Uncategorized

Uncategorized Published - 27 April, 2024    By - Dr Clemens
American Society of Anesthesiologists 2023 Guidance on Neurologic Complications of Neuraxial Analgesia/Anesthesia in Obstetrics

Authors: Manuel C. Vallejo, M.D., D.M.D. et al  Anesthesiology April 2024. To the Editor: Both parturients and healthcare providers have fears of neurologic complications associated with neuraxial analgesia/anesthesia, even though the odds are 5- to 10-fold higher for obstetric-related injury. More than half of parturients want to be informed of anesthetic risks even at a […]

Read More
Uncategorized Published - 27 April, 2024    By - Dr Clemens
Leadership Driven by Compassion

Author: Brigette Hyacinth Linkin Healthcare Leadership Focus One of the most valuable leadership styles is servant leadership, which derives its philosophy from the basics of compassionate communication and emotional intelligence. It ensures a leader’s team members feel heard, seen and valued. This is proven to yield higher levels of job performance as well as outstanding […]

Read More
Uncategorized Published - 26 April, 2024    By - Dr Clemens
Association of Mechanical Energy and Power with Postoperative Pulmonary Complications in Lung Resection Surgery

Authors: Susie Yoon, M.D., Ph.D. et al  Anesthesiology May 2024, Vol. 140, 920–934. Background Mechanical power (MP), the rate of mechanical energy (ME) delivery, is a recently introduced unifying ventilator parameter consisting of tidal volume, airway pressures, and respiratory rates, which predicts pulmonary complications in several clinical contexts. However, ME has not been previously studied in […]

Read More
Uncategorized Published - 26 April, 2024    By - Dr Clemens
Modified Thermodilution for Simultaneous Cardiac Output and Recirculation Assessment in Veno-venous Extracorporeal Membrane Oxygenation

Autors: 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 recirculation […]

Read More
Uncategorized Published - 26 April, 2024    By - Dr Clemens
State-related Electroencephalography Microstate Complexity during Propofol- and Esketamine-induced Unconsciousness

Authors: Zhenhu Liang, Ph.D. et al  Anesthesiology May 2024, Vol. 140, 935–949. Background Identifying the state-related “neural correlates of consciousness” for anesthetics-induced unconsciousness is challenging. Spatiotemporal complexity is a promising tool for investigating consciousness. The authors hypothesized that spatiotemporal complexity may serve as a state-related but not drug-related electroencephalography (EEG) indicator during an unconscious state induced […]

Read More
Uncategorized Published - 26 April, 2024    By - Dr Clemens
5 things anyone opening an ASC should know

Author: Paige Haeffele Becker’s ASC Review In the ever-changing healthcare market, starting a new venture can feel like a big risk. Becker’s connected with Vladimir Sinkov, MD, the founder and CEO of Sinkov Spine Center in Las Vegas, to learn valuable tips that anyone wanting to break into the ASC market should know. Question: What advice […]

Read More
Uncategorized Published - 26 April, 2024    By - Dr Clemens
Nerve injury triggers time-dependent activation of the locus coeruleus, influencing spontaneous pain-like behavior in rats

Authors: Irene Suárez-Pereira, Ph.D. et al  Anesthesiology April 2024. Background Dynamic changes in neuronal activity and in noradrenergic locus coeruleus (LC) projections have been proposed during the transition from acute to chronic pain. Thus, we explored the cellular cFos activity of the LC and its projections, in conjunction with spontaneous pain-like behavior in neuropathic rats. […]

Read More
Uncategorized Published - 25 April, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

Anesthesiology May 2024, Vol. 140, A13–A15. An electroencephalographic signature predicts craving for methamphetamine. Cell Rep Med 2024; 5:101347. PMID: 38151021. Article Selection: Jamie Sleigh, M.D. Image: Adobe Stock. The subjective drug craving is the core driver of methamphetamine use disorder and its relapse rate. There are no reliable biomarkers of this, but it is possible that […]

Read More
Uncategorized Published - 25 April, 2024    By - Dr Clemens
Addressing Patient Concerns with Blood Transfusion from Donors Vaccinated Against COVID-19

Authors: Katherine T. Forkin, M.D. et al  Anesthesiology May 2024, Vol. 140, 1020–1025. Clinicians across the country have experienced a rise in patient requests to avoid blood products from donors vaccinated against SARS-CoV-2 (referred hereafter using the more commonly used disease term COVID-19). Patient concerns regarding blood transfusions from donors vaccinated against COVID-19 are often centered […]

Read More
Uncategorized Published - 25 April, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

Anesthesiology May 2024, Vol. 140, A13–A15. Skin antisepsis before surgical fixation of extremity fractures. N Engl J Med 2024; 390:409–20. PMID: 38294973. Article Selection: Martin J. London, M.D. Image: Adobe Stock. Conflicting results have been reported with respect to the type of skin antisepsis used prior to surgical incision to repair limb fractures with regard to […]

Read More