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Uncategorized Published - 26 May, 2022    By - Dr Clemens
Hurricanes: A Disastrous Storm or Famous Louisiana Cocktail? A Headache Either Way

Authors: Kyle P. Nester, MD, FASA; Katherine S. Cox, MD, FASA ASA Monitor April 2022, Vol. 86, 29. Living in Louisiana is great: the food, the people, the vibrant culture. But there are six months out of the year that give many of us pause. Hurricane season can lead to unpredictable events that present unique challenges […]

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Uncategorized Published - 25 May, 2022    By - Dr Clemens
Evaluation of Diaphragmatic Function after Interscalene Block with Liposomal Bupivacaine

Authors: Aaron A. Berg, D.O. et al  Anesthesiology April 2022, Vol. 136, 531–541. Background Interscalene blocks provide analgesia for shoulder surgery but also cause phrenic nerve paralysis. Liposomal bupivacaine is approved for use in interscalene blocks with the potential to provide longer pain control. However, the impact of liposomal bupivacaine on the phrenic nerve has not […]

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Uncategorized Published - 25 May, 2022    By - Dr Clemens
Prophylactic Penehyclidine Inhalation for Prevention of Postoperative Pulmonary Complications in High-risk Patients

Authors: Ting Yan, M.D. et al  Anesthesiology April 2022, Vol. 136, 551–566. Background Postoperative pulmonary complications are common. Aging and respiratory disease provoke airway hyperresponsiveness, high-risk surgery induces diaphragmatic dysfunction, and general anesthesia contributes to atelectasis and peripheral airway injury. This study therefore tested the hypothesis that inhalation of penehyclidine, a long-acting muscarinic antagonist, reduces the […]

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Uncategorized Published - 25 May, 2022    By - Dr Clemens
How Will You Respond to the Next Emergency?

Authors: Stacey Watt, MD, MBA, MHPE, FASA et al  ASA Monitor April 2022, Vol. 86, 26–30. Any hospital can be impacted by a mass casualty event regardless of the size, location, or capabilities of the facility. A coordinated response cannot be developed between the first warning of a mass casualty event and the arrival of the […]

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Uncategorized Published - 25 May, 2022    By - Dr Clemens
Cocaine: How long does it stay in your system?

This is important because we often have to give an anesthetic to a pt who uses cocaine. Author: Mate Jarai MedicalNewsToday The length of time cocaine stays in a person’s system depends on the dosage, how often a person uses it, and other factors. Cocaine has a shorter half-life than many other drugs, which means that the […]

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