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Uncategorized Published - 26 July, 2024    By - Dr Clemens
ACE Question

ASA Monitor July 2024, Vol. 88, 35. Based on the depth of sedation continuum published by ASA, which of the following patient responses is MOST consistent with moderate sedation? (A) Purposeful response to verbal or tactile stimulation (B) Purposeful response only to repeated or painful stimulation (C) Reflex withdrawal following a painful stimulus ASA developed a […]

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Uncategorized Published - 26 July, 2024    By - Dr Clemens
Association of Early Dexmedetomidine Utilization With Clinical Outcomes After Moderate-Severe Traumatic Brain Injury

AUTHORS: Liu, Sunny Yang BA et al Anesthesia & Analgesia 139(2):p 366-374, August 2024. BACKGROUND: Traumatic brain injury (TBI) is an expensive and common public health problem. Management of TBI oftentimes includes sedation to facilitate mechanical ventilation (MV) for airway protection. Dexmedetomidine has emerged as a potential candidate for improved patient outcomes when used for early […]

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Uncategorized Published - 26 July, 2024    By - Dr Clemens
A Spicy New Treatment for Postoperative Pain

Author: J. David Clark, M.D., Ph.D. Anesthesiology August 2024, Vol. 141, 201–203. “[T]his new [capsaicin] prodrug formulation may provide a novel approach to postoperative analgesia resulting from a single local injection that lasts for days.” Image: A. Johnson, Vivo Visuals Studio. Fundamental advancements in our field do not occur every day, so it is particularly exciting […]

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Uncategorized Published - 25 July, 2024    By - Dr Clemens
Should Obesity Be an Exclusion Criterion for Extracorporeal Membrane Oxygenation Support?

Authors: Ripoll, Juan G. MD et al  Anesthesia & Analgesia 139(2):p 300-312, August 2024 Abstract Obesity is often considered a contraindication to extracorporeal membrane oxygenation (ECMO) candidacy due to technical challenges with vascular access, higher cardiac output requirements, and known associations between obesity and overall increased morbidity and mortality due to chronic health conditions. However, a […]

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Uncategorized Published - 25 July, 2024    By - Dr Clemens
The Cost-Effectiveness of Early High-Acuity Postoperative Care for Medium-Risk Surgical Patients

AUTHORS: Leaman, Esrom E. MBBS et al  Anesthesia & Analgesia 139(2):p 323-331, August 2024. BACKGROUND: Initiatives in perioperative care warrant robust cost-effectiveness analysis in a cost-constrained era when high-value care is a priority. A model of anesthesia-led early high-acuity postoperative care, advanced recovery room care (ARRC), has shown benefit in terms of hospital and patient outcomes, […]

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