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Uncategorized Published - 20 July, 2023    By - Dr Clemens
Coronary Artery Air Embolism in the Non–operating Room Anesthesia Setting: Reply

Anne Elizabeth Oesterling, M.D. et al Anesthesiology July 2023. In Reply: We appreciate the expertise of Drs. Moon and Camporesi in the field of undersea and hyperbaric medicine and thank them for their input on this topic.  We readily acknowledge that the Trendelenburg position is detrimental to patients with intracranial hypertension and known cerebral air embolism. […]

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Uncategorized Published - 20 July, 2023    By - Dr Clemens
Coronary Artery Air Embolism in the Non–operating Room Anesthesia Setting: Comment

Richard E. Moon, M.D., F.A.C.P., F.C.C.P., F.U.H.M.; Author: Enrico M. Camporesi, M.D., F.U.H.M. Anesthesiology July 2023. To the Editor: We read with interest the description by Oesterling et al.  of a case of coronary artery air embolism. Their article nicely showed imaging confirming arterial gas embolism, demonstrated one of the risks of percutaneous lung biopsy and factors […]

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Uncategorized Published - 20 July, 2023    By - Dr Clemens
Applying the Biopsychosocial Experience to Acute Pain Management in Hospitals

AUTHORS: Abraham CM et al Pract Pain Manag. 2023 July/August;23(4). In some hospitalized populations, about 44% of patients are in severe pain at dischage.1 High pain intensity during hospitalization is a risk factor for deleterious psychological outcomes, such as depression and PTSD,1 as well as the chronification of acute pain.2-4 In fact, anywhere from 3% to 20% of acute pain […]

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Uncategorized Published - 19 July, 2023    By - Dr Clemens
Intraoperative Methadone in Next-day Discharge Outpatient Surgery

Authors: Evan D Kharasch, MD, PhD et al Anesthesiology June 2023. Background Contemporary perioperative practice seeks to use less intraoperative opioid, diminish postoperative pain and opioid use, and enable less post-discharge opioid prescribing. For inpatient surgery, anesthesia with intraoperative methadone, compared with short-duration opioids, results in less pain, less postoperative opioid use, and greater patient […]

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Uncategorized Published - 19 July, 2023    By - Dr Clemens
Ketamine: More Than an Anesthetic

Author: Jeffrey Bettinger, PharmD. Pract Pain Manage. 2023 July August 23(4). The successful and effective use of ketamine to induce anesthesia in human subjects was first described in a 1966 clinical study by Corssen and Domino.1 At the time, it was a chemical labeled CI-581. The phencyclidine derivative was approved for anesthesia four years later by […]

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