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Uncategorized Published - 30 April, 2024    By - Dr Clemens
It’s Time for Hospital Workers to Identify and Eliminate Roadblocks to Reprocessing!

Author: Daniel Vukelich, JD ASA Monitor June 2023, Vol. 87, 20. The February 2023 report issued by the U.N. Intergovernmental Panel on Climate Change stated that if human-caused global warming isn’t slowed to a couple tenths of a degree, deadly heat, drought, fires, and floods could impact the planet in “potentially irreversible” ways. Putting off cuts […]

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Uncategorized Published - 30 April, 2024    By - Dr Clemens
Novel Resuscitation Strategies in Severe Trauma: Reply

Authors: David J. Douin, M.D. et al  Anesthesiology April 2024. In Reply We are grateful to Drs. Kowalczyk and Farber for their thorough review and insightful response to our recent clinical focused review of the administration of fibrinogen to mitigate endothelial dysfunction after acute traumatic injury. We appreciate their constructive critique regarding the fibrinogen concentration in […]

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Uncategorized Published - 30 April, 2024    By - Dr Clemens
Health Care Wastage: An Affliction On Our Nation’s Health and Our Planet!

Author: Lalitha Sundararaman, MBBS, MD ASA Monitor June 2023, Vol. 87, 18–19. Health care expenditure (HCE) in the United States stands at around $4.3 trillion annually – about 18% of its gross domestic product (GDP) (JAMA 2019;322:1501-9). A study in JAMA revealed a startling fact about this remarkable number – that nearly 20%-30% of it is wasteful (JAMA 2019;322:1501-9). This […]

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Uncategorized Published - 30 April, 2024    By - Dr Clemens
Anesthesiologist sues Optum-affiliated Oregon ASC for alleged retaliation firing

Author: Claire Wallace Becker’s ASC Review Anesthesiologist Ellis Richard Clark, MD, has filed a lawsuit against Optum-affiliated Salem (Ore.) Surgery Center, which operates under the name Northbank Surgical Center, for allegedly firing him in retaliation for complaining about unsafe anesthesia practices, according to an April 23 report from the Lund Report. Dr. Clark claims that he […]

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Uncategorized Published - 29 April, 2024    By - Dr Clemens
Anesthesia device might suddenly fail, Draeger says

Author: Paige Twenter Becker’s Hospital Review The internal backup battery in Draeger’s Perseus A500 anesthesia machines might unexpectedly fail, the FDA said April 25. In March, Draeger told customers of the 3,713 machines to test the device’s batteries and return any products with malfunctioning batteries. Four incidents, zero injuries and zero deaths have been reported, according to […]

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Uncategorized Published - 29 April, 2024    By - Dr Clemens
Pain during Cesarean Delivery: We Can and Must Do Better

Authors: Mark I. Zakowski, M.D. et al  Anesthesiology April 2024. To the Editor: The American Society of Anesthesiologists (ASA; Schaumburg, Illinois) House of Delegates recently approved the “Statement on Pain during Cesarean Delivery” from the Committee on Obstetric Anesthesia advising all practitioners on the pervasive problem of failure to achieve pain-free cesarean delivery. Parturients experience […]

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Uncategorized Published - 29 April, 2024    By - Dr Clemens
Individual PEEP in Obesity: Reply

Authors: Xiang Li, M.D. et al  Anesthesiology May 2024, Vol. 140, 1052–1053. In Reply: We extend our heartfelt gratitude to Dr. González, Dr. Maldonado, and Dr. Cornejo for their invaluable feedback, and to Dr. Edmark and Dr. Östberg for their perceptive remarks on our study about individualized positive end-expiratory pressure (PEEP) in managing postoperative atelectasis in obese […]

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Uncategorized Published - 29 April, 2024    By - Dr Clemens
Individual PEEP in Obesity: Comment

Authors: Lennart Edmark, Ph.D.; Erland Östberg, Ph.D. Anesthesiology May 2024, Vol. 140, 1051–1052. To the Editor: We read with expectations the study “Individualized Positive End-expiratory Pressure on Postoperative Atelectasis in Patients with Obesity: A Randomized Controlled Clinical Trial,” by Li et al.  We congratulate the authors for succeeding in completing this interesting study despite the COVID-19 pandemic. […]

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Uncategorized Published - 29 April, 2024    By - Dr Clemens
Individual PEEP in Obesity: Comment

Authors: Roberto González, M.D. et al  Anesthesiology May 2024, Vol. 140, 1050–1051. To the Editor: We read with great interest the article published by Li et al., which addresses a topic still under discussion in the literature: the individualization of positive end-expiratory pressure (PEEP) in mechanically ventilated patients during surgery. In this study, the authors compared […]

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Uncategorized Published - 29 April, 2024    By - Dr Clemens
Stability of Epinephrine, Norepinephrine, and Phenylephrine for Intravenous Infusions Stored in Three Commercial Plastic Syringe Brands

Authors: Victor M. Neira, M.D., M.A.Ed. et al  Anesthesiology May 2024, Vol. 140, 1047–1049. To the Editor: Hypotensive states commonly require intravenous infusions of inopressors such as epinephrine, norepinephrine, and phenylephrine.  Traditionally, these high-alert medications were prepared in plastic bags at “standard” concentrations and administered using high-volume infusion pumps. Several studies have documented the stability of these […]

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