Author: Dr Clemens

Uncategorized Published - 6 May, 2022    By - Dr Clemens
Thermal Injury After Use of a Convective Warming System

Authors: Luke S. Janik, MD; Ryan Lewandowski, SRNA Anesthesia Safety Patient Foundation  SUMMARY:We present two cases of thermal injuries resulting from use of a convection warming system. In both cases, the “Over Temperature” audible and visual alarms did not activate. In one of the cases, the air manifold piece was inadvertently missing. We ask the […]

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Uncategorized Published - 6 May, 2022    By - Dr Clemens
Association of tramadol with all-cause mortality, cardiovascular diseases, venous thromboembolism, and hip fractures among patients with osteoarthritis

DG Journal Club AUTHORS: Lingyi Li et al Arthritis Res Ther. 2022 Apr 11; 24(1): 85 BACKGROUND The use of tramadol among osteoarthritis (OA) patients has been increasing rapidly around the world, but population-based studies on its safety profile among OA patients are scarce. We sought to determine if tramadol use in OA patients is […]

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Uncategorized Published - 5 May, 2022    By - Dr Clemens
Association Between Left Ventricular Relative Wall Thickness and Acute Kidney Injury After Noncardiac Surgery

AUTHORS: Goeddel, Lee A. MD, MPH et al  Anesthesia & Analgesia: April 2022 BACKGROUND: Acute kidney injury (AKI) after major noncardiac surgery is commonly attributed to cardiovascular dysfunction. Identifying novel associations between preoperative cardiovascular markers and kidney injury may guide risk stratification and perioperative intervention. Increased left ventricular relative wall thickness (RWT), routinely measured on echocardiography, […]

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Uncategorized Published - 5 May, 2022    By - Dr Clemens
Unplanned Extubation in the Perioperative Environment

Authors: Lauren Berkow, MD, FASA; Arthur Kanowitz, MD, FACEP SUMMARY:In most cases, extubation is a planned, intentional, and controlled procedure, that occurs in the operating room, the Intensive Care Unit (ICU), and the emergency department. Unplanned extubation (UE) is any extubation that is not planned, intentional, and controlled. This complication can occur in the ICU […]

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Uncategorized Published - 5 May, 2022    By - Dr Clemens
Perioperative Management of Button Battery Ingestions in Children

Authors: Monica Hoagland, MD et al Anesthesia Safety Patient Foundation Foreign body ingestions are common events among pediatric patients. Button battery ingestions are particularly dangerous. Although the incidence of button battery ingestions has not changed over the last 30 years,1 the rates of emergency department visits, major morbidity, and mortality have risen dramatically since the introduction […]

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Uncategorized Published - 5 May, 2022    By - Dr Clemens
Burnout Syndrome Among Anesthesia Providers Working in Public Hospitals in Rwanda

AUTHORS: Tuyishime, Eugene MBBS, MSc, MMed, FCA (ECSA) et al  Anesthesia & Analgesia: April 2022 BACKGROUND: Many studies address anesthesia provider burnout in high-income countries; however, there is a paucity of data on burnout for anesthesia providers in low-income countries (LICs). Our objectives were (1) to evaluate the prevalence of burnout among anesthesia providers in Rwandan […]

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Uncategorized Published - 5 May, 2022    By - Dr Clemens
Long-Term Cardiovascular Disease Following COVID-19

NEJM Journal Watch Anthony L. Komaroff, MD, reviewing Xie Y et al.  Nat Med 2022 Mar Risks for chronic disease rose among COVID-19 survivors, compared with risks among contemporary controls. COVID-19 often causes acute cardiovascular complications, even in young adults. To assess risk for chronic complications, investigators used U.S. Veterans Affairs (VA) databases to estimate new cardiovascular disease that was first […]

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Uncategorized Published - 4 May, 2022    By - Dr Clemens
APSF-Endorsed Statement on Revising Recommendations for Patient Monitoring During Anesthesia

The APSF Committee on Technology This Statement was authored by the APSF Committee on Technology and approved by the APSF Board of Directors. The APSF Committee on Technology (COT) has reviewed statements* for patient monitoring during anesthesia care published by a sampling of professional organizations from around the world. Since patient safety during anesthesia is […]

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Uncategorized Published - 4 May, 2022    By - Dr Clemens
No Link Between Cognitive Changes, Alzheimer’s Markers After Major Surgery

Author: Sarah Avery DukeHealth Feb 2, 2022 Cognitive changes following non-neurologic and non-cardiac surgery were not associated with changes in Alzheimer’s disease-related biomarkers in older patients, according to a study led by a team at Duke University School of Medicine. The finding, published online in the journal Annals of Clinical & Translational Neurology, could help ease concerns […]

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Uncategorized Published - 4 May, 2022    By - Dr Clemens
Pregnancy and Labor Epidural Effects on Gastric Emptying

Authors: Lionel Bouvet, M.D., Ph.D. et al  Anesthesiology April 2022, Vol. 136, 542–550. Background The lack of reliable data on gastric emptying of solid food during labor has led to some discrepancies between current guidelines regarding fasting for solid food in the parturient. This prospective comparative study aimed to test the hypothesis that the gastric emptying […]

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