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Uncategorized Published - 14 June, 2019    By - Dr Clemens
emoral Artery Dissection after Adductor Canal Block

Authors: Leon Vorobeichik, M.D. et al Anesthesiology 6 2019, Vol.130, 1037-1038. After an uneventful total knee arthroplasty under spinal anesthesia and ultrasound-guided continuous adductor canal block, the absence of distal pulses was noted in the operative leg. An arterial duplex scan (top image, panel A) demonstrated a femoral artery dissection flap (thin arrow) with a false […]

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Uncategorized Published - 14 June, 2019    By - Dr Clemens
Pediatric Risk Stratification Is Improved by Integrating Both Patient Comorbidities and Intrinsic Surgical Risk

Authors: Viviane G. Nasr, M.D. et al Anesthesiology 6 2019, Vol.130, 971-980. Editor’s Perspective:What We Already Know about This Topic: Risk stratification models to predict perioperative mortality in pediatric surgical populations are based on patient comorbidities, but do not take into consideration the intrinsic risk of the surgical procedures. What This Article Tells Us That Is […]

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Uncategorized Published - 14 June, 2019    By - Dr Clemens
NSAIDs Likely New Culprit in C. diff

Author: David Holtzman Anesthesiology News Researchers might have found a new link to Clostridioides difficile (formerly Clostridium difficile):the use of nonsteroidal anti-inflammatory drugs (NSAIDs). Antibiotics, which disturb the gut microbiome, have always taken the blame for this highly prevalent nosocomial infection. But new findings in an animal model provide evidence for the NSAID connection, while describing a potential […]

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Uncategorized Published - 14 June, 2019    By - Dr Clemens
Focused Cardiac Ultrasound during Amniotic Fluid Embolism

Authors: Leah C. Acker, Ph.D., M.D. et al  Anesthesiology 6 2019, Vol.130, 1032-1033. In emergency and critical care medicine, focused cardiac ultrasound is well-established to rapidly narrow the differential diagnosis of hemodynamic instability.1  Although anesthesiologists have traditionally relied upon transesophageal echocardiography for this indication, perioperative providers are recognizing the advantages of focused cardiac ultrasound for crisis […]

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Uncategorized Published - 13 June, 2019    By - Dr Clemens
If We Don’t Learn from Our Critical Events, We’re Likely to Relive Them: Debriefing Should Be the Norm

Authors: May C. M. Pian-Smith, M.D., M.S. et al Anesthesiology 6 2019, Vol.130, 867-869. “…[I]nterdisciplinary team de-briefings, including members of all involved role groups, is an essential step toward narrowing the patient safety gap that still remains…” This issue of Anesthesiology includes “Failure to Debrief after Critical Events in Anesthesia Is Associated with Failures in Communication during […]

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