthesia is effective at reducing […]

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Uncategorized Published - 25 January, 2024    By - Dr Clemens
Naloxone Saves Lives

Author: Steve Shafer, MD, FASA, Editor-in-Chief ASA Monitor June 2023, Vol. 87, 1–4. Death from the COVID-19 pandemic was not limited to mortality from respiratory illness. According to the National Institute on Drug Abuse, more than 68,000 died from opioid overdose in 2020, and more than 80,000 died from opioid overdose in 2021 (asamonitor.pub/3mbLWqY). Surging opioid […]

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Uncategorized Published - 25 January, 2024    By - Dr Clemens
12% of nurse leaders plan to leave in next 6 months

Author: Mariah Taylor Becker’s Clinical Leadership Twelve percent of nurse leaders plan to leave their position in the next six months, according to an American Organization for Nursing Leadership Foundation study. The 2024 Longitudinal Nursing Leadership Insight Study has surveyed leaders since July 2020. The latest report, based on a survey conducted in November 2023, included […]

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Uncategorized Published - 24 January, 2024    By - Dr Clemens
Influence of FiO2 on lung perfusion distribution, regional ventilation, and lung volume during mechanical ventilation of supine healthy swine

Authors: Bruno M. Ribeiro, P.T et al  Anesthesiology January 2024. Background Lower FiO2 during general anesthesia can reduce lung atelectasis. The objectives are to evaluate the effect of two FiO2 (0.4 and 1) during low PEEP ventilation over lung perfusion distribution, volume, and regional ventilation. These variables were evaluated at two PEEP levels and unilateral lung atelectasis. […]

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Uncategorized Published - 24 January, 2024    By - Dr Clemens
Electroencephalographic features of elderly patients during anesthesia induction with remimazolam

Authors: Hyoungkyu Kim et al  Anesthesiology January 2024. Background Although remimazolam is used as a general anesthetic in elderly patients due to its hemodynamic stability, the electroencephalogram (EEG) characteristics of remimazolam are not well-known. The purpose of this study was to identify the EEG features of remimazolam-induced unconsciousness in elderly patients and compare them with […]

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Uncategorized Published - 24 January, 2024    By - Dr Clemens
Nitrosamine measures might disrupt anesthetic supply, Dr. Eric Tichy says

Author: Paige Twenter Becker’s Hospital Review Hospitals should start conserving supply of short-term anesthetics as drug manufacturers become more conservative with nitrosamine measures, according to Eric Tichy, PharmD. In 2021, the FDA issued a guidance for drugmakers on controlling impurities of nitrosamine, a probable carcinogen. The guidance recommended pharmaceutical companies to fully comply by October 2023. Dr. […]

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Uncategorized Published - 24 January, 2024    By - Dr Clemens
Isoflurane Inhibits the Na+/K+-ATPase: Comment

Author: Mats Enlund, M.D., Ph.D. Anesthesiology December 2023. To the Editor: I was deeply impressed by the recently published work “Deep Isoflurane Anesthesia Is Associated with Alterations in Ion Homeostasis and Specific Na+/K+-ATPase Impairment in the Rat Brain” by Reiffurth et al. A long time ago, I was introduced by chance to Professor Gunnar Ronquist at […]

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Uncategorized Published - 24 January, 2024    By - Dr Clemens
Mayo to launch weight loss drug telehealth service

Author: Jakob Emerson Becker’s Hospital Review The Mayo Clinic Diet, a weight loss program developed by the Rochester, Minn.-based health system, is launching a weight loss telemedicine service. The Mayo Clinic Diet Medical Weight Loss Rx program will offer direct access to weight loss medications, or GLP-1s, via video visits with Amwell Medical Group clinicians, […]

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Uncategorized Published - 23 January, 2024    By - Dr Clemens
Brief Assessment of Patient Phenotype to Explain Variability in Postsurgical Pain and Opioid Consumption after Cesarean Delivery

Authors: Jingui He, RD, RN et al  Anesthesiology January 2024. Background Understanding factors that explain why some women experience greater postoperative pain and consume more opioids after cesarean delivery (CD) is crucial to building an evidence base for personalized prevention. Comprehensive psychosocial assessment with validated questionnaires in the preoperative period can be time-consuming. A 3-item […]

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