Author: Dr Clemens

Uncategorized Published - 11 October, 2023    By - Dr Clemens
Preoperative Evaluation and Selection of Anesthesia Technique for Endoscopic Treatment of a Patient with Food Bolus Impaction or Foreign Object Ingestion

Authors: George Tewfik MD, MBA, FASA, CPE, MSBA et al Anesthesia Patient Safety Foundation Oct 2023 BACKGROUND Food bolus impaction and foreign object ingestion are aberrant clinical conditions that often require urgent intervention including endoscopy with either a push or retrieval technique.1 Patients presenting with foreign body ingestion or impaction may subsequently develop catastrophic sequelae such […]

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Uncategorized Published - 11 October, 2023    By - Dr Clemens
Sustainable Anesthesia: Limiting Waste, Maximizing Resiliency

Authors: Molly M.H. Herr, MD; Leal G. Segura, MD Anesthesia Patient Safety Foundation Oct 2023 In anesthesiology, the use of single-use devices has sky-rocketed over the last two decades. Single-use devices used in anesthesia practice, including laryngoscopes, video laryngoscopes, blood pressure cuffs, medical gowns, operating room hats and attire, and pulse oximetry probes are often […]

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Uncategorized Published - 11 October, 2023    By - Dr Clemens
Electronic Interference Between the Blink Twitchview™ and Medtronic Situate™ Detection System X

Author: Jerome Lax, MD Anesthesia Patient Safety Foundation Oct 2023 Dear RAPID Response Recently at our institution, toward the end of a laparotomy, a puzzling event occurred. As a radiofrequency detection wand (Medtronic Situate™ Detection System X, New Haven, CT ) was waved over the abdomen, an electronic interference alert was triggered. Subsequent assessment of […]

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Uncategorized Published - 11 October, 2023    By - Dr Clemens
Brainstem Modulation of Nociception by Periaqueductal Gray Neurons Expressing the μ-Opioid Receptor in Mice

Authors: Eileen Nguyen, M.D., Ph.D. et al  Anesthesiology October 2023, Vol. 139, 462–475. Background Pharmacologic manipulations directed at the periaqueductal gray have demonstrated the importance of the μ-opioid receptor in modulating reflexive responses to nociception. The authors hypothesized that a supraspinal pathway centered on neurons in the periaqueductal gray containing the μ-opioid receptor could modulate nociceptive […]

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Uncategorized Published - 11 October, 2023    By - Dr Clemens
Achieving a Successful Patient Safety Program with Implementation of a Harm Reduction Strategy

Author: Jonathan B. Cohen, MD, MS Anesthesia Patient Safety Foundation Oct 2023 In March of this year, the U.S. Food and Drug Administration (FDA) approved naloxone hydrochloride nasal spray for over-the-counter, nonprescription use. This move was consistent with longstanding recommendations by the American Society of Anesthesiologists (ASA) and testimony given before several of its committees […]

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Uncategorized Published - 10 October, 2023    By - Dr Clemens
Consensus Recommendations for the Safe Conduct of Nonoperating Room Anesthesia: A Meeting Report From the 2022 Stoelting Conference of the Anesthesia Patient Safety Foundation

Authors: John Beard, MD et al Anesthesia Patient Safety Foundation Oct 2023 Nonoperating room anesthesia (NORA) cases are projected to exceed 50% of total anesthesia cases in the near future.1 Although one large-scale study failed to show a difference in mortality between NORA and operating room (OR) settings,2 multiple analyses of data from the American Society of […]

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Uncategorized Published - 10 October, 2023    By - Dr Clemens
Clinician Safety in NORA

Authors: Candace Chang, MD, MPH et  al Anesthesia Patient Safety Foundation Oct 2023 INTRODUCTION While patient safety is an established field of study, little attention has been directed to clinician safety. According to the Occupational Health Safety Network, 1 in 5 nonfatal occupational injuries occurs in the health care and social assistance industry, and health […]

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Uncategorized Published - 10 October, 2023    By - Dr Clemens
Dabigatran in Rabbit Cardiopulmonary Bypass: Comment

Authors: Gabor Erdoes, M.D., Ph.D. et al  Anesthesiology September 2023. To the Editor: Nadtochiy et al.  report using intravenous dabigatran, a direct thrombin inhibitor (DTI), for anticoagulation in an animal model of simulated cardiopulmonary bypass (CPB).  Activated clotting time, thromboelastometric reaction time, and fibrin deposition in sections of the arterial line filters were analyzed to compare anticoagulation with […]

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Uncategorized Published - 10 October, 2023    By - Dr Clemens
Dabigatran in Rabbit Cardiopulmonary Bypass: Reply

Authors: Michael P. Eaton, M.D., F.A.S.A. et al  Anesthesiology September 2023. In Reply: The authors thank Drs. Erdoes, Koster, and Levy for their very cogent and detailed analysis of our study.  We agree with many of the points they made, specifically the very limited effect dabigatran has on coagulation due to its specificity for thrombin. Most would […]

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Uncategorized Published - 10 October, 2023    By - Dr Clemens
29 physician specialties ranked by 2022 burnout rates

Author: Erica Carbajal Becker’s Hospital Review Last year, 53 percent of physicians reported burnout. Among them, emergency medicine specialists had the highest rate at 65 percent, according to Medscape’s latest report on physician burnout and depression. Across the board, physician burnout has jumped 11 percentage points from 2018, when 42 percent of physicians said they were burned out. The […]

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