Author: Dr Clemens

Uncategorized Published - 5 December, 2023    By - Dr Clemens
Postdischarge Survival After Sepsis: A Cohort Study

AUTHORS: Engoren, Milo MD, FCCM et al Anesthesia & Analgesia 137(6):p 1216-1225, December 2023. BACKGROUND: After hospital discharge, patients who had sepsis have increased mortality. We sought to estimate factors associated with postdischarge mortality and how they vary with time after discharge. METHODS: This was a retrospective study of hospital survivors of sepsis using time-varying Cox […]

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Uncategorized Published - 5 December, 2023    By - Dr Clemens
Incidence of Interstitial Alveolar Syndrome on Point-of-Care Lung Ultrasonography in Pre-eclamptic Women With Severe Features

AUTHORS: Yagani, Seshagiribabu MD et al  Anesthesia & Analgesia 137(6):p 1158-1166, December 2023. BACKGROUND: Lung interstitial edema is a clinically silent pathology that develops before overt pulmonary edema among pre-eclamptic women with severe features. Point-of-care lung ultrasonography (LUS) has been suggested as an accessible bedside tool that may identify lung interstitial edema before developing clinical signs […]

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Uncategorized Published - 5 December, 2023    By - Dr Clemens
Implementation of Nephroprotective Measures to Prevent Acute Kidney Injury in Septic Patients

AUTHORS: Sadjadi, Mahan MD et al Anesthesia & Analgesia 137(6):p 1226-1232, December 2023. BACKGROUND:  Sepsis remains the leading cause of mortality in critically ill patients, and mortality is increased when acute kidney injury (AKI) occurs. The Kidney Disease: Improving Global Outcomes (KDIGO) guideline recommends the implementation of supportive measures in patients at high risk for AKI. […]

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Uncategorized Published - 4 December, 2023    By - Dr Clemens
Prediction of Acute Myocardial Injury in Noncardiac Surgery in Patients at Risk for Major Adverse Cardiovascular and Cerebrovascular Events

AUTHORS: Mases, Anna MD et al  Anesthesia & Analgesia 137(6):p 1116-1126, December 2023. BACKGROUND: The best use of perioperative cardiac biomarkers assessment is still under discussion. Massive postoperative troponin surveillance can result in untenably high workloads and costs for health care systems and potentially harmful interventions for patients. In a cohort of patients at risk for […]

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Uncategorized Published - 4 December, 2023    By - Dr Clemens
Association of Labor Neuraxial Analgesia with Maternal Blood Transfusion

Authors: Jean Guglielminotti, M.D., Ph.D. et al Anesthesiology December 2023, Vol. 139, 734–745. 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 U.S. birth certificate […]

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Uncategorized Published - 4 December, 2023    By - Dr Clemens
Prediction of Complications and Prognostication in Perioperative Medicine

Authors: Pietro Arina, M.D. et al  Anesthesiology November 2023. Background The utilization of artificial intelligence and machine learning as diagnostic and predictive tools in perioperative medicine holds great promise. Indeed, many studies have been performed in recent years to explore the potential. The purpose of this systematic review is to assess the current state of […]

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Uncategorized Published - 4 December, 2023    By - Dr Clemens
The Physician Anesthesia Workforce in Canada From 1996 to 2018

AUTHORS: Simkin, Sarah MD et al Anesthesia & Analgesia 137(6):p 1128-1134, December 2023. BACKGROUND: A robust anesthesia workforce is essential to the provision of safe surgical, obstetrical, and critical care but information describing the physician anesthesia workforce and volume of clinical services delivered in Canada is limited. This study examines the Canadian physician anesthesia workforce, exploring […]

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Uncategorized Published - 4 December, 2023    By - Dr Clemens
Technology in Anesthesia

ASA Monitor December 2023, Vol. 87, 18. Implant for thought-driven movement after spinal cord injury ONWARD Medical has conducted its first-in-human implant of the ARC-IM Stimulator, designed to restore upper-extremity movement and function in individuals with spinal cord injury (SCI). This new technology involves the use of a wireless brain-computer interface (BCI) to enable thought-driven movement […]

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Uncategorized Published - 4 December, 2023    By - Dr Clemens
Opioid Induced Respiratory Depression— Beyond Sleep Disordered Breathing

Author: Toby N. Weingarten, MD Anesthesia Patient Safety Foundation Volume 38, No. 2 • June 2023  More than a decade ago the APSF established a clear edict: “No patient should be harmed by opioid-induced respiratory depression in the postoperative period.”1 Research studies established a strong association between obstructive sleep apnea (OSA) and adverse postoperative opioid-related outcomes. In […]

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Uncategorized Published - 1 December, 2023    By - Dr Clemens
Technology in Anesthesia

ASA Monitor December 2023, Vol. 87, 18. AI diagnosis of polycystic ovary syndrome A recent study by the National Institutes of Health reveals that artificial intelligence (AI) and machine learning (ML) are highly effective in detecting and diagnosing polycystic ovary syndrome (PCOS), the most common hormone disorder among women aged 15 to 45. Researchers reviewed 31 […]

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