Author: Dr Clemens

Uncategorized Published - 13 July, 2023    By - Dr Clemens
Trends

Trends Doxycycline reduces sexually transmitted infections by two-thirds A study funded by the National Institute of Allergy and Infectious Diseases (NIAID) of men who have sex with men and transgender women found the oral antibiotic doxycycline prevented the acquisition of sexually transmitted infections (STIs) when taken within 72 hours of having condomless sex. The post-exposure […]

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Uncategorized Published - 13 July, 2023    By - Dr Clemens
Professional Development: Where Do I Start?

James L. Hill, Jr., MD, MBA, CPE, FASA, FACHE et al  ASA Monitor July 2023, Vol. 87, 16–18. Physicians know the sacrifice and devotion needed to excel during college, medical school, and residency. While the path to becoming a physician is defined, the career journey after completing graduate medical education can become unclear. Professional development supplies […]

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Uncategorized Published - 13 July, 2023    By - Dr Clemens
Trends and In-Hospital Mortality for Perioperative Myocardial Infarction After the Introduction of a Diagnostic Code for Type 2 Myocardial Infarction in the United States Between 2016 and 2018

AUTHORS: Rubin, Daniel S. MD, MS et al Anesthesia & Analgesia February 16, 2023. BACKGROUND: The frequency of perioperative myocardial infarction has been declining; however, previous studies have only described type 1 myocardial infarctions. Here, we evaluate the overall frequency of myocardial infarction with the addition of an International Classification of Diseases 10th revision (ICD-10-CM) […]

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Uncategorized Published - 12 July, 2023    By - Dr Clemens
PACU Delirium in Older Adults: Is Aldrete Enough?

Authors: Julia Klein, MD et al  ASA Monitor July 2023, Vol. 87, 27–28. The PACU functions as a triage center where decisions are made as to whether the patient is ready for discharge, transfer to the floor, or whether continued ICU-level of care is needed. Although the 2013 ASA Practice Guidelines for Postanesthetic Care include mental […]

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Uncategorized Published - 12 July, 2023    By - Dr Clemens
Increasing Physician Engagement: How to Be Compensated for Nonclinical Time

Authors: Jennifer J. Yuan, MD, MBA et al  ASA Monitor July 2023, Vol. 87, 21. Traditionally, a doctor’s role has been as a patient’s advocate, with a focus on medical care and clinical decision-making. To be an effective clinician, some believe that a physician should be separated from conflicting financial interests, and administrative management should be […]

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Uncategorized Published - 12 July, 2023    By - Dr Clemens
Emotional Intelligence for Individuals and Organizations

Alexander S. Choi, MD, MPH, FASA; Authors: Michael B. Simon, MD, MBA, FASA; Carie M. Twichell, CAA, MSA ASA Monitor July 2023, Vol. 87, 19–20. In medicine, understanding verbal and nonverbal cues and effectively communicating with peers, colleagues, and patients are invaluable skills. It is an art form for some and a learned skillset for others. No […]

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Uncategorized Published - 12 July, 2023    By - Dr Clemens
Updated meta-analysis on intraoperative inspired fraction of oxygen and the risk of surgical site infection in adults undergoing general and regional anesthesia.

DG Journal Club AUTHORS: Yoann El Maleh et al Sci Rep. 2023 Feb 11; 13(1): 2465 This updated meta-analysis aims at exploring whether the use of systematic high vs low intraoperative oxygen fraction (FiO2) may decrease the incidence of postoperative surgical site infection during general (GA) or regional anesthesia (RA). PubMed, Cochrane CENTRAL, ClinicalTrials.gov databases […]

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Uncategorized Published - 12 July, 2023    By - Dr Clemens
Changing OR Culture: Where Fact Meets Fiction

Authors: Keya A. Locke, MD, MBA et al  ASA Monitor July 2023, Vol. 87, 14–15. “The operating room should be at the disposal of the surgeons 24/7, no questions asked.” “Every day at 3 p.m. it’s like rats scurrying off the deck of the Titanic, and we can’t get any work done.” “1:30 p.m. is the […]

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Uncategorized Published - 11 July, 2023    By - Dr Clemens
Determinants of Professional Fulfillment and Burnout Among Intensivists

AUTHORS: Siddiqui, Shahla MBBS, MS, FCCM et al Anesthesia & Analgesia February 15, 2023. BACKGROUND: Increased burnout and decreased professional fulfillment among intensive care physicians is partly due to intensive care unit (ICU) workload. Although the SARS-CoV-2 (COVID-19) pandemic increased ICU workload, it also may have increased feelings of personal fulfillment due to positive public […]

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Uncategorized Published - 11 July, 2023    By - Dr Clemens
ESAIC focused guideline for the use of cardiac biomarkers in perioperative risk evaluation

AUTHORS: Lurati Buse et al European Journal of Anaesthesiology June 02, 2023. BACKGROUND In recent years, there has been increasing focus on the use of cardiac biomarkers in patients undergoing noncardiac surgery. AIMS The aim of this focused guideline was to provide updated guidance regarding the pre-, post- and combined pre-and postoperative use of cardiac […]

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