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Uncategorized Published - 21 May, 2024    By - Dr Clemens
The Anesthesia Patient Safety Officer: Why Every Institution Needs One

Authors: Jonathan B. Cohen, MD, MS, CPPS, FASA et al  ASA Monitor June 2024, Vol. 88, 52–55. The Institute of Medicine (now the National Academy of Medicine) defined quality patient care as care that is safe, timely, effective, efficient, equitable, and patient-centered. These discrete elements have historically been conflated by health care organizations. The drawback to this […]

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Uncategorized Published - 21 May, 2024    By - Dr Clemens
Increased Postoperative Opioid Consumption in the Presence of Co-administration of 5-HT3 Antagonists with Acetaminophen

Authors: Nikolai Ratajczak, cand. med et al  Anesthesiology May 2024. Background Acetaminophen and 5-hydroxytryptamine-type-3 (5-HT3) receptor antagonists are administered as standard prophylaxes for postoperative pain, nausea, and vomiting. Preclinical studies however suggest that 5-HT3 antagonists may compromise acetaminophen’s analgesic effect. This hospital registry study investigates whether 5-HT3 antagonists mitigate the analgesic effect of prophylactic acetaminophen in a […]

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Uncategorized Published - 21 May, 2024    By - Dr Clemens
Electroencephalographic indices for clinical endpoints during propofol anesthesia in infants—an early phase propofol biomarker-finding study.

Authors: Ian Yuan, MD, MEng. et al  Anesthesiology May 2024. Background Unlike expired sevoflurane concentration, propofol lacks a biomarker for its brain effect site concentration (Ce), leading to dosing imprecision particularly in infants. Electroencephalography (EEG) monitoring can serve as a biomarker for propofol Ce, yet proprietary EEG indices are not validated in infants. We evaluated […]

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Uncategorized Published - 21 May, 2024    By - Dr Clemens
The Five Rs of Effective Anesthesia Management: A Comprehensive Approach

Somnia Anesthesia In the realm of healthcare reform, the American Society of Anesthesiologists has coined the concept of the “Three Rs” – delivering the right care, in the right place, at the right time. However, when it comes to anesthesia management, Somnia proposes expanding this framework to encompass two additional Rs: the right provider and […]

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Uncategorized Published - 21 May, 2024    By - Dr Clemens
Platelet Transfusions: The Good, the Bad, and the Ugly

AUTHORS: Blumberg, Neil MD et al  Anesthesia & Analgesia 138(5):p 921-924, May 2024. Two recent commentaries,1 1 in the current issue of this journal,2 have addressed pressing issues concerning a commonly used therapy, platelet transfusion. Both are timely and succinct, pointing out that current practices are making life difficult for transfusion services, clinicians, and almost certainly harming patients. […]

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