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Uncategorized Published - 15 May, 2024    By - Dr Clemens
Perioperative Mortality in a Changing Health Care Landscape

Authors: Giacomo F. Scorsese, DO Jacob Nouriel, MD ASA Monitor May 2024, Vol. 88, 34–35.   In general, the practice of anesthesiology and implementation of anesthetics have changed significantly since the days of the copper kettle and drop ether. Notable milestones in the 20th century included halogenated volatile anesthetics, intravenous induction drugs, carbon dioxide absorbents, continuous […]

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Uncategorized Published - 15 May, 2024    By - Dr Clemens
Using the Spectrogram to Interpret Electroencephalographic (EEG) Waveforms

Authors: Seyed A. Safavynia, MD, PhD; Shobana Rajan, MD, FASA ASA Monitor May 2024, Vol. 88, 28–29. Electroencephalographic (EEG) monitoring has become increasingly commonplace in the anesthesiologist’s practice since the Bispectral IndexTM (BISTM) Monitor (Medtronic) was approved by the U.S. Food and Drug Administration (FDA) in 1996 for monitoring anesthetic depth. Today, several other intraoperative EEG devices exist, […]

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Uncategorized Published - 15 May, 2024    By - Dr Clemens
Opportunities For Improving Perioperative Mortality: Moving Beyond the Intraoperative Phase of Care

Author: Kayla M. Knuf, MD ASA Monitor May 2024, Vol. 88, 26. Perioperative mortality is most often defined as the rate of death following surgery and anesthesia beginning on the day of surgery and extending to the 30th postoperative day or the day of discharge from the hospital (BR J Anaesth 2015;114:32-42). While this seems to be […]

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Uncategorized Published - 15 May, 2024    By - Dr Clemens
Trends in Anesthesiology FDA approval of medication for asthma symptoms

ASA Monitor May 2024, Vol. 88, 27. AstraZeneca has announced the availability of its inhaled, fixed-dose combination rescue medication Airsupra® (albuterol/budesonide) in the U.S. by prescription, following FDA approval in January 2023. Airsupra is indicated for the as-needed treatment or prevention of asthma symptoms and to prevent sudden severe breathing problems, such as asthma attacks, in adults […]

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Uncategorized Published - 14 May, 2024    By - Dr Clemens
Cultural Inertia: What It Means to an Anesthesiology Practice and Strategies to Overcome It

Authors: George Tewfik, MD, MBA, FASA; Raymond Malapero, MD, MPH, FASA ASA Monitor May 2024, Vol. 88, e2–e3. If you have worked in any health care system, you have almost certainly heard these phrases uttered during your work experience: “That’s how it’s always been done.” “That’s what the surgeon likes.” “But your colleagues do it that way.” […]

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Uncategorized Published - 14 May, 2024    By - Dr Clemens
Anesthesia Incident Reporting System (AIRS) Case 2024-05: Teamwork and Communication Are Essential Components of Patient Safety

ASA Monitor May 2024, Vol. 88, 12. A 61 y/o male was admitted with acute onset of stroke. Neuroradiologic imaging confirmed a thrombotic etiology, and alteplase was administered. The patient was emergently brought to an interventional suite for definitive treatment. He was intubated by the anesthesia team consisting of an attending anesthesiologist and a CRNA. The […]

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Uncategorized Published - 14 May, 2024    By - Dr Clemens
Trends in Anesthesiology Effects of diets on immune system responses

ASA Monitor May 2024, Vol. 88, 27. Researchers at the National Institutes of Health (NIH) investigated the immune system responses and microbiome changes in individuals who switched between a vegan and ketogenic (keto) diet over two-week periods. They found that the vegan diet stimulated innate immunity, while the keto diet triggered adaptive immune responses. The study […]

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Uncategorized Published - 14 May, 2024    By - Dr Clemens
Technology in anesthesiology Catheter offers new possibilities for stroke care

ASA Monitor May 2024, Vol. 88, 27. The CEREGLIDE™ 71 Intermediate Catheter with TruCourse™ from Cerenovus, Inc., a division of Johnson & Johnson MedTech, is now available in the United States. The catheter is designed for the revascularization of acute ischemic stroke patients and facilitates direct aspiration and compatible stent retriever delivery, aiding in restoring blood […]

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Uncategorized Published - 14 May, 2024    By - Dr Clemens
Remimazolam in Focus: Enhancing Anesthesia, Managing Risks

Authors: Dibash Kumar Das, PhD; Steven L. Shafer, MD, FASA ASA Monitor May 2024, Vol. 88, 1–5. Since its introduction almost 40 years ago, propofol has been adopted worldwide as the intravenous anesthetic of choice, with alternatives such as ketamine and etomidate limited to unusual indications. However, propofol has several common adverse effects, including pain on injection […]

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Uncategorized Published - 13 May, 2024    By - Dr Clemens
SEE Question

ASA Monitor May 2024, Vol. 88, 10. Your next patient is a 55-year-old man with chronic kidney disease who is presenting for kidney transplantation from a deceased donor. Your resident asks about the use of intravenous (I.V.) balanced crystalloid solution for perioperative volume resuscitation. According to a recent study, which of the following MOST likely describes […]

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