Author: Dr Clemens

Uncategorized Published - 9 March, 2021    By - Dr Clemens
What is the risk of pulmonary embolism after surgery?

Medical News Today Written by Rhona Lewis A pulmonary embolism occurs when a blood clot blocks one of the arteries in the lungs. A pulmonary embolism can happen after surgery if a blood clot forms inside one of the veins in the body and travels to the lungs. Although most people recover with treatment, a […]

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Uncategorized Published - 8 March, 2021    By - Dr Clemens
Fascial Plane Blocks in Cardiothoracic Surgery

Author: Dibash Kumar Das, PhD ASA Monitor March 2021, Vol. 85, 34–35. Cardiothoracic surgeries are associated with significant pain. Optimal analgesia is a vital part of enhanced recovery after surgery strategies intended to improve patients’ perioperative experience and outcomes. Traditionally, analgesia in these types of surgeries has depended on large doses of I.V. opioids (Anesth Analg […]

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Uncategorized Published - 8 March, 2021    By - Dr Clemens
Using What We Know About Cognitive Load and Situational Awareness to Keep Everyone Safe

ASA Monitor March 2021, Vol. 85, 32. Through human factors engineering, closed claims databases, and research in simulation, we have learned a good deal about how humans work in our complex anesthesia environments. To keep our patients safe, we should apply our knowledge of human factors, cognitive load, and situational awareness to our workday. Here are […]

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Uncategorized Published - 8 March, 2021    By - Dr Clemens
A Case Report from the Anesthesia Incident Reporting System

ASA Monitor March 2021, Vol. 85, 22. Case 2021-3: All Orders Are Not Alike A 5-year-old boy with complex congenital heart disease POD 2 is intubated and ventilated with dexmedetomidine infusion for sedation in the ICU. He had more and more frequent desaturations associated with thrashing, coughing, and bucking. During rounds, the team decides to paralyze […]

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Uncategorized Published - 8 March, 2021    By - Dr Clemens
Portable Ultrasound Use in Vascular Access: Deskilling or Super-Skilling?

Authors: Muhammad B. Rafique, MD, FASA  and Ahsan Qadeer, MD ASA Monitor March 2021, Vol. 85, 27. Central venous access in humans dates back to the early 20th century. Although no clinical applications were known at the time. Almost two decades later, in 1929, Forssmann accessed a cadaver heart (Acta Anaesthesiol Scand Suppl 1985;81:7-10). Before the 1970s, […]

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Uncategorized Published - 8 March, 2021    By - Dr Clemens
International Women’s Day: Saluting Women in Healthcare

We at Anesthesia Experts want to thank all the women who serve in the healthcare industry.  We are very thankful for your contributions especially those saving lives while doing anesthesia and pain management.

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Uncategorized Published - 5 March, 2021    By - Dr Clemens
Newer Airway Devices Should Not Cause Deskilling From Direct Laryngoscopy

Author: Uday Jain, MD, PhD, FASA ASA Monitor March 2021, Vol. 85, 23. As technology and its skillful use advance, older techniques fall into disuse. Over time, this leads to deskilling in older techniques. Newer technologies may not be as widely available as the older ones, even within the United States. Newer technologies are often unavailable […]

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Uncategorized Published - 5 March, 2021    By - Dr Clemens
A New Eye for the Needle? Regional Anesthesia as a Case Study in Deskilling

Author: Zachary Deutch, MD, FASA ASA Monitor March 2021, Vol. 85, 25–26. The goal of postgraduate training is to assimilate as much clinical knowledge and expertise as possible in order to be maximally functional once the mythical day of July 1 comes around, when suddenly residents/fellows are autonomous, newly minted anesthesiology attendings. But what if some […]

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Uncategorized Published - 5 March, 2021    By - Dr Clemens
Positive Regulatory Domain I–binding Factor 1 Mediates Peripheral Nerve Injury–induced Nociception in Mice by Repressing Kv4.3 Channel Expression

Authors: Cunjin Wang, M.D., Ph.D. et al Anesthesiology March 2021, Vol. 134, 435–456. Background The transcriptional repressor positive regulatory domain I–binding factor 1 (PRDM1) is expressed in adult mouse dorsal root ganglion and regulates the formation and function of peripheral sensory neurons. The authors hypothesized that PRDM1 in the dorsal root ganglion may contribute to peripheral […]

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Uncategorized Published - 5 March, 2021    By - Dr Clemens
Bedside Allogeneic Erythrocyte Washing with a Cell Saver to Remove Cytokines, Chemokines, and Cell-derived Microvesicles

Authors: Ian J. Welsby, B.Sc., M.B.B.S. et al  Anesthesiology March 2021, Vol. 134, 395–404. Background Removal of cytokines, chemokines, and microvesicles from the supernatant of allogeneic erythrocytes may help mitigate adverse transfusion reactions. Blood bank–based washing procedures present logistical difficulties; therefore, we tested the hypothesis that on-demand bedside washing of allogeneic erythrocyte units is capable of […]

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