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Uncategorized Published - 10 August, 2015    By - Dr Clemens
Respiratory Depression Injuries Overwhelmingly Preventable Closed Claims Study

Respiratory depression (RD) often strikes patients within 24 hours of surgery and causes death or brain damage in the most serious of these cases, yet these injuries are often preventable, a new study from the Anesthesia Closed Claims Project and Anesthesia Quality Institute found. More than 88% of the RD events that led to malpractice […]

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Uncategorized Published - 10 August, 2015    By - Dr Clemens
Nerve Injury After Peripheral Nerve Block: Best Practices and Medical-Legal Protection Strategies

David Hardman, MD, MBA Professor of Anesthesiology Vice Chair for Professional Affairs Department of Anesthesiology University of North Carolina at Chapel Hill Chapel Hill, North Carolina   The risk for permanent or severe nerve injury after peripheral nerve blocks (PNBs) is extremely low, irrespective of its etiology (ie, related to anesthesia, surgery or the patient). […]

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Uncategorized Published - 10 August, 2015    By - Dr Clemens
Influence of Ventilation Strategies and Anesthetic Techniques on Regional Cerebral Oximetry in the Beach Chair Position: A Prospective Interventional Study with a Randomized Comparison of Two Anesthetics

Authors: Paul Picton, MB, Ch B MRCP, FRCA et al Anesthesiology published August 2015 Background:: Beach chair positioning during general anesthesia is associated with cerebral oxygen desaturation. Changes in cerebral oxygenation resulting from the interaction of inspired oxygen fraction (Fio2), end-tidal carbon dioxide (PETco2), and anesthetic choice have not been fully evaluated in anesthetized patients in the beach […]

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Uncategorized Published - 7 August, 2015    By - Dr Clemens
Anesthesia Services: An Important Court Decision

As you may already be aware, there was a “whistleblower” suit in Missouri claiming that the anesthesiologists were only doing “supervision,” not “medical direction” because the anesthesiologists were physically present in the operating room at the time of “emergence.” The case was based on there being a definition of “emergence” and in this case no […]

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Uncategorized Published - 7 August, 2015    By - Dr Clemens
Can the Modified LEMON Score Predict Difficult Intubation?

Authors: Hagiwara Y et al., Am J Emerg Med 2015 Jun 19; A Japanese registry study suggests the score has fair sensitivity and specificity. The LEMON score is a mnemonic for predicting difficult intubation. It stands for Look, Evaluate the 3-3-2 rule, Mallampati score, Obstruction, and Neck mobility (NEJM JW Emerg Med Mar 2005 and Emerg Med J 2005; 22:99). […]

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