Author: Dr Clemens

Uncategorized Published - 18 March, 2021    By - Dr Clemens
MORE THAN ONE-THIRD OF U.S. ADULTS DELAYED OR SKIPPED MEDICAL CARE BECAUSE OF PANDEMIC

 BY CAROL DAVIS Healthleaders COVID-19 also has caused children, especially in low-income families, to miss out on healthcare needs, report says. KEY TAKEAWAYS Nearly 41% of adults with one or more chronic health conditions reported delaying or forgoing care. Nearly 29% of parents delayed or went without care for their children under age 19. More parents […]

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Uncategorized Published - 17 March, 2021    By - Dr Clemens
Clinical Uses and Impacts of Emergency Manuals During Perioperative Crises

AUTHORS: Goldhaber-Fiebert, Sara N. MD et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1815-1826 BACKGROUND:  Performing key actions efficiently during crises can determine clinical outcomes, yet even expert clinicians omit key actions. Simulation-based studies of crises show that correct performance of key actions dramatically increases when emergency manuals […]

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Uncategorized Published - 17 March, 2021    By - Dr Clemens
Median Effective Volume of 0.5% Ropivacaine for Ultrasound-guided Costoclavicular Block

Authors: Anu Kewlani, M.D.et al Anesthesiology April 2021, Vol. 134, 617–625. Background The median effective dose of ropivacaine required for producing an effective costoclavicular block has not yet been determined. The authors conducted this dose-finding study with the objective of determining the median effective dose of 0.5% ropivacaine required to produce a successful costoclavicular block for […]

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Uncategorized Published - 17 March, 2021    By - Dr Clemens
A Systematic Review and Meta-analysis of Clinical Trials of Neuraxial, Intravenous, and Inhalational Anesthesia for External Cephalic Version

AUTHORS: Hao, Qingzhong MD, PhD et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1800-1811 BACKGROUND:  External cephalic version (ECV) is a frequently performed obstetric procedure for fetal breech presentation to avoid cesarean delivery. Neuraxial, intravenous, and inhalational anesthetic techniques have been studied to reduce maternal discomfort caused by […]

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Uncategorized Published - 17 March, 2021    By - Dr Clemens
Effects of Preoperative Gum Chewing on Sore Throat After General Anesthesia With a Supraglottic Airway Device

AUTHORS: Wang, Tingting MD et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1864-1871 BACKGROUND:  Postoperative sore throat (POST) is not uncommon after general anesthesia with a supraglottic airway (SGA) device. Although it was reported that some pharmacological and nonpharmacological measures can reduce POST, because of limitations and variable […]

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Uncategorized Published - 17 March, 2021    By - Dr Clemens
Half of U.S. adults over 75 use aspirin, statins, study finds

By Brian P. Dunleavy  (0) By Brian P. Dunleavy UPI Many older adults may be using aspirin and statin drugs, despite limited benefits and side effects, a new study has found. Roughly half of all adults age 75 and older in the United States take aspirin or a statin to prevent the onset of heart […]

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Uncategorized Published - 16 March, 2021    By - Dr Clemens
Musculoskeletal Trauma in Critically Injured Patients: Factors Leading to Delayed Operative Fixation and Multiple Organ Failure

AUTHORS: Richards, Justin E. MD et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1781-1788 BACKGROUND:  Musculoskeletal injuries are common following trauma and variables that are associated with late femur fracture fixation are important to perioperative management. Furthermore, the association of late fracture fixation and multiple organ failure (MOF) […]

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Uncategorized Published - 16 March, 2021    By - Dr Clemens
Development, Implementation, and Evaluation of a Telemedicine Preoperative Evaluation Initiative at a Major Academic Medical Center

AUTHORS: Kamdar, Nirav V. MD, MPP, MBA et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1647-1656 BACKGROUND:  With health care practice consolidation, the increasing geographic scope of health care systems, and the advancement of mobile telecommunications, there is increasing interest in telemedicine-based health care consultations. Anesthesiology has had […]

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Uncategorized Published - 16 March, 2021    By - Dr Clemens
Opioid-Sparing Cardiac Anesthesia: Secondary Analysis of an Enhanced Recovery Program for Cardiac Surgery

AUTHORS: Grant, Michael C. MD, MSE et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1852-1861 BACKGROUND:  Cardiac anesthetics rely heavily on opioids, with the standard patient receiving between 70 and 105 morphine sulfate equivalents (MSE; 10–15 µg/kg of fentanyl). A central tenet of Enhanced Recovery Programs (ERP) is […]

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Uncategorized Published - 16 March, 2021    By - Dr Clemens
Anesthesiologists’ Role in Value-based Perioperative Care and Healthcare Transformation

Authors: Aman Mahajan, M.D., Ph.D., M.B.A. et al Anesthesiology April 2021, Vol. 134, 526–540. Health care is undergoing major transformation with a shift from fee-for-service care to fee-for-value. The advent of new care delivery and payment models is serving as a driver for value-based care. Hospitals, payors, and patients increasingly expect physicians and healthcare systems to […]

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