Author: Dr Clemens

Uncategorized Published - 4 May, 2023    By - Dr Clemens
Segmental Tracheomalacia in a Patient with a Persistent Air Leak 2023

Authors: Sean W. Powers, D.O. et al  Anesthesiology April 2023, Vol. 138, 441. Anesthesiology was consulted on an intubated 61-yr-old woman for difficulty ventilating secondary to a progressive air leak. A chest x-ray film that day (panel A) showed a circular area of lower density proximal to the endotracheal tube (ETT) tip. Computed tomographic scan revealed tracheal […]

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Uncategorized Published - 4 May, 2023    By - Dr Clemens
CMS Pain Management Codes for 2023

Author: Kim Torrey Practical Pain Management. 2023 March/April;23(2). Medicare rolled out new codes effective January 1, including for bundled care, evaluation and management, telecare visits, and more. Learn how to report them properly for reimbursement. When pain practices enter a new year, it is always a good idea to evaluate whether any new CPT codes […]

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Uncategorized Published - 3 May, 2023    By - Dr Clemens
Association of Preoperative Growth Differentiation Factor-15 Concentrations and Postoperative Cardiovascular Events after Major Noncardiac Surgery 2023

Authors: Emmanuelle Duceppe, M.D., Ph.D. et al  Anesthesiology May 2023, Vol. 138, 508–522. Background The association between growth differentiation factor-15 concentrations and cardiovascular disease has been well described. The study hypothesis was that growth differentiation factor-15 may help cardiac risk stratification in noncardiac surgical patients, in addition to clinical evaluation. Methods The objective of the study […]

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Uncategorized Published - 3 May, 2023    By - Dr Clemens
DEI and the Medical Humanities: Necessary Medicine for Health Care’s Challenges 2023

Authors: Adjoa Boateng, MD, MPH; Laurel S. Braitman, PhD ASA Monitor March 2023, Vol. 87, 16–17. In the past five years, the landscape of medicine has changed drastically for patients and providers, from the rising use of informatics to the widening gap among the iron triangle of access, quality, and cost of care laid bare by the […]

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Uncategorized Published - 3 May, 2023    By - Dr Clemens
Chronic Pain: How to Guide Patients through Processing Change 2023

Author: Heidi Splete Practical Pain Management March 2023 Visits to pain clinics specifically designed for older adults were associated with improvements in pain and pain interference, based on data from 67 pain service centers for older adults in Australia and New Zealand.¹ Multidisciplinary pain clinics have shown effectiveness in managing chronic pain, but data on […]

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Uncategorized Published - 3 May, 2023    By - Dr Clemens
Luck, an Inquisitive Mind, and Opportunities: Lessons Learned: A Blinded Study of Pulse Oximetry before It Became a Standard of Care 2023

Author: Charles J. Coté, M.D. Anesthesiology April 2023, Vol. 138, 436–440. A Single-blind Study of Pulse Oximetry in Children. By CJ Coté, EA Goldstein, MA Cote, DC Hoaglin, and JF Ryan. Anesthesiology 1988; 68:184–8.Oxygen saturation determined by pulse oximetry was monitored in 152 pediatric surgical patients divided into two groups. In one group, the oximeter […]

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Uncategorized Published - 3 May, 2023    By - Dr Clemens
The Path Toward a Sustainable Global Health Partnership 2023

Authors: Aria Shafai, MD; Vahe S. Tateosian, MD ASA Monitor April 2023, Vol. 87, 35. Five billion people around the word lack access to safe surgical care (International Journal of Surgery Open 2021;28:202:63-9). Approximately $4 billion is spent annually on medical mission trips to provide medical services to countries in need (Global Health 2016;12:45). Despite this, a […]

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Uncategorized Published - 2 May, 2023    By - Dr Clemens
Prolonged Opioid Use and Pain Outcome and Associated Factors after Surgery under General Anesthesia 2023

Authors: Kai Kuck, Ph.D. et al  Anesthesiology May 2023, Vol. 138, 462–476. Background There is insufficient prospective evidence regarding the relationship between surgical experience and prolonged opioid use and pain. The authors investigated the association of patient characteristics, surgical procedure, and perioperative anesthetic course with postoperative opioid consumption and pain 3 months postsurgery. The authors hypothesized […]

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Uncategorized Published - 2 May, 2023    By - Dr Clemens
Artificial Intelligence for Perioperative Medicine: Perioperative Intelligence 2023

Authors: Maheshwari, Kamal MD, MPH et al Anesthesia & Analgesia 136(4):p 637-645, April 2023. Abstract The anesthesiologist’s role has expanded beyond the operating room, and anesthesiologist-led care teams can deliver coordinated care that spans the entire surgical experience, from preoperative optimization to long-term recovery of surgical patients. This expanded role can help reduce postoperative morbidity and […]

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Uncategorized Published - 2 May, 2023    By - Dr Clemens
Opportunities for Anesthesiologists to Improve Health Equity and Quality Measures 2023

Authors: Sheila R. Barnett, MBBS, BSc, FASA et al  ASA Monitor April 2023, Vol. 87, 19–22. Health equity has been elusive in the field of medicine for centuries. We are all aware of the impact of the social determinants on health equity (see other articles in this Monitor supplement). These social determinants of health are based on the […]

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