Author: Dr Clemens

Uncategorized Published - 21 February, 2023    By - Dr Clemens
A Systematic Review of The Efficacy and Safety of Ketamine in Total Joint Arthroplasty

DG Journal Club AUTHORS: Charles P Hannon, Yale A Fillingham, Jeremy M Gililland, Scott M Sporer J Arthroplasty. 2022 Oct 31 [Epub ahead of print] BACKGROUND Ketamine is administered intraoperatively to treat pain associated with primary total hip (THA) and knee arthroplasty (TKA). The purpose of this study was to evaluate the efficacy and safety […]

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Uncategorized Published - 21 February, 2023    By - Dr Clemens
Barriers to Quality Perioperative Care Delivery in Low- and Middle-Income Countries

AUTHORS: Bedwell, Gillian J. MScn et al  Anesthesia & Analgesia 135(6):p 1217-1232, December 2022. BACKGROUND: Provision of timely, safe, and affordable surgical care is an essential component of any high-quality health system. Increasingly, it is recognized that poor quality of care in the perioperative period (before, during, and after surgery) may contribute to significant excess mortality […]

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Uncategorized Published - 20 February, 2023    By - Dr Clemens
Obstetric Anesthesia Procedure-Based Workload and Facility Utilization of Society of Obstetric Anesthesia and Perinatology Centers of Excellence Designated Institutions

AUTHORS: Im, Mary MD et al  Anesthesia & Analgesia 135(6):p 1142-1150, December 2022. BACKGROUND: Optimal workload and staffing for obstetric anesthesia services have yet to be determined. We surveyed Society of Obstetric Anesthesia and Perinatology (SOAP) Centers of Excellence (COE) for Obstetric Anesthesia Care institutions to evaluate procedure-based obstetric anesthesia workload and facility use. METHODS: After […]

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Uncategorized Published - 20 February, 2023    By - Dr Clemens
Identification of Preanesthetic History Elements by a Natural Language Processing Engine

AUTHORS: Suh, Harrison S. BS et al  Anesthesia & Analgesia 135(6):p 1162-1171, December 2022. BACKGROUND: Methods that can automate, support, and streamline the preanesthesia evaluation process may improve resource utilization and efficiency. Natural language processing (NLP) involves the extraction of relevant information from unstructured text data. We describe the utilization of a clinical NLP pipeline intended […]

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Uncategorized Published - 20 February, 2023    By - Dr Clemens
Brain Cancer Progression: A Retrospective Multicenter Comparison of Awake Craniotomy Versus General Anesthesia in High-grade Glioma Resection

Authors: Chowdhury, Tumul MD, DM, FRCPC et al Journal of Neurosurgical Anesthesiology 34(4):p 392-400, October 2022. Background: High-grade gliomas impose substantial morbidity and mortality due to rapid cancer progression and recurrence. Factors such as surgery, chemotherapy and radiotherapy remain the cornerstones for treatment of brain cancer and brain cancer research. The role of anesthetics on glioma progression is largely unknown. Methods: This […]

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Uncategorized Published - 20 February, 2023    By - Dr Clemens
Whole-organ deceased donor tracheal allograft transplantation for the treatment of refractory tracheal stenosis: a case report

Authors: Dickerson, Shane C. MD et al  Journal of Head & Neck Anesthesia 6(1):p e41, May 2022. Abstract Tracheal stenosis involving >5 cm of trachea is debilitating for patients, impedes their quality of life and may even become life-threatening. Large, open defects often result in these patients because of multiple failed tracheal resections and endoscopic dilatations. Tracheal transplantation […]

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Uncategorized Published - 20 February, 2023    By - Dr Clemens
Brain-specific genes contribute to chronic but not to acute back pain

Authors: Bortsov, Andrey V. et al  PAIN Reports 7(5):p e1018, September/October 2022. Introduction: Back pain is the leading cause of disability worldwide. Although most back pain cases are acute, 20% of acute pain patients experience chronic back pain symptoms. It is unclear whether acute pain and chronic pain have similar or distinct underlying genetic mechanisms. Objectives: […]

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Uncategorized Published - 17 February, 2023    By - Dr Clemens
Cerebral metabolic derangements following traumatic brain injury

Authors: Demers-Marcil, Simona,b; Coles, Jonathan P.a Anaesthesiology 35(5):p 562-569, October 2022.  Summary Mitochondrial dysfunction and the use of alternative energy substrates are potential therapeutic targets, but improved understanding of the causes, impact and significance of metabolic derangements in clinical TBI are needed. Maintaining adequate oxygen and glucose delivery across the injured brain may accelerate the […]

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Uncategorized Published - 17 February, 2023    By - Dr Clemens
A novel barrier device and method for protection against airborne pathogens during endotracheal intubation

Authors: Alonso, Julio M.; Lipman, Jeffrey; Shekar, Kiran European Journal of Anaesthesiology 39(11):p 900-903, November 2022.  Editor, Healthcare professionals involved in aerosol-generating procedures, such as endotracheal intubation are at high risk of exposure to respiratory pathogens, such as SARS-CoV-2,1,2 despite current preventive measures including personal protective equipment.3 Past attempts to mitigate the risk of exposure to aerosols […]

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Uncategorized Published - 17 February, 2023    By - Dr Clemens
Anesthesia Care for Patients With Limited English Proficiency

Authors: Harrison Charwat, MD; Meghan Lane-Fall, MD, MSHP, FCCM Anesthesia Patient Safety Foundation Volume 38, No. 1 • February 2023  Language barriers in health care are not benign, and they contribute to disparities in care and outcomes for patients who do not speak English well as compared to English-speaking patients. Individuals with “limited English proficiency” (LEP) […]

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