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Uncategorized Published - 18 December, 2023    By - Dr Clemens
Damage Control Resuscitation in Traumatic Hemorrhage: It is More Than Fixing the Holes and Filling the Tank

Authors: Justin E. Richards, M.D. et al  Anesthesiology November 2023. Trauma remains the leading cause of death and disability in individuals younger than 44 yr of age, and hemorrhage is the most common cause of preventable death after a traumatic mechanism of injury. Each year nearly 1.5 million deaths worldwide are the result of trauma-related […]

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Uncategorized Published - 15 December, 2023    By - Dr Clemens
Recruitment-to-inflation Ratio Assessed through Sequential End-expiratory Lung Volume Measurement in Acute Respiratory Distress Syndrome

Authors: Domenico Luca Grieco, M.D. et al  Anesthesiology December 2023, Vol. 139, 801–814. Background Positive end-expiratory pressure (PEEP) benefits in acute respiratory distress syndrome are driven by lung dynamic strain reduction. This depends on the variable extent of alveolar recruitment. The recruitment-to-inflation ratio estimates recruitability across a 10–cm H2O PEEP range through a simplified maneuver. Whether […]

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Uncategorized Published - 15 December, 2023    By - Dr Clemens
Behind the anesthesia shortage plaguing ASCs

Author: Patsy Newitt Becker’s ASC Review ASCs in many markets are facing major anesthesia provider shortages and declining reimbursements, affecting their ability to provide care. “Anesthesia used to be a seemingly unlimited commodity,” Jeff Dottl, principal at Ventura, Calif.-based Physicians Surgery Centers, told Becker’s. “They were lucky to be invited to work at your surgery center. The […]

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Uncategorized Published - 15 December, 2023    By - Dr Clemens
Emerging Paradigms in Anesthesiology for Heart Transplantation: Current Trends and Future Directions

Authors: Brent T. Boettcher, DO, FASA; Jennie Ngai, MD, FASA ASA Monitor December 2023, Vol. 87, 1–4. Heart transplantation remains the treatment of choice for many patients with end-stage heart failure. Heart transplant volume in the United States had remained relatively stable from the early 1990s until 2012, falling in the 2,100-2,200 transplants per year range. […]

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Uncategorized Published - 15 December, 2023    By - Dr Clemens
Neurocognitive Effect of Biased µ-Opioid Receptor Agonist Oliceridine, a Utility Function Analysis and Comparison with Morphine

Authors: Laurence Moss, M.D. et al  Anesthesiology December 2023, Vol. 139, 746–756. Background Oliceridine (Olinvyk) is a μ-opioid receptor agonist that in contrast to conventional opioids preferentially engages the G-protein–coupled signaling pathway. This study was designed to determine the utility function of oliceridine versus morphine based on neurocognitive tests and cold pressor test. Methods The study had a […]

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