Author: Dr Clemens

Uncategorized Published - 10 May, 2023    By - Dr Clemens
First-Time Opioid Therapy: An Interactive Case History 2023

Authors: Bettinger J et al Pract Pain Manage. 2023 MayJune:23(2). In this series of analyses, we have broken down the various aspects of the newly released revisions to the CDC Clinical Practice Guideline for Prescribing Opioids for Pain to help clinicians, patients, and caretakers alike understand their nuances and to provide expert review of their applicability, potential […]

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Uncategorized Published - 10 May, 2023    By - Dr Clemens
Influence of Levobupivacaine Regional Scalp Block on Hemodynamic Stability, Intra- and Postoperative Opioid Consumption in Supratentorial Craniotomies 2023

AUTHORS: Carella, Michele MD et al  Anesthesia & Analgesia 132(2):p 500-511, February 2021. BACKGROUND: The anesthetic management of supratentorial craniotomy (CR) necessitates tight intraoperative hemodynamic control. This type of surgery may also be associated with substantial postoperative pain. We aimed at evaluating the influence of regional scalp block (SB) on hemodynamic stability during the noxious events […]

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Uncategorized Published - 9 May, 2023    By - Dr Clemens
Sugammadex Vial Wastage: Implications for the Cost of Anesthesia Care in Children 2023

Authors: Christian Mpody, M.D., Ph.D., M.P.H., M.B.A. et al Anesthesiology April 2023. To the Editor: Although pharmaceutical costs account for approximately 15% of the overall cost of anesthetic care, these expenses are frequently assumed to be due to the choice of anesthetic technique (general vs. regional) or the choice of medications used for anesthetic care. Seldom […]

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Uncategorized Published - 9 May, 2023    By - Dr Clemens
Epinephrine-induced effects on cerebral microcirculation and oxygenation dynamics using multimodal monitoring and functional photoacoustic microscopy 2023

Authors: Dong Zhang, PhD et al  Anesthesiology April 2023. Background The administration of epinephrine after severe refractory hypotension, shock or cardiac arrest restores systemic blood flow and major vessel perfusion but may worsen cerebral microvascular perfusion and oxygen delivery through vasoconstriction. We hypothesized that epinephrine induces significant microvascular constriction in the brain, with increased severity […]

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Uncategorized Published - 9 May, 2023    By - Dr Clemens
Choosing Between Propofol and Thiopental Sodium 2023

 Саrdiac Anesthesiologist  April 2023    Propofol and thiopental sodium are both intravenous anesthetic agents used for the induction of anesthesia, but there are several differences between the two agents: Onset and duration of action: Propofol has a more rapid onset of action compared to thiopental sodium, meaning it takes effect more quickly after administration. Propofol also has […]

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Uncategorized Published - 9 May, 2023    By - Dr Clemens
Acetaminophen Opioid Combinations and Liver Toxicity: Updated Data 2023

Author: Heidi Splete Practical Pain Management Volume 23 Issue 2 Hospitalizations for acute liver failure involving acetaminophen and opioid toxicity decreased significantly after the FDA mandated limiting acetaminophen to 325 mg in combination acetaminophen and opioid products over a decade ago. Previous research suggested that 40% to 58% of cases of acute liver failure (ALF) […]

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Uncategorized Published - 9 May, 2023    By - Dr Clemens
Promoting a Diverse Workforce in Academic Anesthesiology 2023

The Daily Dose Anesthesiology International Anesthesia Research Society Jane S. Moon, MD There is a pressing need to recruit, retain, and promote a diverse physician anesthesiologist workforce to encourage equity in healthcare delivery, as well as innovation and inclusivity in the workplace. This topic was the focus of “Diversity in Academic Anesthesiology: Enhancing the Workforce,” […]

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Uncategorized Published - 9 May, 2023    By - Dr Clemens
Shortages and Sustainability of the Anesthesia Workforce: What Does Cataract Surgery Have to Do With It? 2023

Author: Catherine L. Chen, MD, MPH ASA Monitor June 2023, Vol. 87, 37. When I received my first FAER Research Fellowship Grant to study unnecessary routine preoperative testing in Medicare cataract surgery patients as a CA-2 resident in 2013, I could not have predicted that I would still be studying the delivery of cataract surgery care […]

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Uncategorized Published - 8 May, 2023    By - Dr Clemens
A Dose-Finding Study of Sugammadex for Reversal of Rocuronium in Cardiac Surgery Patients and Postoperative Monitoring for Recurrent Paralysis 2023

Authors: Andrew Bowdle, MD, PhD, FASE et al Anesthesiology April 2023. Background The dose of sugammadex recommended by the manufacturer for reversal of rocuronium is 2 mg/kg when the train-of-four count is 2 or more and 4 mg/kg when it is less than 2 but there is a post-tetanic count of at least 1. The purpose of […]

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Uncategorized Published - 8 May, 2023    By - Dr Clemens
Ketamine: The Past, Present, and Potential Future of an Anesthetic Drug 2023

 Саrdiac Anesthesiologist  April 2023   Ketamine is a powerful anesthetic drug that has been used in medical settings for decades. However, its effects on the brain have also led to its use as a recreational drug, leading to controversy surrounding its use. Despite its negative associations, recent research has shown promising potential for the drug in the […]

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