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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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Uncategorized Published - 13 September, 2024    By - Dr Clemens
Ketamine Potentiates AMPA Receptor-mediated Activity in the Somatosensory Cortex

Authors: Bushra Yasin, M.D., Ph.D. et al  Anesthesiology September 2024, Vol. 141, 611–614. To the Editor: Despite nearly five decades of clinical use, a mechanistic description of ketamine’s ability to reliably produce anesthesia for surgery has been elusive. Ketamine is classified as a “dissociative anesthetic” because it produces a markedly distinct anesthetized state compared to other […]

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Uncategorized Published - 12 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 - 12 September, 2024    By - Dr Clemens
Effects of Hemorrhagic Shock and Rhabdomyolysis on Renal Microcirculation, Oxygenation, and Function in a Female Swine Model

Authors: Benjamin Bergis, M.D., M.Sc. et al  Anesthesiology September 2024, Vol. 141, 554–565. Background Hemorrhagic shock (HS) and rhabdomyolysis (RM) are two important risk factors for acute kidney injury after severe trauma; however, the effects of the combination of RM and HS on kidney function are unknown. The purpose of this study was to determine the […]

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Uncategorized Published - 12 September, 2024    By - Dr Clemens
Pain Management Without Opioids

Author: Dr Nikesh Seth Feedspot The opioid crisis has cast a shadow over pain management practices, highlighting the urgent need for safer, effective alternatives. With millions of people struggling with chronic pain, finding methods to alleviate discomfort without the risks associated with opioids has become crucial. This blog delves into various non-opioid pain management techniques […]

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Uncategorized Published - 12 September, 2024    By - Dr Clemens
Enhancing the Readability of Preoperative Patient Instructions Using Large Language Models

Authors: Hyo Jung Hong, M.D., M.B.A et al  Anesthesiology September 2024, Vol. 141, 608–610. To the Editor: The American Society of Anesthesiologists holds the anesthesiologist responsible for optimizing a patient’s preoperative medications, which includes enabling the patient to understand and adhere to preoperative instructions.  Based on the National Assessment of Adult Literacy, nearly 40% of adults in […]

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Uncategorized Published - 12 September, 2024    By - Dr Clemens
METHODS OF MYOCARDIAL MANAGEMENT DURING CARDIAC SURGERY

Cardiac Anesthesiologist Feedspot Continuous Normokalemic Coronary Perfusion: Empty Beating Heart Early intracardiac procedures were performed on normothermic, perfused, empty beating hearts. Experimental studies initially suggested that this method maintained “normal left ventricular function” for up to 3 hours of cardiopulmonary bypass (CPB) with the heart empty and beating. However, current evidence shows this approach has […]

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