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Uncategorized Published - 25 July, 2023    By - Dr Clemens
Patient-, Clinician-, and Institution-level Variation in Inotrope Use for Cardiac Surgery

Authors: Michael R. Mathis, M.D. et al  Anesthesiology August 2023, Vol. 139, 122–141. Background Conflicting evidence exists regarding the risks and benefits of inotropic therapies during cardiac surgery, and the extent of variation in clinical practice remains understudied. Therefore, the authors sought to quantify patient-, anesthesiologist-, and hospital-related contributions to variation in inotrope use. Methods In […]

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Uncategorized Published - 25 July, 2023    By - Dr Clemens
SAMBA: A Great Resource for All Practitioners of Ambulatory Anesthesia

Author: Dawn Schell, MD ASA Monitor February 2023, Vol. 87, 31. Currently, nearly 70% of all surgeries in the United States are performed as outpatient procedures, with almost 23 million of these performed annually in ambulatory surgery centers (ASCs) alone (Natl Health Stat Report 2017;102:1-15). And the numbers continue to grow. Over 6,000 Medicare-certified ASCs now […]

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Uncategorized Published - 24 July, 2023    By - Dr Clemens
Predicting Death or Disability after Surgery in the Older Adult

Authors: Mark A. Shulman, Ph.D. et al Anesthesiology July 2023. Background Older patients are vulnerable to developing new or worsening disability after surgery. Despite this, patient or surgical characteristics predisposing to postoperative disability are poorly defined. Our aim was to develop and validate a model, subsequently transformed to point-score form, to predict 6-month death or […]

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Uncategorized Published - 24 July, 2023    By - Dr Clemens
Severe Pulmonary Hypertension and Septum Left Shift

Authors: Craig T. Yamaguchi, B.S. et al Anesthesiology July 2023. Transesophageal echocardiography images were acquired from a 30-year-old patient with group 1 pulmonary hypertension during bilateral orthotopic lung transplantation. The relative chamber sizes are shown pre (fig. 1) and post (fig. 2) transplantation. Preoperative pulmonary artery pressures were 142/54 with a systemic blood pressure of […]

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Uncategorized Published - 24 July, 2023    By - Dr Clemens
Every Little Bit Counts: Syringe Dead Space

Authors: Angela C. Lee, M.D.; Chaitanya Challa, M.D. Anesthesiology July 2023. The most common types of medication error in pediatric anesthesiology are wrong dose and syringe swap.  Another source of medication error is syringe dead space, which is defined as residual volume left between the plunger and syringe tip after the total dose is given. A previous […]

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