Author: Dr Clemens

Uncategorized Published - 24 May, 2023    By - Dr Clemens
Perfect Preparation 2023

Authors: Joseph C. Goldstein, M.D.; Heidi V. Goldstein, M.D. Anesthesiology May 2023. The interview was about to start. I found myself in a simulated meeting room environment. The selection panel introduced themselves and explained that I had been brought here because my special training made me an “extraordinarily qualified and promising candidate for this mission.” Dealing […]

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Uncategorized Published - 23 May, 2023    By - Dr Clemens
Perioperative Considerations in Management of the Severely Bleeding Coagulopathic Patient 2023

Authors: Gabor Erdoes, M.D., Ph.D. et al  Anesthesiology May 2023, Vol. 138, 535–560. Inherited and acquired coagulopathy are frequently associated with major bleeding in severe trauma, cardiac surgery with cardiopulmonary bypass, and postpartum hemorrhage. Perioperative management is multifactorial and includes preoperative optimization and discontinuation of anticoagulants and antiplatelet therapy in elective procedures. Prophylactic or therapeutic use […]

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Uncategorized Published - 23 May, 2023    By - Dr Clemens
Sign-reversed versus Orthodox Granger Causality Analysis of the Electroencephalogram in General Anesthesia: Research Letter 2023

Authors: Jamie W. Sleigh, M.D.; Rebecca M. Pullon, Ph.D. Anesthesiology May 2023, Vol. 138, 563–566. To the Editor: We wish to report on a serendipitous technical observation regarding the calculation of the Granger causality between electroencephalogram (EEG) channels in subjects given propofol, as reported by Pullon et al. From subsequent application of this analysis to a separate […]

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Uncategorized Published - 23 May, 2023    By - Dr Clemens
Payer for Administration, Education, and Innovation in Anesthesiology 2023

ASA Monitor May 2023, Vol. 87, e3. Clinical anesthesiologists always wonder about paucity of time for job-mandated administrative work, license/certification-mandated continuing education, and innovation/discovery-related research pursuit (J Educ Perioper Med 2021;23:E657). The question is who the payers are for the time allocated for their administrative, educational, and research needs (Int Anesthesiol Clin 2020;58:41-5). There is […]

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Uncategorized Published - 23 May, 2023    By - Dr Clemens
Sending Up a Flare: Anesthesiology Intern’s Advocacy Helps Protect Residents Across CA 2023

Authors: Seth White, MD et al  ASA Monitor May 2023, Vol. 87, 1–6. Due to the unintended consequences of a change in California state law effective in 2022, residents who completed a year or more of training after medical school – such as a transitional internship – were no longer considered eligible for a postgraduate training […]

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Uncategorized Published - 23 May, 2023    By - Dr Clemens
International Experience and Outcomes of OR Emergency Manual Implementation

Authors: Dylan S. Irvine, BS; Jeffrey Huang, MD, FASA ASA Monitor May 2023, Vol. 87, 35–36. The 2018 Chinese Association of Anesthesiologists Annual Meeting Operating Room Emergency Manuals simulation instructor training workshop. The implementation of the emergency manual (EM) as a perioperative medicine tool has been critical in improving patient safety during anesthesia administration. An EM indexes […]

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Uncategorized Published - 22 May, 2023    By - Dr Clemens
Patient-, Clinician-, and Institution-level Variation in Inotrope Use for Cardiac Surgery 2023

Authors: Michael R. Mathis, MD et al  Anesthesiology April 2023. Background Conflicting evidence exists regarding the risks and benefits of inotropic therapies during cardiac surgery, and the extent of variation in clinical practice remains understudied. Therefore, the authors sought to quantify patient-, anesthesiologist-, and hospital-related contributions to variation in inotrope use. Methods In this observational […]

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Uncategorized Published - 22 May, 2023    By - Dr Clemens
Spring into the Trauma Anesthesiology Society, ASA’s Newest Affiliated Subspecialty Society

Author: James G. Cain, MD, MBA, FAAP, DABA ASA Monitor May 2023, Vol. 87, 34–35. It is with great pleasure that I welcome you to the Trauma Anesthesiology Society (TAS), ASA’s newest component society! The past few years have presented enormous challenges as we all have collectively faced heretofore unimaginable struggles. Layered upon that have been […]

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Uncategorized Published - 22 May, 2023    By - Dr Clemens
Pre-Spiking of Intravenous Fluid Bags No Longer Limited by 1-Hour Rule – USP Revises Chapter

Authors: Teodora Nicolescu, MD, MBA; Johnathan Pregler, MD, FASA ASA Monitor May 2023, Vol. 87, 31. In the face of increasing production pressures seen across the perioperative spectrum, the ability to expand operational efficiency while maintaining patient safety is paramount. One of the most-encountered situations that tests this balance is the need for having supplies ready to […]

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Uncategorized Published - 22 May, 2023    By - Dr Clemens
UpToDate®

ASA Monitor May 2023, Vol. 87, 11. UpToDate® and ASA Monitor are collaborating to present select content abstracts on “What’s New in Anesthesiology.” UpToDate is an evidence-based, clinical support resource used worldwide by healthcare practitioners to make decisions at the point of care. For complete, current “What’s New” content, or to become a subscriber for full content […]

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