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Uncategorized Published - 16 September, 2024    By - Dr Clemens
The Only Constant Is Change: The Ever-Evolving Employer/Employee Relationship

Author: George Tewfik, MD, MBA, FASA ASA Monitor September 2024, Vol. 88, 17–18. Other than relationships with family and friends, the relationship to one’s employer may be one of the most important in a person’s life. When you spend 40, 50, 60, or more hours a week in the service of an employer, the relationship can […]

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Uncategorized Published - 16 September, 2024    By - Dr Clemens
ACE Question concerning anesthesia for ECT therapy

ASA Monitor September 2024, Vol. 88, 11. Which of the following adjunct medications will MOST likely increase seizure duration when used during electroconvulsive therapy? (A) Lidocaine (B) Dexmedetomidine (C) Caffeine Electroconvulsive therapy (ECT) for depression is considered effective if a seizure lasts 15 to 25 seconds after delivery of the shock. Anesthetic management for ECT usually […]

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Uncategorized Published - 16 September, 2024    By - Dr Clemens
Trends in Anesthesia

ASA Monitor September 2024, Vol. 88, 30. CDC reports 4th human case of H5 bird flu tied to dairy cow outbreak A human case of highly pathogenic avian influenza (HPAI) A(H5) (“H5 bird flu”) virus infection in the United States has been identified in Colorado. This is the fourth case associated with an ongoing multistate outbreak […]

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Uncategorized Published - 16 September, 2024    By - Dr Clemens
NIRS during Organ Donation in Brain-dead Donors: Comment

Authors: Martin Dworschak, M.D., M.B.A.; Ekaterina Pataraia, M.D., M.B.A. Anesthesiology October 2024, Vol. 141, 808–809. To the Editor: We read with great interest the article by Soehle et al. recently published in this journal. They used three devices employing near-infrared spectroscopy technology (i.e., the INVOS 5100 C and the INVOS 7100 [Medtronic Inc., USA] and the ForeSight Elite […]

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Uncategorized Published - 16 September, 2024    By - Dr Clemens
NIRS during Organ Donation in Brain-dead Donors: Reply

Authors: Martin Soehle, M.D., Ph.D., M.H.B.A. et al  Anesthesiology October 2024, Vol. 141, 809–811. In Reply: We thank Drs. Dworschak and Pataraia for their interest and thoughtful comments regarding our recent publication on the effect of brain death on regional cerebral oxygenation (rScO2) as determined by near-infrared spectroscopy.  Their concerns relate to our statement that brain […]

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Uncategorized Published - 13 September, 2024    By - Dr Clemens
Discover The Best Anesthesiologist Opportunity in New Mexico

We are seeking a dedicated anesthesiologist to join our all-anesthesiologist group. Our team will consist of 4 full-time providers and 1 for vacation relief, managing 3 operating rooms. Position Highlights: Zero call for 3 weeks, followed by 1 week of call without daytime work only call after 7 PM therefore you may not work the […]

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Uncategorized Published - 13 September, 2024    By - Dr Clemens
Mechanical power in decelerating flow versus square flow ventilation in pediatric ARDS

Authors: Andrew G. Percy, MD et al  Anesthesiology August 2024. Background Mechanical power (MP) is a summary variable quantifying the risk of ventilator-induced lung injury (VILI). The original MP equation was developed using square flow ventilation. However, most children are ventilated using decelerating flow. It is unclear whether MP differs according to mode of flow […]

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Uncategorized Published - 13 September, 2024    By - Dr Clemens
30-Day Mortality Goal Starts with Consistent Nomenclature

Autors: Lisbeth Evered, BSc, MSc, PhD; Daniel J. Cole, MD, FASA ASA Monitor September 2024, Vol. 88, 1–7. Brain health is increasingly acknowledged as the most common issue with regard to complications associated with anesthesia and surgery in older individuals. It is well known that increasing age and preoperative cognitive impairment are the leading predictors of cognitive […]

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Uncategorized Published - 13 September, 2024    By - Dr Clemens
Cardiovascular Effects of Increasing Positive End-Expiratory Pressure in A Model of Left Ventricular Cardiogenic Shock in Female Pigs

Authors: Oskar Kjærgaard Hørsdal, BMSc et al  Anesthesiology Newly Published on August 2024. Background Cardiogenic shock (CS) presents a medical challenge with limited treatment options. Positive end-expiratory pressure (PEEP) during mechanical ventilation has been linked with clinical benefits in patients with CS. We investigated if increasing PEEP levels could unload the left ventricle (LV) in CS […]

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Uncategorized Published - 13 September, 2024    By - Dr Clemens
Anesthesia challenges piling up

Author: Patsy Newitt Becker’s ASC Review From reimbursement declines to provider shortages, anesthesia leaders are facing new and longstanding challenges. Anesthesia reimbursements are facing a sharp decline. CMS anesthesia reimbursements declined 8.2% from 2019 to 2024 — from $22.27 per unit to $20.44, VMG Health said in a May blog post. Another report from Coronis Health found that […]

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