Author: Dr Clemens

Uncategorized Published - 6 April, 2022    By - Dr Clemens
The Practice of Ambulatory Anesthesiology

Authors: Leopoldo V. Rodriguez, MD, MBA, FAAP, FASA, SAMBA-F et al  ASA Monitor September 2021, Vol. 85, 25–26. There are over 5,800 Centers for Medicare & Medicaid Services (CMS)-certified ambulatory surgery centers (ASCs) in the United States, which are located in every state, each of which has its own laws and rules that govern ambulatory surgery […]

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Uncategorized Published - 6 April, 2022    By - Dr Clemens
What Is an ‘OR’ in 2030: Anesthesia Beyond the Operating Room

Authors: Michael A. Gropper, MD, PhD ASA Monitor October 2021, Vol. 85, 21–23. While it is impossible to predict the future of anesthesiology, we can learn much from current trends in perioperative care. Advances in technology are only part of the future. Perhaps more important than technology has been the recognition that all of our […]

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Uncategorized Published - 6 April, 2022    By - Dr Clemens
Anesthesia and Developing Brains: Unanswered Questions and Proposed Paths Forward

Authors: Caleb Ing, M.D., M.S. et al  Anesthesiology March 2022, Vol. 136, 500–512. Anesthetic agents disrupt neurodevelopment in animal models, but evidence in humans is mixed. The morphologic and behavioral changes observed across many species predicted that deficits should be seen in humans, but identifying a phenotype of injury in children has been challenging. It […]

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Uncategorized Published - 6 April, 2022    By - Dr Clemens
Congenital Cardiac Anesthesia: A Case-based Approach

Edited by Berenstain Laura K. and Spaeth James P. . Cambridge University Press 2021 Pages: 409. ISBN-13: 978-1-108-49416-8. Anesthesiology March 2022, Vol. 136, 522–523. The world of Pediatric Cardiology and Cardiac Surgery is filled with all manner of nonintuitive acronyms and eponyms: Ebstein’s Anomaly, Fontans of various sorts, Glenns, MBTS (Modified Blalock-Taussig Shunts), Mee shunts, […]

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Uncategorized Published - 6 April, 2022    By - Dr Clemens
Aducanumab, the Novel $56,000 Drug: Perioperative Considerations

Authors: James W. Ibinson, MD, PhD and Daniel J. Cole, MD, FASA ASA Monitor January 2022, Vol. 86, 1–4. Aducanumab is a IgG1 monoclonal antibody therapy that targets amyloid beta (Aβ), aiding in clearance of the Aβ plaques that are a defining molecular feature of Alzheimer’s Disease (AD). Controversy erupted in June 2021 when the FDA […]

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Uncategorized Published - 5 April, 2022    By - Dr Clemens
Preoperative Point-of-Care Ultrasound to Identify Frailty and Predict Postoperative Outcomes

Authors: Cecilia Canales, M.D., M.P.H. et al  Anesthesiology February 2022, Vol. 136, 268–278. Background Frailty is increasingly being recognized as a public health issue, straining healthcare resources and increasing costs to care for these patients. Frailty is the decline in physical and cognitive reserves leading to increased vulnerability to stressors such as surgery or disease […]

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Uncategorized Published - 5 April, 2022    By - Dr Clemens
Cervical Injury after Videolaryngoscopy in Patient with Ankylosing Spondylitis: Comment

Author: M. Anthony Cometa, M.D. Anesthesiology March 2022, Vol. 136, 517. To the Editor: The recent article by Epaud et al.1  reinforces the need for anesthesiologists to be comfortable with the flexible fiberoptic intubation technique. I read with great concern that a neurologic injury occurred because of the choice of videolaryngoscopy as the intubation approach because the […]

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Uncategorized Published - 5 April, 2022    By - Dr Clemens
Cervical Injury after Videolaryngoscopy in Patient with Ankylosing Spondylitis: Comment

Authors: Bradley J. Hindman, M.D. et al  Anesthesiology March 2022, Vol. 136, 517–519. To the Editor: We express our condolences to Epaud et al. and to their patient with ankylosing spondylitis who experienced a C5–C6 cervical spine fracture in association with a difficult videolaryngoscopic intubation.  Their image report adds to existing reports of intubation-mediated cervical spine injury […]

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Uncategorized Published - 5 April, 2022    By - Dr Clemens
Cervical Injury after Videolaryngoscopy in Patient with Ankylosing Spondylitis

Authors: Simon Clariot, M.D. et al  Anesthesiology March 2022, Vol. 136, 519–520. In Reply: We thank Drs. Hindman and Dexter and Dr. Cometa  for their interest in our image in clinical medicine relaying a cervical spine injury secondary to videolaryngoscopy.  The main purpose of this image is educative, highlighting airway management in patients with ankylosing spondylitis […]

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Uncategorized Published - 5 April, 2022    By - Dr Clemens
Dorsal Root Ganglion Stimulation Device Explantation

DG Journal Club AUTHORS: Kenneth B Chapman et al Pain Pract. 2022 Apr INTRODUCTION Dorsal root ganglion stimulation (DRG-S) is a relatively new neuromodulation modality. Therefore, data on long-term device explantation rates is limited. This investigation aimed to assess DRG-S device explantation rates at long-term follow-up. METHODS We retrospectively reviewed individuals implanted with DRG-S in […]

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