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Uncategorized Published - 12 May, 2023    By - Dr Clemens
A Chest Tube Inadvertently Inserted into Tracheal Lumen 2023

Authors: Nikhil Kumar, M.D. et al  Anesthesiology April 2023. 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 tube placement […]

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Uncategorized Published - 12 May, 2023    By - Dr Clemens
Tranexamic Acid in Patients Undergoing Noncardiac Surgery 2023

Authors: P J Devereaux et al N Engl J Med. 2022 May 26;386(21):1986-1997 Background: Perioperative bleeding is common in patients undergoing noncardiac surgery. Tranexamic acid is an antifibrinolytic drug that may safely decrease such bleeding. Methods: We conducted a trial involving patients undergoing noncardiac surgery. Patients were randomly assigned to receive tranexamic acid (1-g intravenous bolus) or […]

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Uncategorized Published - 12 May, 2023    By - Dr Clemens
Anesthesia Care and the Rural Pediatric Patient 2023

Authors: Christine Jette, MD, FASA et al  ASA Monitor April 2023, Vol. 87, 10–12. Safe access to pediatric surgery and anesthesia care in rural America is critical to having an equitable health care system. The American College of Surgeons (ACS) Children’s Surgery Verification (CSV) Quality Improvement Program provides standards defining “the resources believed necessary to achieve […]

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Uncategorized Published - 12 May, 2023    By - Dr Clemens
Chronic Pain at the Pharmacy: Methadone Initiation for CRPS and Comorbidities 2023

Author: Amarquaye W. Pract Pain Manag. 2023 May/June;23(3). When a patient asks about beginning methadone therapy for CRPS, clinical pharmacist William Amarquaye advises on administration, titration, side effects, and interactions. Patient Scenario: Patient Prescribed Methadone for CRPS The Patient Patient Bob* called our pharmacy inquiring about a new prescription for methadone that he was placed […]

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Uncategorized Published - 12 May, 2023    By - Dr Clemens
Association of Preoperative Frailty With Intraoperative Hemodynamic Instability and Postoperative Mortality 2023

AUTHORS: James, Leslie A. BA et al  Anesthesia & Analgesia 128(6):p 1279-1285, June 2019. | BACKGROUND: Frailty, a state of decreased physiological reserve, is strongly associated with perioperative mortality in older adults. However, the mechanism by which frailty is associated with mortality is not yet understood. Autonomic dysfunction in the form of decreased intraoperative hemodynamic variability has […]

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