Author: Dr Clemens

Uncategorized Published - 13 June, 2023    By - Dr Clemens
Perioperative Anaphylaxis: Comment

Authors: Vivek Arora, M.B.B.S., M.D.; Alex Lee, M.D. Anesthesiology May 2023. To the Editor: We read with great interest the clinical focus review titled “Perioperative Anaphylaxis” published by Tacquard et al. in the January 2023 issue of Anesthesiology.  The authors’ suggestion in Table 6, “Management Considerations for Perioperative Anaphylaxis,” that sugammadex may be considered as a therapy for rocuronium-induced […]

Read More
Uncategorized Published - 13 June, 2023    By - Dr Clemens
The Autumn Ghost. How the Battle Against a Polio Epidemic Revolutionized Modern Medical Care

Author: Selma H. Calmes, M.D. Anesthesiology May 2023. This interesting and well-written book documents the beginning of modern intensive care, focusing on polio epidemics in Copenhagen, Denmark, in the 1940s through the 1950s. These epidemics left many patients dead from respiratory failure when polio paralyzed the muscles needed for ventilation. Little could be done then […]

Read More
Uncategorized Published - 12 June, 2023    By - Dr Clemens
Migraine Triggers and Premonitory Symptoms 2023

Author: Kathleen Doheny Practical Pain Management June 2023 Clinicians can help patients recognize and cope with migraine triggers, including differentiating them from premonitory symptoms. Individuals with migraine who see a new physician almost always want to talk about their triggers, as Michael Marmura, MD, associate professor of neurology at Thomas Jefferson University and Jefferson Health […]

Read More
Uncategorized Published - 12 June, 2023    By - Dr Clemens
Perioperative Medicine: What the Future Can Hold for Anesthesiology 2023

Authors: Gottumukkala, Vijaya MBBS, MD (Anes), FRCA et al   Anesthesia & Analgesia 136(4):p 628-635, April 2023. With changing global demographics and evolving epidemiological trends, the burden of noncommunicable diseases and injuries is increasing at a rapid pace making integration of surgery and anesthesia care—as perioperative care—critical to achieving the United Nations 2030 Agenda for 17 sustainable […]

Read More
Uncategorized Published - 12 June, 2023    By - Dr Clemens
New Practice Guidelines for Neuromuscular Blockade 2023

Authors: Connie Chung, MD et al  Anesthesia Safety Patient Foundation Newsletter Volume 38, No. 2 June 2023  The American Society of Anesthesiologists (ASA) Committee on Practice Parameters (CPP), chaired by Karen Domino, MD, MPH, created a task force to develop guidelines for neuromuscular blockade (NMB) to improve patient safety and satisfaction. The Anesthesia Patient Safety […]

Read More
Uncategorized Published - 12 June, 2023    By - Dr Clemens
Artificial Intelligence for Perioperative Medicine: Perioperative Intelligence 2023

Authors: Maheshwari, Kamal MD, MPH et al  Anesthesia & Analgesia 136(4):p 637-645, April 2023. Abstract The anesthesiologist’s role has expanded beyond the operating room, and anesthesiologist-led care teams can deliver coordinated care that spans the entire surgical experience, from preoperative optimization to long-term recovery of surgical patients. This expanded role can help reduce postoperative morbidity and […]

Read More
Uncategorized Published - 12 June, 2023    By - Dr Clemens
The Anesthesiologist as Public Health Physician 2023

Author: Moonesinghe, S. Ramani OBE, MD (Res) Anesthesia & Analgesia 136(4):p 675-678, April 2023. The Center for Disease Control (CDC) defines Public Health as follows: “… the science of protecting and improving the health of people and their communities. This work is achieved by promoting healthy lifestyles, researching disease and injury prevention, and detecting, preventing […]

Read More
Uncategorized Published - 9 June, 2023    By - Dr Clemens
Perioperative Brain Health: A Patient Safety Priority All Anesthesia Professionals Must Address 2023

Authors: Natalie C. Moreland, MD et al  Anesthesia Safety Patient Foundation Newsletter Volume 38, No. 2 June 2023  It is not uncommon for patients to ask if and how anesthesia will affect their brain. Perioperative bain health is a particular concern for older patients, families, and caregivers. As such, brain health has been recognized as […]

Read More
Uncategorized Published - 9 June, 2023    By - Dr Clemens
Pro-Con Debate: Peripheral Nerve Blockade Should Be Provided Routinely in Extremity Trauma, Including in Patients At Risk for Acute Compartment Syndrome

Authors: Samet, Ron E. MD et al  Anesthesia & Analgesia 136(5):p 855-860, May 2023. Abstract In this Pro-Con commentary article, we discuss the controversial debate of whether to provide peripheral nerve blockade (PNB) to patients at risk of acute extremity compartment syndrome (ACS). Traditionally, most practitioners adopt the conservative approach and withhold regional anesthetics for fear […]

Read More
Uncategorized Published - 9 June, 2023    By - Dr Clemens
Perioperative Anaphylaxis: Reply

Authors: Charles Tacquard, M.D., Ph.D. et al  Anesthesiology May 2023. In Reply: We thank the authors of the four letters to the editor for their interest in our work regarding our article and would like to respond to them as follows. Valach et al.  suggest intramuscular epinephrine should be used as first-line treatment in perioperative anaphylaxis. We […]

Read More