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Uncategorized Published - 11 March, 2025    By - Dr Clemens
Periacetabular Osteotomy Multimodal Pain Control Using Erector Spinae Plane vs Epidural Catheter

Authors: Fiedler, Anna K BS et al  Anesthesiology February 07, 2025. Background: Periacetabular osteotomy (PAO) is an established treatment for symptomatic developmental hip dysplasia. Epidural analgesia is traditionally used for perioperative pain management but may have negative secondary effects, including distal motor and sensory deficits, and hypotension which delays rehabilitation and prolongs discharge. One alternative […]

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Uncategorized Published - 10 March, 2025    By - Dr Clemens
Predictive Validity of Anesthesiologists’ Quality of Clinical Supervision and Nurse Anesthetists’ Work Habits Assessed by Their Associations With Operating Room Times

AUTHORS: Dexter, Franklin MD, PhD, FASA et al Anesthesia & Analgesia 140(3):p 723-731, March 2025. BACKGROUND: At all Joint Commission-accredited hospitals, the anesthesia department chair must report quantitative assessments of anesthesiologists’ and nurse anesthetists’ (CRNAs’) clinical performance at least annually. Most metrics lack evidence of usefulness, cost-effectiveness, reliability, or validity. Earlier studies showed that anesthesiologists’ clinical […]

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Uncategorized Published - 10 March, 2025    By - Dr Clemens
Measuring Well-Being Influencers: Development and Validation of the WISH Inventory

Authors: Higgins, K. Elliott III M.D. et al Anesthesiology February 03, 2025. Background: Improving healthcare professional well-being and reducing burnout requires improving work ecosystems and cultures. Current well-being metrics focus on distal outcomes within individuals (e.g., professional fulfillment or burnout). In this study, we developed and evaluated the performance of an inventory measuring perceptions of […]

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Uncategorized Published - 10 March, 2025    By - Dr Clemens
Accuracy of two-compartment modelling of gas exchange with ventilation-perfusion mismatch in inhalational anesthesia

Author: Peyton, Philip J MD PhD Anesthesiology January 30, 2025. Background: Multi-compartment computer models of heterogeneity in alveolar ventilation-perfusion ratios (VA/Q scatter) across the lung explain the significant alveolar-arterial (A-a) partial pressure gradients and associated alveolar dead-space fractions (VDA/VA) seen in anesthetized patients for both carbon dioxide and for anesthetic gases of different blood solubilities. […]

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Uncategorized Published - 10 March, 2025    By - Dr Clemens
Assessing Fire Risk in Surgery: Why Limit Open Oxygen Delivery to 30%?

Authors: Mark E. Bruley, CCE-R, FACCE; Jeffrey Feldman, MD, MSE, FASA Anesthesia Patient Safety Foundation Volume 40, No. 1 • February 2025  Surgical fires continue to cause preventable morbidity and mortality despite educational efforts and well-established recommendations for eliminating the risk.1-6 Many medical societies and regulatory bodies recommend limiting open oxygen delivery to 30%. These include the […]

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