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Uncategorized Published - 28 September, 2023    By - Dr Clemens
Association of Opioid Administration During General Anesthesia and Survival for Severely Injured Trauma Patients

AUTHORS: Levy, Dominique T. BS et al  Anesthesia & Analgesia 136(5):p 905-912, May 2023. BACKGROUND: There is a lack of reported clinical outcomes after opioid use in acute trauma patients undergoing anesthesia. Data from the Pragmatic, Randomized, Optimal Platelet and Plasma Ratios (PROPPR) study were analyzed to examine opioid dose and mortality. We hypothesized that higher […]

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Uncategorized Published - 27 September, 2023    By - Dr Clemens
Prehabilitation: Promises, Perils and Prospects

Author: Christian S. Guay, MD IARS Newletter Issue 4 With the growth of perioperative medicine, anesthesiologists are increasingly turning to the preoperative period to identify modifiable risk factors that can be intervened upon to prevent postoperative complications and improve long-term outcomes. In a session, cosponsored by Early-Stage Anesthesiology Scholars (eSAS), “Improving Patient Outcomes through Prehabilitation: […]

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Uncategorized Published - 27 September, 2023    By - Dr Clemens
Sexual Harassment Allegations in Healthcare: Rising Risks

Author: Richard Cahill, JD, Vice President and Associate General Counsel, The Doctors Company Consider the following scenario: A successful and highly respected pediatrician with an unblemished record over decades of practice learns of a HIPAA breach by a member of his administrative staff. The employee is terminated after an investigation reveals that the employee had […]

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Uncategorized Published - 27 September, 2023    By - Dr Clemens
Intraoperative Methadone in Next-day Discharge Outpatient Surgery

Authors: Evan D. Kharasch, M.D., Ph.D. et al  Anesthesiology October 2023, Vol. 139, 405–419. Background Contemporary perioperative practice seeks to use less intraoperative opioid, diminish postoperative pain and opioid use, and enable less postdischarge opioid prescribing. For inpatient surgery, anesthesia with intraoperative methadone, compared with short-duration opioids, results in less pain, less postoperative opioid use, and […]

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Uncategorized Published - 27 September, 2023    By - Dr Clemens
Anesthesia and Sedation Exposure and Neurodevelopmental Outcomes in Infants Undergoing Congenital Cardiac Surgery

Authors: Allan F. Simpao, M.D., M.B.I. et al  Anesthesiology October 2023, Vol. 139, 393–404. Background Children undergoing complex cardiac surgery are exposed to substantial cumulative doses of sedative medications and volatile anesthetics and are more frequently anesthetized with ketamine, compared with healthy children. This study hypothesized that greater exposure to sedation and anesthesia in this population […]

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