Author: Dr Clemens

Uncategorized Published - 18 August, 2022    By - Dr Clemens
Perioperative Brain Health in OIder Adults: Could Our Consent Be More Informed?

Authors: Katie J. Schenning, MD, MPH, MCR et al  ASA Monitor March 2022, Vol. 86, 18–19. “Common perioperative risks include risk of sore throat or postoperative nausea and vomiting. Rare but serious complications include heart attack, stroke, or death. Any questions?” Anesthesiologists have a critically important role that often occurs minutes before a patient is transported […]

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Uncategorized Published - 18 August, 2022    By - Dr Clemens
Age-Friendly Health Systems: Best Practices in Implementation

Authors: Christina M. Fleischer, BS et al  ASA Monitor September 2021, Vol. 85, 16–17. An Age-Friendly Health System optimizes care for elderly patients in accordance with clinical guidelines and best practices. The Age-Friendly Health Systems Initiative was started by The John. A Hartford Foundation and the Institute for Healthcare Improvement (IHI), along with the American Hospital […]

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Uncategorized Published - 18 August, 2022    By - Dr Clemens
“Quality”, mediocrity, and unintended consequences

Author: Karen Sullivan Sibert, MD ASA Monitor July 2022 Today’s noteworthy definitions, not new but often ignored: 1. Unintended consequences: The principle stating that an intervention in a complex system tends to create unanticipated and often undesirable outcomes. 2. Good intentions: The paving stones of the road to hell. In anesthesiology, these precepts should be […]

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Uncategorized Published - 17 August, 2022    By - Dr Clemens
Isoelectric Electroencephalography in Infants and Toddlers during Anesthesia for Surgery

Authors: Ian Yuan, M.D. et al  Anesthesiology August 2022, Vol. 137, 187–200. Background Intraoperative isoelectric electroencephalography (EEG) has been associated with hypotension and postoperative delirium in adults. This international prospective observational study sought to determine the prevalence of isoelectric EEG in young children during anesthesia. The authors hypothesized that the prevalence of isoelectric events would be […]

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Uncategorized Published - 17 August, 2022    By - Dr Clemens
Surgeon Variation in Perioperative Opioid Prescribing and Medium- or Long-term Opioid Utilization after Total Knee Arthroplasty

Authors: Xi Cen, Ph.D. et al  Anesthesiology August 2022, Vol. 137, 151–162. Background Whether a particular surgeon’s opioid prescribing behavior is associated with prolonged postoperative opioid use is unknown. This study tested the hypothesis that the patients of surgeons with a higher propensity to prescribe opioids are more likely to utilize opioids long-term postoperatively. Methods The […]

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Uncategorized Published - 17 August, 2022    By - Dr Clemens
Inappropriate Citation of Retracted Articles in Anesthesiology and Intensive Care Medicine Publications

Authors: Alessandro De Cassai, M.D. et al  Anesthesiology July 2022. Background Retracted articles represent research withdrawn from the existing body of literature after publication. Research articles may be retracted for several reasons ranging from honest errors to intentional misconduct. They should not be used as reliable sources, and it is unclear why they are cited […]

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Uncategorized Published - 17 August, 2022    By - Dr Clemens
Point-of-Care Ultrasound Frailty Assessments: Reply

Authors: Cecilia Canales, M.D. M.P.H. et al  Anesthesiology July 2022. In Reply: We thank Raveh et al.  and Ben-Menachem and Ashes  for their interest in our research. We are pleased that our article on preoperative point-of-care ultrasound to identify frailty  has generated discussions on best practices for measuring and reporting muscle mass as a predictor of patient outcomes. Increasing […]

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Uncategorized Published - 17 August, 2022    By - Dr Clemens
Volatile versus Propofol General Anesthesia and Long-term Survival after Breast Cancer Surgery

Authors: Mats Enlund, M.D., Ph.D. et al  Anesthesiology July 2022. Background Several retrospective studies using administrative or single-center data have failed to show any difference between general anesthesia using propofol versus inhaled volatiles on long-term survival after breast cancer surgery. Although randomized controlled trials are ongoing, validated data from national clinical registries may advance the reliability of […]

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Uncategorized Published - 16 August, 2022    By - Dr Clemens
Delivery, maternal and neonatal outcomes in nulliparous women with gestational diabetes undergoing epidural labour analgesia

AUTHORS: Yu Chen, Xin Ye, Han Wu, Xueling Yuan BMJ Open. 2022 Jul OBJECTIVE This study aimed to retrospectively analyse the influence of epidural labour analgesia (ELA) on delivery and maternal and neonatal outcomes in nulliparous women with gestational diabetes mellitus (GDM) using propensity score-matched analysis. DESIGN Retrospective cohort analysis. SETTING Primary care practices in […]

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Uncategorized Published - 16 August, 2022    By - Dr Clemens
No Benefits of Adding Dexmedetomidine, Ketamine, Dexamethasone and Nerve Blocks to an Established Multimodal Analgesic Regimen after Total Knee Arthroplasty

DG Journal Club AUTHORS: Felipe Muñoz-Leyva, James M Jack, Anuj Bhatia, Ki Jinn Chin Anesthesiology. 2022 Jul BACKGROUND. An optimal opioid-sparing multimodal analgesic regimen to treat severe pain can enhance recovery after total knee arthroplasty. We hypothesized that adding 5 recently described IV and regional interventions to multimodal analgesic regimen can further reduce opioid consumption. […]

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