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Uncategorized Published - 31 May, 2022    By - Dr Clemens
Dural Puncture Epidural for Labor Analgesia: Is It Really an Improvement over Conventional Labor Epidural Analgesia?

Authors: Scott Segal, M.D., M.H.C.M. and Peter H. Pan, M.D., M.S.E.E. Anesthesiology May 2022, Vol. 136, 667–669. “Dural puncture epidural appears to be a clever idea in search of an indication.” Neuraxial analgesia is considered the definitive standard for labor pain relief, utilized by more than 73% of laboring women in the United States, with growing popularity […]

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Uncategorized Published - 31 May, 2022    By - Dr Clemens
Ketamine Analgesia and Psychedelia: Can We Dissociate Dissociation?

Author: George A. Mashour, M.D., Ph.D. Anesthesiology May 2022, Vol. 136, 675–677. “… if [ketamine] works, who cares whether the analgesic and psychedelic effects are mechanistically distinct?” Ketamine is arguably the most interesting drug in our armamentarium. Depending on the dose and setting, ketamine can be used as an anesthetic, analgesic, antidepressant, psychedelic, or psychotomimetic (e.g., […]

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Uncategorized Published - 31 May, 2022    By - Dr Clemens
Education Gaps in Mass Casualty Preparedness: A Disaster Waiting to Happen

ASA Monitor April 2022, Vol. 86, 31. Mass casualty incidents (MCIs) exert stress on health care institutions with surges in patient volumes and complexities of new and often unpredictable pathophysiologic states. The fundamental goal in managing MCIs is preservation of life. The incident command structure (ICS) is designed to reduce weaknesses in MCI management because of […]

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Uncategorized Published - 31 May, 2022    By - Dr Clemens
Recruitment Tailored to Individual Expectations Defines New Routines

Author: Amy Gallagher ASA Monitor April 2022, Vol. 86, 43. Newly defined pandemic-driven realities are requiring recruiters to learn new routines and new steps to select the ideal candidate with the best fit. Recruiters are striving to offer a “thriving” lifestyle, recognizing that it takes more than money to attract candidates today. In other words, it’s […]

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Uncategorized Published - 31 May, 2022    By - Dr Clemens
Prone Position Minimizes the Exacerbation of Effort-dependent Lung Injury: Exploring the Mechanism in Pigs and Evaluating Injury in Rabbits

Authors: Takeshi Yoshida, M.D., Ph.D. et al  Anesthesiology May 2022, Vol. 136, 779–791. Background Vigorous spontaneous effort can potentially worsen lung injury. This study hypothesized that the prone position would diminish a maldistribution of lung stress and inflation after diaphragmatic contraction and reduce spontaneous effort, resulting in less lung injury. Methods A severe acute respiratory distress […]

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