Author: Dr Clemens

Uncategorized Published - 18 May, 2023    By - Dr Clemens
The Utility of Fibrinogen Concentrate in Obstetric Anesthesia 2023

Authors: Alexander G. Samworth, MD et al  ASA Monitor May 2023, Vol. 87, 20. Postpartum hemorrhage (PPH) is a leading cause of maternal morbidity and mortality worldwide (Obstet Gynecol 2017;130:366-73; BMC Pregnancy Childbirth 2009;9:55). Nearly half of all severe maternal morbidity in the United States is related to PPH (BMC Pregnancy Childbirth 2009;9:55). Physiologic changes of pregnancy […]

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Uncategorized Published - 18 May, 2023    By - Dr Clemens
Critical Care of the Crashing Parturient 2023

Authors: David Stahl, MD et al  ASA Monitor May 2023, Vol. 87, 17–19. A 41-year-old G2P1 with a history of chronic hypertension, obesity (BMI 45), lower extremity edema, and asthma presents with severe-range blood pressures at 37 weeks gestational age. The diagnosis of preeclampsia with severe features is confirmed, an induction of labor is started, and […]

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Uncategorized Published - 17 May, 2023    By - Dr Clemens
Closed Claims Case Review Case 2023-05: A Little too Late – A Case from the Crypt 2023

ASA Monitor May 2023, Vol. 87, 13. Case presentation A 50-60-year-old ASA 3 male, with a BMI of 41.3, past medical history significant for coronary artery disease (CAD), post-right coronary artery (RCA) stent placement, obstructive sleep apnea (OSA) treated with continuous positive airway pressure (CPAP), hypertension treated with metoprolol, and hyperlipidemia, was “cleared” by a cardiologist […]

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Uncategorized Published - 17 May, 2023    By - Dr Clemens
Anesthesia Incident Reporting System (AIRS) Case 2023-05: Failure to Rescue Is Not an Option, But It Happens 2023

ASA Monitor May 2023, Vol. 87, 12. A 12-year-old underwent an ex-lap for an acute abdomen and was subsequently admitted to the floor. The nurse noted irregularities in the patient’s vital signs and sent a message to the resident caring for the patient. The resident did not seem concerned and said he or she would come […]

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Uncategorized Published - 17 May, 2023    By - Dr Clemens
SEE Question 2023

ASA Monitor May 2023, Vol. 87, 10. Your next patient is a 65-year-old man with hypertension undergoing a laparoscopic ventral hernia repair. You warm him in the preoperative area and actively maintain his core temperature at 37°C intraoperatively. According to a recent study, compared to a similar patient who receives routine thermal management with a core […]

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Uncategorized Published - 17 May, 2023    By - Dr Clemens
ASA Supports Members with Customized Group Education Solutions 2023

Author: David P. Martin, MD, PhD, FASA ASA Monitor May 2023, Vol. 87, 9. Anesthesiologists who work in large groups look to their leadership for making choices that are relevant and economical in meeting their educational needs – for licensure, maintenance of certification, and to keep up with the latest knowledge relevant to both the specialty […]

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Uncategorized Published - 17 May, 2023    By - Dr Clemens
6 Themes for Tackling Your QI Goals at the AQPSM 2023

Author: Grant Lynde, MD, MBA ASA Monitor May 2023, Vol. 87, 14. The phrase “quality improvement” may sound intimidating. For some, the words are heavy with data, statistics, and change. But at its core, quality improvement is about doing what you did today a little bit better tomorrow. Small steps can take you a long way. […]

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Uncategorized Published - 16 May, 2023    By - Dr Clemens
ACE Question 2023

ASA Monitor May 2023, Vol. 87, 9. The naturally occurring hormone erythropoietin is PRIMARILY produced by which of the following? □ (A) Kidneys □ (B) Adrenal glands □ (C) Bone marrow In addition to accounting for fluid, electrolyte, and acid-base homeostasis, the kidneys also provide neurohormonal activity such as erythropoietin (EPO) synthesis and vitamin D activation. EPO is a […]

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Uncategorized Published - 16 May, 2023    By - Dr Clemens
Adding ‘Formal Years of Education’ to Patients’ Preoperative Screening

Authors: Catherine Price, PhD, ABPP/CN; Daniel J. Cole, MD, FASA ASA Monitor May 2023, Vol. 87, 1–4. There is ample rationale for institutions and clinicians embracing the concept of perioperative brain health to incorporate years of formal education as a routine preoperative screening question. Although not perfect, years of formal education is a good surrogate measure of […]

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Uncategorized Published - 16 May, 2023    By - Dr Clemens
Trends & Technology 2023

ASA Monitor May 2023, Vol. 87, 16. Trends CAPTURE screening tool could improve COPD diagnoses Chronic obstructive pulmonary disease (COPD) is a leading cause of death in the United States, and over 15 million Americans are currently diagnosed with COPD, although experts say millions live with it undiagnosed. The COPD Assessment in Primary Care to Identify […]

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