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Uncategorized Published - 8 September, 2023    By - Dr Clemens
What’s Your No Phone Zone? Sterile Cockpit and Airline Industry Perspectives in Anesthesia Workflow

Authors: Vincent Bargnes, III, MD et al  ASA Monitor August 2023, Vol. 87, 24–26. Modifying the FAA’s “sterile cockpit” rule to anesthesia. Icons made by Flat Icon Design and Freepic from Flaticon.com. Long before the advent of cellular phones were the early days of powered flight, when fatal accidents were unfortunately routine. Improvement in air safety […]

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Uncategorized Published - 8 September, 2023    By - Dr Clemens
Anesthesiology e-Consultants, Tele-evaluation, and Tele-supervision as an Alternative to Surgeon ‘Supervision’

Authors: Michael P. Eaton, MD, FASA; William A. Roberts, CRNA, MD, PhD ASA Monitor September 2023, Vol. 87, 22–23. Anesthesia staffing is driven by the complex interactions between regulations, insurances, reimbursements, local history, and, increasingly, the availability (or, more commonly, lack) of providers. The Centers for Medicare & Medicaid Services (CMS) regulation of hospital “conditions of participation” […]

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Uncategorized Published - 8 September, 2023    By - Dr Clemens
A Processed Electroencephalogram–Based Brain Anesthetic Resistance Index Is Associated With Postoperative Delirium in Older Adults

AUTHORS: Cooter Wright, Mary MS et al  Anesthesia & Analgesia 134(1):p 149-158, January 2022. BACKGROUND: Some older adults show exaggerated responses to drugs that act on the brain. The brain’s response to anesthetic drugs is often measured clinically by processed electroencephalogram (EEG) indices. Thus, we developed a processed EEG–based measure of the brain’s resistance to volatile […]

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Uncategorized Published - 8 September, 2023    By - Dr Clemens
Rural OR Utilization, Surgery Supports, and Urban Congestion

Authors: Matthew C. Miller, MD, FACS et al  ASA Monitor September 2023, Vol. 87, 24. Smaller hospitals often fear that “market share” will be devoured by larger organizations. Rural communities frequently fear that they will lose their local hospital altogether, which is often their largest employer. In reality, by fostering both higher volume and higher-acuity care […]

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Uncategorized Published - 7 September, 2023    By - Dr Clemens
Association Among Preoperative Cognitive Performance, Regional Cerebral Oxygen Saturation, and Postoperative Delirium in Older Portuguese Patients

AUTHORS: Susano, Maria J. MD Anesthesia & Analgesia 132(3):p 846-855, March 2021. BACKGROUND: Postoperative delirium is common among older patients and preoperative identification of high-risk patients is widely recommended. The aim of this study was to assess whether preoperative cognitive performance using brief screening tools or regional cerebral oxygen saturation (Scto2) was associated with the development […]

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