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Uncategorized Published - 22 May, 2024    By - Dr Clemens
Impacting the Next Generation of Patient Safety Champions

Authors: Candace Chang, MD, MPH et al  ASA Monitor June 2024, Vol. 88, 56–58. The importance of educating the next generation of patient safety advocates goes beyond ensuring sustainability of current efforts to improve patient care. Engaging anesthesiology residents and practicing anesthesiologists in patient safety and quality improvement (PSQI) projects harnesses their creativity, enhances their understanding […]

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Uncategorized Published - 21 May, 2024    By - Dr Clemens
The Anesthesia Patient Safety Officer: Why Every Institution Needs One

Authors: Jonathan B. Cohen, MD, MS, CPPS, FASA et al  ASA Monitor June 2024, Vol. 88, 52–55. The Institute of Medicine (now the National Academy of Medicine) defined quality patient care as care that is safe, timely, effective, efficient, equitable, and patient-centered. These discrete elements have historically been conflated by health care organizations. The drawback to this […]

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Uncategorized Published - 21 May, 2024    By - Dr Clemens
Increased Postoperative Opioid Consumption in the Presence of Co-administration of 5-HT3 Antagonists with Acetaminophen

Authors: Nikolai Ratajczak, cand. med et al  Anesthesiology May 2024. Background Acetaminophen and 5-hydroxytryptamine-type-3 (5-HT3) receptor antagonists are administered as standard prophylaxes for postoperative pain, nausea, and vomiting. Preclinical studies however suggest that 5-HT3 antagonists may compromise acetaminophen’s analgesic effect. This hospital registry study investigates whether 5-HT3 antagonists mitigate the analgesic effect of prophylactic acetaminophen in a […]

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Uncategorized Published - 21 May, 2024    By - Dr Clemens
Electroencephalographic indices for clinical endpoints during propofol anesthesia in infants—an early phase propofol biomarker-finding study.

Authors: Ian Yuan, MD, MEng. et al  Anesthesiology May 2024. Background Unlike expired sevoflurane concentration, propofol lacks a biomarker for its brain effect site concentration (Ce), leading to dosing imprecision particularly in infants. Electroencephalography (EEG) monitoring can serve as a biomarker for propofol Ce, yet proprietary EEG indices are not validated in infants. We evaluated […]

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Uncategorized Published - 21 May, 2024    By - Dr Clemens
The Five Rs of Effective Anesthesia Management: A Comprehensive Approach

Somnia Anesthesia In the realm of healthcare reform, the American Society of Anesthesiologists has coined the concept of the “Three Rs” – delivering the right care, in the right place, at the right time. However, when it comes to anesthesia management, Somnia proposes expanding this framework to encompass two additional Rs: the right provider and […]

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Uncategorized Published - 21 May, 2024    By - Dr Clemens
Platelet Transfusions: The Good, the Bad, and the Ugly

AUTHORS: Blumberg, Neil MD et al  Anesthesia & Analgesia 138(5):p 921-924, May 2024. Two recent commentaries,1 1 in the current issue of this journal,2 have addressed pressing issues concerning a commonly used therapy, platelet transfusion. Both are timely and succinct, pointing out that current practices are making life difficult for transfusion services, clinicians, and almost certainly harming patients. […]

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Uncategorized Published - 20 May, 2024    By - Dr Clemens
THE TOP 10 SURGICAL ADVANCES OF THE LAST 70 YEARS

Author: Richard Novak, MD THE ANESTHESIA CONSULTANT Anesthesiologists work with surgeons of every specialty. Remarkable surgeons made world-changing breakthroughs during the past 70 years. The top 10 surgical advances during this time included: • THE HEART-LUNG MACHINE • ARTHROSCOPY • HEART TRANSPLANTATION • THE FIBEROPTIC ENDOSCOPE • VIDEOLAPAROSCOPY • INTERVENTIONAL RADIOLOGY/ANGIOPLASTY/STENTS • LIVER TRANSPLANTATION • […]

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Uncategorized Published - 20 May, 2024    By - Dr Clemens
Artificial Intelligence in Anesthetic Care

AUTHORS: Estrada Alamo et al  Anesthesia & Analgesia 138(5):p 938-950, May 2024. BACKGROUND: This study explored physician anesthesiologists’ knowledge, exposure, and perceptions of artificial intelligence (AI) and their associations with attitudes and expectations regarding its use in clinical practice. The findings highlight the importance of understanding anesthesiologists’ perspectives for the successful integration of AI into anesthesiology, […]

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Uncategorized Published - 20 May, 2024    By - Dr Clemens
Special Communication: Response to “Ensuring a Reliable Platelet Supply in the United States”

Authors: Burns, Carolyn D. MD et al  Anesthesia & Analgesia 138(5):p 925-927, May 2024 The recent “Perspective” published in the New England Journal of Medicine, on June 1, 2023, by Riley et al1 draws attention to the chronic and unreliable platelet supply and the need to expand technologies to collect and prepare platelet components more efficiently and rapidly. […]

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Uncategorized Published - 20 May, 2024    By - Dr Clemens
Modified Thermodilution for Simultaneous Cardiac Output and Recirculation Assessment in Veno-venous Extracorporeal Membrane Oxygenation

Authors: David Berger, M.D. et al  Anesthesiology May 2024, Vol. 140, 1002–1015. Background Thermodilution is unreliable in veno-venous extracorporeal membrane oxygenation (VV-ECMO). Systemic oxygenation depends on recirculation fractions and ratios of extracorporeal membrane oxygenation (ECMO) flow to cardiac output. In a prospective in vitro simulation, this study assessed the diagnostic accuracy of a modified thermodilution technique for […]

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