Author: Dr Clemens

Uncategorized Published - 28 December, 2023    By - Dr Clemens
Survey Validation for Measuring Perceptions of Work-Related Factors That Influence Career Paths of Men and Women in Academic Anesthesiology

AUTHORS: Minjae MD et al  Anesthesia & Analgesia 138(1):p 187-197, January 2024. BACKGROUND: Women’s underrepresentation in positions of leadership in medicine has been attributed to environmental, structural, motivational, and situational factors. The purpose of this study was to design and validate a survey instrument based on these constructs, using a sample of men and women anesthesiologists […]

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Uncategorized Published - 28 December, 2023    By - Dr Clemens
Alternatives to the in-person anaesthetist-led preoperative assessment in adults undergoing low-risk or intermediate-risk surgery

AUTHORS: Jonker, Philip et al  European Journal of Anaesthesiology 40(5):p 343-355, May 2023. BACKGROUND The design of the optimal preoperative evaluation is a much debated topic, with the anaesthetist-led in-person evaluation being most widely used. This approach is possibly leading to overuse of a valuable resource, especially in low-risk patients. Without compromising patient safety, we hypothesised […]

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Uncategorized Published - 27 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 - 27 December, 2023    By - Dr Clemens
Postoperative Outcomes in Elderly Patients Undergoing Cardiac Surgery With Preoperative Cognitive Impairment

AUTHORS: Au, Emily BSc et al  Anesthesia & Analgesia 136(6):p 1016-1028, June 2023. BACKGROUND: Older patients with preoperative cognitive impairment are at risk for increased postoperative complications after noncardiac surgery. This systematic review and meta-analysis aimed to determine the association between preoperative cognitive impairment and dementia and postoperative outcomes in older surgical patients after cardiac surgery. […]

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Uncategorized Published - 27 December, 2023    By - Dr Clemens
The Association of Guideline-Directed Prophylaxis with Postoperative Nausea and Vomiting in Pediatric Patients

AUTHORS: Andrew, Benjamin Y. MD, MHS et al  Anesthesia & Analgesia May 2023. BACKGROUND: Guidelines for postoperative nausea and vomiting (PONV) prophylaxis in pediatric patients recommend escalation of the number of antiemetics based on a preoperative estimate of PONV risk. These recommendations have been translated into performance metrics, most notably by the Multicenter Perioperative Outcomes […]

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Uncategorized Published - 27 December, 2023    By - Dr Clemens
Ketamine is comparable to ECT for patients with treatment-resistant depression, study shows

Author: Olivia Goldhill STAT Health When seriously depressed patients don’t respond to antidepressants, the alternatives are limited. Now a new study has found that ketamine performs at least as well as the current gold standard for such patients, electroconvulsive therapy (ECT), suggesting it deserves consideration as a frontline response for people with treatment-resistant depression. But […]

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Uncategorized Published - 27 December, 2023    By - Dr Clemens
Failure to Rescue and Mortality Differences After Appendectomy in a Low-Middle-Income Country and the United States

AUTHORS: Rosero, Eric B. MD, MSc et al  Anesthesia & Analgesia 136(6):p 1030-1038, June 2023. BACKGROUND: Major disparities in complications and mortality after appendectomy between countries with different income levels have not been well characterized, as comparative studies at patient level between countries are scant. This study aimed to investigate variations in postoperative complications, mortality, and […]

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Uncategorized Published - 26 December, 2023    By - Dr Clemens
Thoracic Epidural Anesthesia in Cardiac Surgery

AUTHORS: Chiew, John Keong MBBS et al  Anesthesia & Analgesia 137(3):p 587-600, September 2023. BACKGROUND: Research on fast-track recovery protocols postulates that thoracic epidural anesthesia (TEA) in cardiac surgery contributes to improved postoperative outcomes. However, concerns about TEA’s safety hinder its widespread usage. We conducted a systematic review and meta-analysis to assess the benefits and risks […]

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Uncategorized Published - 26 December, 2023    By - Dr Clemens
Evaluation of Medical Confidentiality Breaches on Twitter Among Anesthesiology and Intensive Care Health Care Workers

AUTHORS: Pineau, Iris MD et al  Anesthesia & Analgesia 137(2):p 418-425, August 2023. BACKGROUND: With the generalization of social network use by health care workers, we observe the emergence of breaches in medical confidentiality. Our objective was to determine, among anesthesiology and intensive care health care workers, the rate of medical confidentiality breaches among professional tweets. […]

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Uncategorized Published - 26 December, 2023    By - Dr Clemens
Association of Opioid Administration During General Anesthesia and Survival for Severely Injured Trauma Patients

AUTHORS: Levy, Dominique T. BS et al  Anesthesia & Analgesia 136(5):p 905-912, May 2023. BACKGROUND: There is a lack of reported clinical outcomes after opioid use in acute trauma patients undergoing anesthesia. Data from the Pragmatic, Randomized, Optimal Platelet and Plasma Ratios (PROPPR) study were analyzed to examine opioid dose and mortality. We hypothesized that higher […]

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