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Uncategorized Published - 18 December, 2024    By - Dr Clemens
Anesthesiologists’ Duty of Care and Questions of Conscience

Authors: Shahla Siddiqui, MBBS, MSc, FCCM et al  ASA Monitor December 2024, Vol. 88, 1–5. The conflict between an individual physician’s duty to treat versus their personal issues of conscience and moral integrity has become more complex in recent years (Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine. 8th edition, 2015). The loss of […]

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Uncategorized Published - 17 December, 2024    By - Dr Clemens
Trends in Anesthesiology

ASA Monitor December 2024, Vol. 88, 28–29. FDA approves Exact Sciences’ Cologuard Plus test Exact Sciences Corp., a leading provider of cancer screening and diagnostic tests, today announced the U.S. Food and Drug Administration (FDA) approved the Cologuard Plus™ test, the company’s next generation multitarget stool DNA test. The Cologuard Plus test is now approved for […]

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Uncategorized Published - 17 December, 2024    By - Dr Clemens
Prolonged Fasting May Present Greater Risk than Aspiration in Pediatric Elective Surgery

Author: Robin Hocevar ASA Monitor December 2024, Vol. 88, 32. One surefire way to start a lively conversation among anesthesiologists is to bring up the ideal timeline children should fast before surgery. This clinical controversy was the focus of a point-counterpoint discussion at ANESTHESIOLOGY® 2024. Joelle Karlik, MD, Pediatric Anesthesia and Pain Medicine, Children’s Healthcare of Atlanta-Arthur […]

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Uncategorized Published - 17 December, 2024    By - Dr Clemens
When Malpractice Happens to Good Anesthesiologists

ASA Monitor December 2024, Vol. 88, 25. Medical malpractice statistics are sobering. One in three providers will be sued over the course of their career (StatPearls. 2024). The annual overall rate of paid malpractice claims among all specialties is 14.1 per 1,000 physician-years (JAMA Intern Med 2017;177:710-8). Anesthesiologists experience an annual rate of paid malpractice claims of […]

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Uncategorized Published - 17 December, 2024    By - Dr Clemens
Fertility Preservation in Women Anesthesiologists

Author: Kim Sumrak ASA Monitor December 2024, Vol. 88, e9. Infertility affects one in eight couples in the general population and one in four female physicians. Many are unaware of these statistics, even in the medical community. When faced with infertility, there is an enormous emotional, physical, and even financial toll. While there is not a […]

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Uncategorized Published - 17 December, 2024    By - Dr Clemens
USAMRIID and the US Biodefense Apparatus: A Comprehensive Overview for Anesthesiologists

Authors: Sachin “Sunny” Jha, MD, MS, FASA; Robert Carter, III, Colonel (U.S. Army), PhD ASA Monitor December 2024, Vol. 88, e4–e7. In an era marked by evolving biothreats and emerging infectious diseases, the U.S. biodefense apparatus has become a critical component of national security. As key players in the health care system, anesthesiologists have a pivotal role […]

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Uncategorized Published - 16 December, 2024    By - Dr Clemens
SEE Question

ASA Monitor December 2024, Vol. 88, 26. A 20-year-old man presents to the emergency department with a severe headache. Upon evaluation, he is found to have a large intracranial mass and is scheduled to undergo craniotomy for resection. According to a recent meta-analysis comparing scalp nerve blocks, scalp infiltration, and placebo, which of the following statements […]

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Uncategorized Published - 16 December, 2024    By - Dr Clemens
Rethinking Physician Health and Well-Being Programs: Building Trust Through Confidential Support

Author: Melina Davis ASA Monitor December 2024, Vol. 88, 24. In the high-stress world of medicine, physicians’ mental health and well-being are often overlooked. Physician/provider health programs (PHPs) were established by physician and health care worker regulatory boards and were introduced with the noble intention of providing support to struggling doctors. They also serve as […]

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Uncategorized Published - 16 December, 2024    By - Dr Clemens
AIRS Case 2024-12: Managing Anomalies

Author: David Polaner, MD, FAAP, on behalf of the AIRS Committee. ASA Monitor December 2024, Vol. 88, 1–8. A 3-month-old infant with an unspecified mitochondrial/metabolic disorder underwent general anesthesia for cardiac catheterization for VSD. The anesthetic administered was 200 mcg/kg/min of propofol for three hours. The child subsequently developed severe metabolic acidosis, circulatory collapse, myoglobinuria, and […]

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Uncategorized Published - 16 December, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

Molecular mechanism of ligand gating and opening of NMDA receptor. Nature 2024; 632:209–17. PMID: 39085540. Author: Ru-Rong Ji, Ph.D. I Anesthesiology December 2024, Vol. 141, A13–A15. Glutamate-induced excitatory synaptic transmission, vital for brain function, is partly mediated by N-methyl-d-aspartate receptors (NMDARs), which are critical in synaptic plasticity and learning and memory. NMDARs are ligand-gated ion channels composed […]

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