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Uncategorized Published - 19 December, 2023    By - Dr Clemens
Acid–Base Analysis in the Operating Room: A Bedside Stewart Approach

Author: David A. Story, M.B.B.S., M.D., B.Med.Sci., Dip.P.O.M., F.A.N.Z.C.A. Anesthesiology December 2023, Vol. 139, 860–867. All models are wrong but some are useful. —George Box, British statistician, 1976 Most patients receiving anesthesia care have some care-driven changes in their acid–base status, at least mild respiratory acidosis during general anesthesia with spontaneous ventilation. However, many high-risk patients […]

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Uncategorized Published - 18 December, 2023    By - Dr Clemens
ACE Question

Anesthesiology December 2023, A 67-year-old man is scheduled to receive monitored anesthesia care for cardiac magnetic resonance imaging. His current medications include carvedilol, lisinopril, and transdermal nicotine. Which of these should MOST likely be held prior to this procedure? A. Carvedilol X B. Lisinopril X C. Transdermal nicotine ✔ Discussion Transdermal drug delivery systems may contain nicotine, hormonal contraceptives, opioids, scopolamine, […]

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Uncategorized Published - 18 December, 2023    By - Dr Clemens
A Conversation Across the Drapes: Understanding Inequity and Achieving Equity in Obstetric and Anesthesiology Care

Authors: LaRae C. Brown, MD, MHA, FACOG; Keya A. Locke, MD, MBA ASA Monitor December 2023, Vol. 87, 28–29. During an emergency cesarean delivery, communication, clinical expertise, and collaboration are imperative for the multidisciplinary team. In that moment, there is nothing more crucial to the well-being of the patient than the dyad of an obstetrician and anesthesiologist. […]

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Uncategorized Published - 18 December, 2023    By - Dr Clemens
Opioid-free anesthesia protocol on the early quality of recovery after major surgery (SOFA trial)

Authors: Maxime Léger, M.D., Ph.D. et al  Anesthesiology November 2023. Background Opioid-free anesthesia (OFA) is increasingly being adopted to reduce opioid consumption, but its impact on early postoperative recovery following major surgery has not been evaluated in comparative trials. We hypothesized that an OFA protocol would enhance the early quality of recovery (QoR) for patients […]

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Uncategorized Published - 18 December, 2023    By - Dr Clemens
A Quality Improvement Initiative to Reduce Adverse Effects of Transitions of Anesthesia Care on Postoperative Outcomes

Authors: Amit K. Saha, PhD; Scott Segal, MD, MHCM Anesthesiology November 2023. Background An intraoperative transfer of care from one anesthesia provider to another, or handover, may result in information loss and contribute to adverse patient outcomes. In 2019 we undertook a quality improvement effort to increase the use of a structured intraoperative handover tool […]

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