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Uncategorized Published - 10 September, 2024    By - Dr Clemens
Health Care Chessboard: The Evolution of My Practice’s Partnership with a Larger Organization

Authors: Mo Azam, MD, MBA, FASA ASA Monitor August 2024, Vol. 88, 18–19. In 1988, there were 11 anesthesiologists providing services to three facilities in the Florida Hospital system in Orlando. A physician could apply for privileges at the hospital, interview with leaders of the independent medical staff, provide services as an individual, and commit […]

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Uncategorized Published - 10 September, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

Anesthesiology September 2024, Vol. 141, A13–A15. Synapse-specific trapping of SNARE machinery proteins in the anesthetized Drosophila brain. J Neurosci 2024; 44:e0588232024. PMID: 38749704. The neuronal mechanisms of general anesthetics are attributed to multiple cellular targets including postsynaptic potentiation of inhibitory ion channels and the inhibition of neurotransmitter release by interference with proteins involved in exocytosis; however, variation may […]

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Uncategorized Published - 10 September, 2024    By - Dr Clemens
Identification and Treatment of Pediatric Perioperative Anxiety

Authors: Romy Yun, M.D.; Thomas J. Caruso, M.D., Ph.D. Anesthesiology August 2024. Children experience heightened anxiety and fear in the hospital. Perioperatively, these feelings are amplified by a loss of control and separation from their caregivers. Due to the high incidence of needle-phobia in two-thirds of the pediatric population, most children undergo inhalation induction when presenting […]

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Uncategorized Published - 9 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 - 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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