Author: Dr Clemens

Uncategorized Published - 26 August, 2022    By - Dr Clemens
What can cause left arm pain and numbness?

Author: Lauren Martin MedicalNewsToday If a person is experiencing pain in their left arm, they should not disregard it, especially if they also have chest pains. These may be symptoms of a heart attack, which requires urgent medical treatment. During a heart attack, a person may also feel pain in the shoulders, jaw, or abdomen. Additionally, […]

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Uncategorized Published - 26 August, 2022    By - Dr Clemens
Effect of Rocuronium Potency on Variability in Its Onset and Duration – Is There Causation?

ASA Monitor August 2022, Vol. 86 We read with great interest the April 2022 Monitor article by Hardman et al. that evaluated the use and reliability of rocuronium and succinylcholine as rapid-onset neuromuscular blocking agents (NMBAs) during induction (ASA Monitor 2022;86:42). The authors appropriately discuss the inverse relationship between the molar potency of NMBAs and their speed […]

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Uncategorized Published - 26 August, 2022    By - Dr Clemens
The Ins and Outs of Liver Transplant Anesthesia Fellowship: A Fellow’s Perspective

Authors: Nicholas V. Mendez, MD ASA Monitor August 2022, Vol. 86, 38. The field of anesthesia for abdominal organ transplantation is rapidly expanding as the need for liver, intestine, kidney, and pancreas transplants increases and the complexity of the patients eligible to undergo these operations continues to grow. Fellowship training in liver and abdominal transplant anesthesia […]

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Uncategorized Published - 25 August, 2022    By - Dr Clemens
Tackling the Opioid Epidemic Together: Unrestricted Funds from Industry Boost ASA’s Efforts to Prevent Opioid Misuse

Author: Michael E. Harned, MD, FASA ASA Monitor August 2022, Vol. 86, 29. The opioid crisis continues to spiral. Today, Americans are more likely to die from an accidental opioid overdose (1 in 96 odds) than a car crash (1 in 103 odds) (asamonitor.pub/3xncIyB). Crafting solutions calibrated to truly meet the severity of the crisis isn’t […]

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Uncategorized Published - 25 August, 2022    By - Dr Clemens
ACE Question

ASA Monitor August 2022, Vol. 86, 16. A patient presents to the emergency department with newly diagnosed type A aortic dissection. You prepare to take the patient to the OR emergently. The patient is hypertensive in the emergency department with a blood pressure of 180/90 mm Hg and a heart rate of 90 beats/min. Which of […]

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Uncategorized Published - 25 August, 2022    By - Dr Clemens
Anesthesiology in the News

ASA Monitor August 2022, Vol. 86, 27–28. Media coverage of ASA’s fight against 0% increase in Medicare payment continues In March, Becker’s ASC Review covered ASA’s urging Congress not to accept the Medicare Payment Advisory Commission Recommendation of no (0%) annual payment update for physician payments in 2023 and quoted ASA President Randall M. Clark, MD, […]

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Uncategorized Published - 25 August, 2022    By - Dr Clemens
Who Is Immunocompromised?

Authors: Richard Simoneaux; Steven L. Shafer, MD, FASA ASA Monitor August 2022, Vol. 86, 1–4. Immunocompromised patients are at increased risk of severe illness, hospitalization, and death from COVID-19 compared to immunocompetent patients (Infect Dis Clin North Am 2022;36:397-421). A decade or so ago, it was common to think of immunosuppression as an uncommon condition, applying to […]

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Uncategorized Published - 25 August, 2022    By - Dr Clemens
Enhancing Patient Communications Program, Part 3: Patient-Centered Care Means Ensuring Cultural Competency and Tailoring Communications

Author: Brooke Trainer, MD, FASA ASA Monitor August 2022, Vol. 86, 39–40. Communicating in Specific Contexts is the third of a four-part series that provides more information about ASA’s Enhancing Patient Communications Program. Although most physicians feel confident that they treat patients equally, preconceived notions bias our interactions, and we may not even be aware of them. […]

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Uncategorized Published - 24 August, 2022    By - Dr Clemens
Anesthesia Incident Reporting System (AIRS) Case 2022-08: It’s All About the Airway. What Would You Do?

ASA Monitor August 2022, Vol. 86, 10–11. This month’s AIRS case reports are presented in a format that we have borrowed from NASA’s CALLBACK, which discusses events that have been entered into the Aviation Safety Reporting System. We will let you “interact” with the information given in two events that have been reported to AIRS. In […]

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Uncategorized Published - 24 August, 2022    By - Dr Clemens
Mitigation of Perioperative COVID-19 Infection

Authors: Uday Jain, BSEE, MD, PhD, FASA; Lalitha Sundararaman, MBBS, MD ASA Monitor August 2022, Vol. 86, 25. The current Omicron BA.2 surge has increased the likelihood that infected patients will undergo surgery. A study from March through August 2020 found that the 30-day risk of pulmonary complications, sepsis, and ischemic stroke was increased among patients positive […]

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