Author: Dr Clemens

Uncategorized Published - 26 December, 2022    By - Dr Clemens
The biggest challenges with anesthesia reimbursement

Author: Patsy Newitt Becker’s ASC Review Three anesthesia leaders joined Becker’s to discuss challenges with securing anesthesia reimbursements in the industry today. Editor’s note: This response was edited lightly for brevity and clarity.  Adam Spiegel. CEO of NorthStar Anesthesia (Irving, Texas): The biggest challenge to securing anesthesia reimbursement in 2023 is the impact of the No Surprises Act. […]

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Uncategorized Published - 23 December, 2022    By - Dr Clemens
Perioperative Anaphylaxis

Authors: Charles Tacquard, M.D., Ph.D. et al  Anesthesiology January 2023, Vol. 138, 100–110. Anesthesiologists routinely manage patients in multiple clinical settings, including surgery, intensive care, procedural interventions, and/or trauma. In these settings, patients receive a variety of drugs, blood products, or imaging agents, all of which have the potential for adverse reactions, including immediate hypersensitivity reactions. […]

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Uncategorized Published - 23 December, 2022    By - Dr Clemens
SEE Question

ASA Monitor December 2022, Vol. 86, 13. Your next patient is a 65-year-old woman scheduled for a complex ventral hernia repair. According to a recent study, which of the following outcomes is MOST likely if you use a higher dose of nitrous oxide as an adjunct to the general anesthetic instead of no nitrous oxide? □ (A) […]

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Uncategorized Published - 23 December, 2022    By - Dr Clemens
How Do You Know When It’s Time to Retire?

Author: Karen S. Sibert, MD, FASA ASA Monitor December 2022, Vol. 86, 36. “What’s this I hear?” said the CA-1 resident earlier this year as we were setting up for our first morning case. “You’re going to retire?” “Why, yes,” I said. “That’s correct. In April.” He shook his head. “No,” he said firmly. “I know you have […]

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Uncategorized Published - 23 December, 2022    By - Dr Clemens
Comparison of contralateral acceleromyography and electromyography for posttetanic count measurement

Authors: Hyunyoung Joo, MD et al  Anesthesiology December 2022. Background Electromyography has advantages over mechanomyography and acceleromyography. Previously, agreement of the train-of-four counts between acceleromyography and electromyography was found to be fair. The objective of this study was to assess the agreement of posttetanic count including agreement of neuromuscular blockade status (intense block; posttetanic count […]

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Uncategorized Published - 23 December, 2022    By - Dr Clemens
Portable Wearable Devices: Advanced Monitors Are Now in the Palm of Your Hand!

Authors: Lalitha Sundararaman, MBBS, MD et al  ASA Monitor December 2022, Vol. 86, 10–11. Editor’s note: This article is the first in a series on medical wearable devices. Opinions stated here are solely those of the authors. While this is not a scientific product review with objective testing standards, we hope you’ll enjoy the discussion on […]

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Uncategorized Published - 23 December, 2022    By - Dr Clemens
Shifting Gears to Focus on Gratitude: Why It Matters

Authors: Christine Vo, MD et al  ASA Monitor December 2022, Vol. 86, 42. On an uncharacteristically mild day in late summer, I (KK) took advantage of the pleasant weather by enjoying dinner on an outdoor patio. In between bites of queso, my mentee and I discussed her upcoming residency interviews. The conversation flowed to me as […]

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Uncategorized Published - 22 December, 2022    By - Dr Clemens
An Unrecognized Case of Subcutaneous Emphysema: Expanding the Frontiers of POCUS

Authors: Michael V. Presta, DO, FASA; Jayanta Mukherji, MD ASA Monitor December 2022, Vol. 86, 29–30. Our institution, Loyola University Medical Center, is a nationally recognized quaternary-care system with a 61-acre main medical center campus in the western suburbs of Chicago. It houses a level 1 trauma center with the ability to provide top hospital care in […]

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Uncategorized Published - 22 December, 2022    By - Dr Clemens
Anesthesia Incident Reporting System (AIRS) Case 2022-12: Knowledge is Power, But How to Keep Up?

ASA Monitor December 2022, Vol. 86, 19–20. A 76-year-old male was found to have multiple episodes of ventricular tachycardia at a community hospital. He was started on a lidocaine infusion and transferred to a tertiary care hospital for an emergent cardiac ablation. Previous medical history included congestive heart failure secondary to non-ischemic cardiomyopathy with an ejection […]

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Uncategorized Published - 22 December, 2022    By - Dr Clemens
ACE Question

ASA Monitor December 2022, Vol. 86, 11. Which of the following physiological factors related to hepatobiliary function is MOST likely to increase during pregnancy? □ (A) Hepatic blood flow □ (B) Gallbladder contractility □ (C) Serum alkaline phosphatase level Physiological changes during pregnancy significantly impact the well-being of both mother and baby and are important to recognize for optimal […]

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