Author: Dr Clemens

Uncategorized Published - 2 March, 2022    By - Dr Clemens
Changes in Surgical Volume and Outcomes During the Coronavirus Disease 2019 Pandemic at Two Tertiary Hospitals in Ethiopia

AUTHORS: Alshibli, Amany K. BS et al Anesthesia & Analgesia: February 2022 BACKGROUND: Limited data exist concerning how the coronavirus disease 2019 (COVID-19) pandemic has affected surgical care in low-resource settings. We sought to describe associations between the COVID-19 pandemic and surgical care and outcomes at 2 tertiary hospitals in Ethiopia. METHODS: We conducted a retrospective […]

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Uncategorized Published - 1 March, 2022    By - Dr Clemens
The Association Between Timing of Elective Surgery Scheduling and Operating Theater Utilization

AUTHORS: Lee, Soo-Hoon PhD et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 455-462 BACKGROUND:  Overutilization of operating theaters (OTs) occurs when actual surgery duration exceeds scheduled duration, which could potentially result in delays or cancelations in subsequent surgeries. We investigate the association between the timing of elective surgery scheduling […]

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Uncategorized Published - 1 March, 2022    By - Dr Clemens
A Decision Tree Approach to Airway Management Pathways in the 2022 Difficult Airway Algorithm of the American Society of Anesthesiologists

AUTHORS: Rosenblatt, William H. MD et al Anesthesia & Analgesia: February 2022 Abstract The American Society of Anesthesiologists’ (ASA) Task Force on Management of the Difficult Airway has developed a decision tree tool that uses inductive assessments to guide the anesthesiologist’s choice of pathway in the ASA’s Difficult Airway Algorithm. The tool prompts the anesthesiologist to […]

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Uncategorized Published - 1 March, 2022    By - Dr Clemens
The Association Between Angiotensin II and Renin Kinetics in Patients After Cardiac Surgery

AUTHORS: Meersch, Melanie MD et al Anesthesia & Analgesia: February 2022 BACKGROUND: Hyperreninemia after cardiac surgery is associated with cardiovascular instability. Angiotensin II (AT-II) could potentially attenuate hyperreninemia while maintaining target blood pressure. This study assesses the association between AT-II usage and renin levels in cardiac surgery patients with postoperative hyperreninemia and vasoplegia. METHODS: Between September […]

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Uncategorized Published - 1 March, 2022    By - Dr Clemens
Understanding the Economic Impact of an Essential Service: Applying Time-Driven Activity-Based Costing to the Hospital Airway Response Team

AUTHORS: Stone, Alexander B. MD et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 445-453 BACKGROUND:  As the United States moves toward value-based care metrics, it will become essential for anesthesia groups nationwide to understand the costs of their services. Time-driven activity-based costing (TDABC) estimates the amount of time it […]

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Uncategorized Published - 1 March, 2022    By - Dr Clemens
Associations of body mass index with pain and the mediating role of inflammatory biomarkers in hand osteoarthritis

DG Journal Club AUTHORS: Marthe GlCersen, Pernille Steen Pettersen et al. Arthritis Rheumatol. 2022 Feb OBJECTIVE To examine the association of body mass index (BMI) with pain in people with hand osteoarthritis, and explore whether this association, if causal, is mediated by systemic inflammatory biomarkers. METHODS In 281 Nor-Hand study participants, we estimated associations between […]

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Uncategorized Published - 28 February, 2022    By - Dr Clemens
Pregnancy and Labor Epidural Effects on Gastric Emptying

DG Journal Club AUTHORS: Lionel Bouvet, Thomas Schulz et al. Anesthesiology. 2022 Feb 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 […]

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Uncategorized Published - 28 February, 2022    By - Dr Clemens
Selective MR neurography-guided anterior femoral cutaneous nerve blocks for diagnosing anterior thigh neuralgia

DG Journal Club AUTHORS: Danoob Dalili, Shivani Ahlawat et al. Skeletal Radiol. 2022 Feb OBJECTIVE To evaluate the clinical utility of selective magnetic resonance neurography-(MRN)-guided anterior femoral cutaneous nerve (AFCN) blocks for diagnosing anterior thigh neuralgia. MATERIALS AND METHODS Following institutional review board approval and informed consent, participants with intractable anterior thigh pain and clinically […]

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Uncategorized Published - 28 February, 2022    By - Dr Clemens
Emergency Subglottic Airway Training and Assessment of Skills Retention of Attending Anesthesiologists With Simulation Mastery-Based Learning

AUTHORS: Clark, Carlee A. MD et al Anesthesia & Analgesia: February 2022 BACKGROUND: Although included within the American Society of Anesthesiologists difficult airway algorithm, the use of “invasive airway access” is rarely needed clinically. In conjunction with highly associated morbidity and liability risks, it is a challenge for the average anesthesiologist to develop and maintain competency. […]

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Uncategorized Published - 28 February, 2022    By - Dr Clemens
ED 90 of Intrathecal Chloroprocaine With Fentanyl for Prophylactic Cervical Cerclage: A Sequential Allocation Biased-Coin Design

AUTHORS: Sharawi, Nadir MBBS, MSc, FRCA et al Anesthesia & Analgesia: February 2022 BACKGROUND: Chloroprocaine is a short-acting local anesthetic that has been used for spinal anesthesia in outpatient surgery. There is limited experience with spinal chloroprocaine for prophylactic cervical cerclage placement. We sought to determine the effective dose of intrathecal chloroprocaine for 90% of patients […]

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