Author: Dr Clemens

Uncategorized Published - 9 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 […]

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Uncategorized Published - 9 June, 2023    By - Dr Clemens
Pain Management in Sickle Cell Disease

Authors: Damilola Oladinni OMS III et al Pract Pain Manag. 2023 May/June;23(3). A review of pain management options for acute vaso-occlusive crises and chronic pain episodes in sickle cell disease. Background There are approximately 100,000 people living with sickle cell disease in the United States and millions more globally. Sickle cell trait (SCT) is even […]

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Uncategorized Published - 8 June, 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 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 failure […]

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Uncategorized Published - 8 June, 2023    By - Dr Clemens
Recognizing and Maximizing the Nexus of Perioperative Medicine and Narrative Medicine 2023

Author: Vetter, Thomas R. MD, MPH, MFA Anesthesia & Analgesia 136(4):p 665-674, April 2023.  Abstract Perioperative medicine remains an evolving, interdisciplinary subspecialty, which encompasses the unique perspectives and incorporates the respective vital expertise of numerous stakeholders. This integrated model of perioperative medicine and care has a wide-ranging set of clinical, strategic, and operational goals. Among […]

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Uncategorized Published - 8 June, 2023    By - Dr Clemens
Association of Opioid Administration During General Anesthesia and Survival for Severely Injured Trauma Patients 2023

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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Uncategorized Published - 8 June, 2023    By - Dr Clemens
Training Anesthesiology Residents to Care for the Traumatically Injured in the United States 2023

Authors: Blaine, Kevin P. MD, MPH, FASA et al  Anesthesia & Analgesia 136(5):p 861-876, May 2023. Abstract Training and education for trauma anesthesiology have been predicated on 2 primary pathways: learning through peripheral “complex, massive transfusion cases”—an assumption that is flawed due to the unique demands, skills, and knowledge of trauma anesthesiology—or learning through experiential education, […]

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Uncategorized Published - 8 June, 2023    By - Dr Clemens
Nitrous Oxide in Obstetrics: Time to Deliver Differently? 2023

Authors: Melissa Kreso, MD, MSBA, FASA; Nina Schloemerkemper, MD, FRCA ASA Monitor June 2023, Vol. 87, 34–36. The climate crisis has been named the world’s biggest health threat by the United Nations. Greenhouse gases are a cause, and, unfortunately, greenhouse gas emissions from U.S. health care have increased by more than 30% over the last decade (Nature […]

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Uncategorized Published - 7 June, 2023    By - Dr Clemens
Quiz: Post-Surgical Opioid Prescribing and Use

Author: Jack Israel MD, Jeff Gudin Pract Pain Manag. 2023 May/June;23(3). Clinical Challenge Test your clinical knowledge on persistent post-operative opioid use with these 4 questions. Hit submit to see the answers. 1. Persistent post-operative opioid use (PPOU) is commonly defined as filling any opioid prescription between __ and 365 days after surgery. a. 30 b. […]

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Uncategorized Published - 7 June, 2023    By - Dr Clemens
A Chest Tube Inadvertently Inserted into Tracheal Lumen

Authors: Nikhil Kumar, M.D. et al  Anesthesiology June 2023, Vol. 138, 656. The accompanying images demonstrate the presence of the distal end of a chest tube in the tracheal lumen just above the carina. These images are from a patient who developed coughing and massive air leak after chest tube placement. Inadvertent tracheal injury during chest […]

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Uncategorized Published - 7 June, 2023    By - Dr Clemens
Cohabitation of Neonatally Sevoflurane-exposed and -unexposed Male Rats Affects Their Respective Behavioral Phenotypes

Authors: Ling-Sha Ju, M.S. et al  Anesthesiology June 2023, Vol. 138, 658–661. To the Editor: Human twin studies have compared neurocognitive outcomes in twins in which one, both, or neither have undergone procedures involving exposure to general anesthetics. By finding that both exposed and unexposed members of a twin pair have equally poor neurocognitive outcomes, these […]

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