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Uncategorized Published - 7 June, 2023    By - Dr Clemens
A Chest Tube Inadvertently Inserted into Tracheal Lumen

Authors: Nikhil Kumar, M.D. et al  Anesthesiology June 2023, Vol. 138, 656. The accompanying images demonstrate the presence of the distal end of a chest tube in the tracheal lumen just above the carina. These images are from a patient who developed coughing and massive air leak after chest tube placement. Inadvertent tracheal injury during chest […]

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Uncategorized Published - 7 June, 2023    By - Dr Clemens
Cohabitation of Neonatally Sevoflurane-exposed and -unexposed Male Rats Affects Their Respective Behavioral Phenotypes

Authors: Ling-Sha Ju, M.S. et al  Anesthesiology June 2023, Vol. 138, 658–661. To the Editor: Human twin studies have compared neurocognitive outcomes in twins in which one, both, or neither have undergone procedures involving exposure to general anesthetics. By finding that both exposed and unexposed members of a twin pair have equally poor neurocognitive outcomes, these […]

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Uncategorized Published - 7 June, 2023    By - Dr Clemens
Individualized Positive End-Expiratory Pressure Titration Strategies in Superobese Patients Undergoing Laparoscopic Surgery 2023

Authors: Christoph Boesing, M.D. et al  Anesthesiology May 2023. Background Superobesity and laparoscopic surgery promote negative end-expiratory transpulmonary pressure, which causes atelectasis formation and impaired respiratory mechanics. We hypothesized that end-expiratory transpulmonary pressure differs between fixed and individualized PEEP strategies, and mediates their effects on respiratory mechanics, end-expiratory lung volume, gas-exchange, and hemodynamic parameters in […]

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Uncategorized Published - 7 June, 2023    By - Dr Clemens
ACE Question 2023

ASA Monitor June 2023, Vol. 87, 12. Which of the following combinations of free thyroxine (FT4) level and thyroid-stimulating hormone (TSH) level is MOST likely in a patient with subclinical hypothyroidism? □ (A) Low FT4, low TSH □ (B) Normal FT4, high TSH □ (C) High FT4, low TSH About 5% of patients older than 65 years have hypothyroidism. Primary […]

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Uncategorized Published - 6 June, 2023    By - Dr Clemens
Association of the United States Affordable Care Act Dependent Coverage Provision with Labor Neuraxial Analgesia Use 2023

Authors: Jean Guglielminotti, MD, PhD et al  Anesthesiology May 2023. Background Providing continuous health insurance coverage during the perinatal period may increase access to and utilization of labor neuraxial analgesia. This study tested the hypothesis that implementation of the 2010 Dependent Coverage Provision of the Patient Protection and Affordable Care Act, requiring private health insurers to […]

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