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Uncategorized Published - 15 June, 2022    By - Dr Clemens
Setting Preoperative ICU Goals of Care

Authors: Timothy D. Quinn, M.D. et al ASA Monitor May 2019, Vol. 83, 14–16 Anesthesiologist Intensivists and Evaluating High-risk Surgical Patients Perioperative management of high-risk surgical patients poses many challenges. Patients may be deemed high risk based on poor baseline functional status, severe or uncontrolled co-morbidities, poor scores on risk and frailty calculators, invasiveness of the […]

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Uncategorized Published - 15 June, 2022    By - Dr Clemens
Anesthesiologist Intensivists: Adding Value to a Hospital System

Authors: Ashish K. Khanna, M.D., FCCP, FCCM et al  ASA Monitor May 2019, Vol. 83, 18–20. Historical Perspective More than 65 years ago, Dr. Bjorn Ibsen, a Copenhagen anesthesiologist, was savvy enough to recognize the need to create the first ICU – the stimulus for which was the polio epidemic of 1952-53. At that time, over […]

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Uncategorized Published - 15 June, 2022    By - Dr Clemens
Anesthesiology 2030: What Does the Future Hold for Critical Care Medicine?

Authors: Adjoa Boateng, MD, MPH; Vivek K. Moitra, MD, MHA, FCCM ASA Monitor October 2021, Vol. 85, 38–40. While critical care medicine has been a recognized and valuable subspeciality of anesthesiology for many years and the scope of practice has expanded, in many respects the recent COVID-19 pandemic has accelerated its transformation. Until recently, and for many […]

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Uncategorized Published - 15 June, 2022    By - Dr Clemens
Hypoxia and Hypercoagulability in COVID-19: Chicken or the Egg?

Authors: David J. Douin, M.D.; Ana Fernandez-Bustamante, M.D., Ph.D. Editorial Anesthesiology July 2022, Vol. 137, 13–14. “[What is] the potential value of hypercoagulability assays in the management of patients with hypoxemia and ARDS?” Image: J. P. Rathmell The presence of coagulation abnormalities in acute respiratory distress syndrome (ARDS) has been identified and studied for decades  and these investigations […]

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Uncategorized Published - 14 June, 2022    By - Dr Clemens
γ-Aminobutyric Acid Type A Receptor Subtypes and Circuit Connections in Midazolam-induced Amnesia, Sedation, and Hypnosis

Author: Stuart A. Forman, M.D., Ph.D. Anesthesiology June 2022, Vol. 136, 880–882. Midazolam is a benzodiazepine that at low doses is widely used in periprocedural care settings to assure amnesia and produce anxiolysis and sedation, while high doses are less frequently used to induce hypnosis (unconsciousness). Midazolam is also used to acutely suppress seizures. The molecular […]

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