Author: Dr Clemens

Uncategorized Published - 3 June, 2022    By - Dr Clemens
Targeting Depth of Anesthesia to Prevent Delirium: Reply

Authors: Charles H. Brown, IV, M.D., M.H.S.; Charles W. Hogue, M.D. Anesthesiology June 2022, Vol. 136, 1047–1048. In Reply: We thank Drs. Xiong et al.1  and Carella and Bonhomme2  for their comments regarding the shaping anesthetic techniques to reduce post-operative delirium (SHARP) study.3  We agree that evaluating intraoperative hypotension as a potentially moderating factor in the SHARP trial would be interesting. […]

Read More
Uncategorized Published - 3 June, 2022    By - Dr Clemens
Anesthesia Considerations for Hysteroscopy

Radius Anesthesia The hysteroscope is used in modern gynecology to visualize the endometrial cavity. The device is inserted through the cervix, and the entire procedure may be performed in an office setting (Okohue, 2020). Hysteroscopy is especially important in evaluating both premenopausal and postmenopausal patients with abnormal uterine bleeding and is a strong alternative to hysterectomy (Mushambi […]

Read More
Uncategorized Published - 3 June, 2022    By - Dr Clemens
Targeting Depth of Anesthesia to Prevent Delirium: Comment

Authors: Michele Carella, M.D.; Vincent L. Bonhomme, M.D., Ph.D. Anesthesiology June 2022, Vol. 136, 1046–1047. To the Editor: We read with great interest the recent article by Brown et al.1  regarding the impact of Bispectral Index (BIS)–guided sedation on the incidence of postoperative delirium during spinal anesthesia for spine surgery compared with BIS-masked general anesthesia. We appreciated […]

Read More
Uncategorized Published - 3 June, 2022    By - Dr Clemens
Pressure Support Ventilation and Atelectasis: Reply

Authors: Heejoon Jeong, M.D. and Hyun Joo Ahn, M.D., Ph.D. Anesthesiology June 2022, Vol. 136, 1044–1045 In Reply: We very much thank Zaouter et al. for their interest  in our research, “Pressure Support versus Spontaneous Ventilation during Anesthetic Emergence—Effect on Postoperative Atelectasis: A Randomized Controlled Trial.”  The main questions of Zaouter et al. were why we defined atelectasis only when there were signs […]

Read More
Uncategorized Published - 3 June, 2022    By - Dr Clemens
Pressure Support Ventilation and Atelectasis: Comment

Authors: Cedrick Zaouter, M.D. et al  Anesthesiology June 2022, Vol. 136, 1043–1044. To the Editor: We read with great interest the article by Jeong et al.  titled “Pressure Support versus Spontaneous Ventilation during Anesthetic Emergence—Effect on Postoperative Atelectasis: A Randomized Controlled Trial.” Although many studies have looked at the potential effects of various intraoperative open lung ventilation strategies on […]

Read More
Uncategorized Published - 2 June, 2022    By - Dr Clemens
Rapid Onset of Neuromuscular Blockade: Rocuronium vs. Succinylcholine– Neither Are Perfect!

Authors: Bailor L. Hardman, MD et al  ASA Monitor April 2022, Vol. 86, 42. Rocuronium is a non-depolarizing muscle relaxant that was first introduced in 1994, and its development ultimately replaced another aminosteroid neuromuscular blocking drug, vecuronium. Rocuronium is a monoquaternary amine with a rapid onset and intermediate duration of action. It is six to eight […]

Read More
Uncategorized Published - 2 June, 2022    By - Dr Clemens
Patient Sex and Postoperative Outcomes after Inpatient Intraabdominal Surgery

Authors: Jennifer W. He, B.MSc. et al  Anesthesiology April 2022, Vol. 136, 577–587. Background Intraabdominal surgeries are frequently performed procedures that lead to a high volume of unplanned readmissions and postoperative complications. Patient sex may be a determinant of adverse outcomes in this population, possibly due to differences in biology or care delivery, but it is […]

Read More
Uncategorized Published - 2 June, 2022    By - Dr Clemens
The Pulse Oximeter Is Amazing, but Not Perfect

Authors: Philip Bickler, M.D., Ph.D. and Kevin K. Tremper, Ph.D., M.D. Anesthesiology May 2022, Vol. 136, 670–671. It is amazing to think that a device developed for aviation research during World War II and implemented into anesthesia care in the mid-1980s is now likely the most common medical device on Earth—with the possible exception of the thermometer. […]

Read More
Uncategorized Published - 2 June, 2022    By - Dr Clemens
A DIFFICULT ANESTHETIC

Author: Richard Novak, MD The Anesthesia Consultant What is a difficult anesthetic? Most people have no real idea what anesthesiologists do. Many imagine an anesthesiologist’s job is to give a patient some “gas” which to keep the patient asleep, while the surgeon (the real doctor) heals the patient. This image is oversimplified and wrong. Anesthesiologists […]

Read More
Uncategorized Published - 2 June, 2022    By - Dr Clemens
Extracorporeal Membrane Oxygenation for Respiratory Failure Related to COVID-19

Authors: Nicolas Nesseler, M.D., Ph.D. et et  Anesthesiology May 2022, Vol. 136, 732–748. Background Despite expanding use, knowledge on extracorporeal membrane oxygenation support during the COVID-19 pandemic remains limited. The objective was to report characteristics, management, and outcomes of patients receiving extracorporeal membrane oxygenation with a diagnosis of COVID-19 in France and to identify pre-extracorporeal membrane […]

Read More