Author: Dr Clemens

Uncategorized Published - 21 September, 2022    By - Dr Clemens
Perioperative Neurofilament Light Plasma Concentrations and Cognition before and after Cardiac Surgery

DG Journal Club AUTHORS: Charles H Brown, Alexandria Lewis, Julia Probert, Michelle Parish Anesthesiology. 2022 Aug 19 BACKGROUND Neurofilament light is a marker of neuronal injury and can be measured in blood. Postoperative increases in neurofilament light have been associated with delirium after noncardiac surgery. However, few studies have examined the association of neurofilament light […]

Read More
Uncategorized Published - 21 September, 2022    By - Dr Clemens
Ventilation During Lung Resection and Critical Care

Authors: Spencer P. Walsh, M.D. et al  Anesthesiology August 2022. After the landmark Acute Respiratory Distress Syndrome Network study in 2000, the idea of low tidal volume (VT) ventilation spread through the critical care and anesthesiology communities.  Studies have shown that positive-pressure ventilation contributes to lung inflammation and might predispose general surgery and intensive care unit […]

Read More
Uncategorized Published - 21 September, 2022    By - Dr Clemens
Special Report: Is the Biopsychosocial Model in Pain Management In or Out?

Ghoshal M. Special Report: The Biopsychosocial Model in Pain Management: In or Out?. Pract Pain Manag. 2022 July/August;22(4). Author: Malini Ghoshal, RPH, MS Chronic pain is complex and involves both quantitative and qualitative measures to assess the many individual characteristics that can impact quality of life, function, and long-term outcomes. Diverse diagnostic criteria, assessment, and treatment […]

Read More
Uncategorized Published - 20 September, 2022    By - Dr Clemens
Outcomes of dexmedetomidine versus propofol sedation in critically ill adults requiring mechanical ventilation

DG Journal Club AUTHORS: Kiyan Heybati, Fangwen Zhou, Saif Ali, Jiawen Deng Br J Anaesth. 2022 Aug 9 BACKGROUND Guidelines have recommended the use of dexmedetomidine or propofol for sedation after cardiac surgery, and propofol monotherapy for other patients. Further outcome data are required for these drugs. METHODS This systematic review and meta-analysis was prospectively […]

Read More
Uncategorized Published - 20 September, 2022    By - Dr Clemens
Transversus abdominis plane block for laparoscopic colorectal surgery

DG Journal Club AUTHORS: Kai-Yuan Liu, Yen-Jung Lu, Yu-Cih Lin, Po-Li Wei Int J Surg. 2022 Aug 8 106825 BACKGROUND The effectiveness of transversus abdominis plane block (TAP) on pain management after laparoscopic colorectal surgery (CRS) remains unclear since the only relevant meta-analysis on this topic did not separate laparoscopic CRS from open CRS. The […]

Read More
Uncategorized Published - 20 September, 2022    By - Dr Clemens
Everything you need to know about crystal meth

Authors: Yvette Brazier and Zawn Villines MedicalNewsToday Crystal meth, or methamphetamine, is a stimulant drug that carries a high risk for physical dependence. In the United States, a different formulation of methamphetamine called Desoxyn is available by prescription to treat attention deficit hyperactivity disorder (ADHD). Crystal meth has a number of street names, including ice […]

Read More
Uncategorized Published - 20 September, 2022    By - Dr Clemens
Anesthesia Incident Reporting System (AIRS) Case 2022-09: The Unknown Unknowns and Their Consequences

ASA Monitor September 2022, Vol. 86, 10. A 9-year-old girl with an intracranial neoplasm presented for a routine MRI with and without contrast to evaluate her disease status. She had been treated at our facility for years and came for an MRI every 3-6 months. Multiple past anesthetics (inhalational induction, TIVA with propofol, nasal cannula, natural […]

Read More
Uncategorized Published - 20 September, 2022    By - Dr Clemens
Reaching the Next Generation in Our Communities

Author: Karen S. Sibert, MD, FASA ASA Monitor September 2022, Vol. 86, 1–5. Community service isn’t an easy or obvious fit for anesthesiologists. Our natural habitat is the OR or ICU. But many of us do feel a need to give something back to our communities. The question is, how to do it? Back in 2016, the California […]

Read More
Uncategorized Published - 19 September, 2022    By - Dr Clemens
Improving Care and Outcomes for the Older Adult: A Holistic Model

Authors: Mrugesh Thakkar, MD et al  ASA Monitor September 2022, Vol. 86, 17–18. Holistic model for care of the older adult. Older adults represent a growing patient population with unique care needs. As perioperative physicians, our goal is to optimize our patients’ physical, psychological, social, and cognitive health. In a holistic model of care, all the […]

Read More
Uncategorized Published - 19 September, 2022    By - Dr Clemens
Straying From the Beaten Path: Rural Anesthesia and Perioperative Care

Authors: Zachary Deutch, MD, FASA; Shaan Alli, MD ASA Monitor September 2022, Vol. 86, 14–15. Hello readers, I hope everyone had an enjoyable summer and is off to a smooth start of the academic/fiscal (depending on your practice setting) year. This month, we welcome an ASA member from New England and an expert on rural medicine, Dr. […]

Read More