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Uncategorized Published - 9 September, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

Anesthesiology September 2024, Vol. 141, A13–A15. Video versus direct laryngoscopy for urgent intubation of newborn infants. N Engl J Med 2024; 390:1885–94. PMID: 38709215. In contrast to availability in adults and children, only limited data on the efficacy of video laryngoscopy for neonatal intubation area are available. This single-center trial (tertiary Irish center) randomized neonates (any […]

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Uncategorized Published - 9 September, 2024    By - Dr Clemens
An Inadvertent Course of a Central Venous Catheter

Authors: Erik Anderson, M.D. et al  Anesthesiology September 2024, Vol. 141, 568–569.ed into a pulmonary vein in a patient with undiagnosed partial anomalous pulmonary venous return. A post procedure chest X-ray revealed that the catheter tip was in the hilum of the left lung. A blood gas drawn from this misplaced catheter, a preexisting dialysis catheter […]

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Uncategorized Published - 9 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 August 2024. 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 [Edwards Lifescience Corp., […]

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Uncategorized Published - 9 September, 2024    By - Dr Clemens
NIRS during Organ Donation in Brain-dead Donors: Reply

Autors: Martin Soehle, M.D., Ph.D., M.H.B.A. et al  Anesthesiology August 2024. 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 perfusion was absent during […]

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Uncategorized Published - 9 September, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

Anesthesiology September 2024, Vol. 141, A13–A15. Distinct μ-opioid ensembles trigger positive and negative fentanyl reinforcement. Nature 2024; 630:141–8. PMID: 38778097 The potent µ-opioid receptor (µOR)–specific agonist, fentanyl, has devastating consequences on public health, increasing opioid addiction-related deaths. Fentanyl is highly addictive, with robust withdrawal symptoms leading to negative reinforcement behaviors where individuals retake the drug to […]

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Uncategorized Published - 6 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 - 6 September, 2024    By - Dr Clemens
Sublingual Hematoma: A Rare Anesthetic Complication

Authors: Adam Warrick, M.D. et al  Anesthesiology August 2024. These images demonstrate sublingual hematoma progression in a patient presenting for repeat laparoscopy after cholecystectomy complicated by incomplete hemostasis (fig.1, A to C, arrows). On postoperative day one, the patient reported frenulum tenderness, purpura, and an expanding mass beneath her tongue (fig.1, A). Otolaryngology evaluation was obtained, […]

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Uncategorized Published - 6 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 - 6 September, 2024    By - Dr Clemens
A Required Reconsideration of “Required Reconsideration”: Pioneering a New Paradigm for Perioperative Management of Patients Presenting with Treatment Limitations

Authors: Rachel Hadler, M.D.; Rebecca A. Aslakson, M.D., Ph.D. Anesthesiology September 2024, Vol. 141, 440–442. “[A]rming anesthesiologists with the tools to provide patient-centered, meaningful perioperative care has the potential to both increase goal-concordant care delivery and reduce clinician moral conflict, moral distress, and burnout.” Although preoperative “required reconsideration” for individuals with pre-existing treatment limitations (i.e., do-not-attempt-resuscitation or […]

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Uncategorized Published - 6 September, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

Anesthesiology September 2024, Vol. 141, A13–A15. Andexanet for factor Xa inhibitor–associated acute intracerebral hemorrhage. N Engl J Med 2024; 390:1745–55. PMID: 38749032. Patients sustaining acute intracerebral hemorrhage on anticoagulants are at increased risk for hematoma expansion. Factor Xa inhibitors are now widely used for chronic anticoagulation, and before the release of andexanet alfa, no specific reversal […]

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