Author: Dr Clemens

Uncategorized Published - 17 January, 2024    By - Dr Clemens
Anterior Glenoid Block as an Alternative Technique to Interscalene Brachial Plexus Block

AUTHORS: Xu, Cheng MD et al  Anesthesia & Analgesia 138(2):p 483-484, February 2024.  Interscalene brachial plexus block is known for providing superior analgesia for shoulder procedures; however, there is a risk of hemi-diaphragmatic paralysis due to phrenic nerve palsy, which may restrict its use in certain populations.1 The suprascapular, axillary, and subscapular nerves innervate the shoulder joint.2,3 Recent […]

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Uncategorized Published - 17 January, 2024    By - Dr Clemens
Modified Thermodilution for Simultaneous Cardiac Output and Recirculation Assessment in Veno-venous Extracorporeal Membrane Oxygenation

Authors: David Berger, MD et al  Anesthesiology January 2024. Background Thermodilution is unreliable in veno-venous extracorporeal membrane oxygenation (VV-ECMO). Systemic oxygenation depends on recirculation fractions and ratios of ECMO flow to cardiac output. In a prospective in vitro simulation, we assessed the diagnostic accuracy of a modified thermodilution technique for recirculation and cardiac output. We […]

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Uncategorized Published - 17 January, 2024    By - Dr Clemens
61% of Providers Plan to Outsource Revenue Cycle Management Tasks

Author: Victoria Bailey TechTarget As staffing shortages and financial challenges persist, healthcare providers are increasingly considering outsourcing revenue cycle management processes, according to a study from CWH Advisors and sponsored by Synchrony. The 2022 PatientPay study was conducted in November and December 2022 and reflects responses from 38 executives at health systems, hospitals, and large single […]

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Uncategorized Published - 17 January, 2024    By - Dr Clemens
Public Health Informatics and the Perioperative Physician: Looking to the Future

Authors: Mudumbai, Seshadri C. MD, MS et al  Anesthesia & Analgesia 138(2):p 253-272, February 2024. Abstract The role of informatics in public health has increased over the past few decades, and the coronavirus disease 2019 (COVID-19) pandemic has underscored the critical importance of aggregated, multicenter, high-quality, near-real-time data to inform decision-making by physicians, hospital systems, and […]

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Uncategorized Published - 17 January, 2024    By - Dr Clemens
9% of hospitals had ‘vulnerable’ cash on hand levels in 2022

Author: Madeline Ashley Becker’s Hospital’s CFO Report While 73% of nonprofit hospitals and health systems saw “strong” levels of cash on hand in 2022, 18% saw “adequate” levels, with 9% coming in at “vulnerable” or “highly vulnerable” with available cash on hand, according to a Jan. 9 KFF report. The analysis looked at “days cash on hand” […]

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Uncategorized Published - 16 January, 2024    By - Dr Clemens
Are GLP-1 agonists safe? FDA finds no evidence popular weight loss medications cause suicidal thoughts or actions

This article doesn’t involve anesthesia directly but I wanted to share with our readers because so many of our patients are taking them.  This is a bonus blog you still get your five concerning anesthesia. Author: Michael Walter Cardiovascular Business The U.S. Food and Drug Administration (FDA) has found no evidence that the use of GLP-1 receptor […]

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Uncategorized Published - 16 January, 2024    By - Dr Clemens
Robotic Anesthesia: A Vision for 2050

Authors:  Hemmerling, Thomas M. MD, MSc, DEAA; Jeffries, Sean D. MSc Anesthesia & Analgesia 138(2):p 239-251, February 2024.  Abstract The last 2 decades have brought important developments in anesthetic technology, including robotic anesthesia. Anesthesiologists titrate the administration of pharmacological agents to the patients’ physiology and the needs of surgery, using a variety of sophisticated equipment […]

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Uncategorized Published - 16 January, 2024    By - Dr Clemens
Supraglottic Jet Oxygenation and Ventilation to Minimize Hypoxia in Patients Receiving Flexible Bronchoscopy Under Deep Sedation

AUTHORS: Wei, Juan MD et al  Anesthesia & Analgesia 138(2):p 456-464, February 2024. BACKGROUND: Hypoxia often occurs due to shared airway and anesthetic sedation-induced hypoventilation in patients receiving flexible bronchoscopy (FB) under deep sedation. Previous evidence has shown that supraglottic jet oxygenation and ventilation (SJOV) via Wei nasal jet tube (WNJ) reduces the incidence of hypoxia […]

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Uncategorized Published - 16 January, 2024    By - Dr Clemens
Multicenter Population Pharmacokinetics of Fentanyl in Neonatal Surgical Patients Using Dried Blood Spot Specimen Collection Demonstrates Maturation of Elimination Clearance

AUTHORS: Rzasa Lynn, Rachael S. MD et al  Anesthesia & Analgesia 138(2):p 447-455, February 2024. | BACKGROUND: Fentanyl is widely used for analgesia and sedation in neonates, but pharmacokinetic (PK) analysis in this population has been limited by the relatively large sample volumes required for plasma-based assays. METHODS: In this multicenter observational study of fentanyl kinetics in […]

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Uncategorized Published - 16 January, 2024    By - Dr Clemens
The Crowd That Isn’t There

AUTHOR: Sessler, Daniel I. MD Anesthesia & Analgesia 138(2):p 485, February 2024.  When I walk into an empty operating room, I can hardly force my way through the crowd that isn’t there. Anesthesia is remarkably safe, with preventable intraoperative mortality now being so low that it is hard to quantify. But it was not always […]

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