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Uncategorized Published - 17 January, 2024    By - Dr Clemens
9% of hospitals had ‘vulnerable’ cash on hand levels in 2022

Author: Madeline Ashley Becker’s Hospital’s CFO Report While 73% of nonprofit hospitals and health systems saw “strong” levels of cash on hand in 2022, 18% saw “adequate” levels, with 9% coming in at “vulnerable” or “highly vulnerable” with available cash on hand, according to a Jan. 9 KFF report. The analysis looked at “days cash on hand” […]

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Uncategorized Published - 16 January, 2024    By - Dr Clemens
Are GLP-1 agonists safe? FDA finds no evidence popular weight loss medications cause suicidal thoughts or actions

This article doesn’t involve anesthesia directly but I wanted to share with our readers because so many of our patients are taking them.  This is a bonus blog you still get your five concerning anesthesia. Author: Michael Walter Cardiovascular Business The U.S. Food and Drug Administration (FDA) has found no evidence that the use of GLP-1 receptor […]

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Uncategorized Published - 16 January, 2024    By - Dr Clemens
Robotic Anesthesia: A Vision for 2050

Authors:  Hemmerling, Thomas M. MD, MSc, DEAA; Jeffries, Sean D. MSc Anesthesia & Analgesia 138(2):p 239-251, February 2024.  Abstract The last 2 decades have brought important developments in anesthetic technology, including robotic anesthesia. Anesthesiologists titrate the administration of pharmacological agents to the patients’ physiology and the needs of surgery, using a variety of sophisticated equipment […]

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Uncategorized Published - 16 January, 2024    By - Dr Clemens
Supraglottic Jet Oxygenation and Ventilation to Minimize Hypoxia in Patients Receiving Flexible Bronchoscopy Under Deep Sedation

AUTHORS: Wei, Juan MD et al  Anesthesia & Analgesia 138(2):p 456-464, February 2024. BACKGROUND: Hypoxia often occurs due to shared airway and anesthetic sedation-induced hypoventilation in patients receiving flexible bronchoscopy (FB) under deep sedation. Previous evidence has shown that supraglottic jet oxygenation and ventilation (SJOV) via Wei nasal jet tube (WNJ) reduces the incidence of hypoxia […]

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Uncategorized Published - 16 January, 2024    By - Dr Clemens
Multicenter Population Pharmacokinetics of Fentanyl in Neonatal Surgical Patients Using Dried Blood Spot Specimen Collection Demonstrates Maturation of Elimination Clearance

AUTHORS: Rzasa Lynn, Rachael S. MD et al  Anesthesia & Analgesia 138(2):p 447-455, February 2024. | BACKGROUND: Fentanyl is widely used for analgesia and sedation in neonates, but pharmacokinetic (PK) analysis in this population has been limited by the relatively large sample volumes required for plasma-based assays. METHODS: In this multicenter observational study of fentanyl kinetics in […]

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Uncategorized Published - 16 January, 2024    By - Dr Clemens
The Crowd That Isn’t There

AUTHOR: Sessler, Daniel I. MD Anesthesia & Analgesia 138(2):p 485, February 2024.  When I walk into an empty operating room, I can hardly force my way through the crowd that isn’t there. Anesthesia is remarkably safe, with preventable intraoperative mortality now being so low that it is hard to quantify. But it was not always […]

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Uncategorized Published - 16 January, 2024    By - Dr Clemens
Fees charged by hospitals for colonoscopy procedures 50% higher than surgical centers, study finds

Author: Dave  Fierce Healthcare Price TransparencyHealthcare CostsAmbulatory Surgery CentersJAMA Network “The results suggest that a site-neutral payment policy for a largely homogeneous and shoppable service may generate savings for commercial plan sponsors and beneficiaries,” researchers wrote in JAMA Health Forum. (Getty Images/everydayplus) A new price comparison study finds over 50% higher facility fees for commercially […]

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Uncategorized Published - 15 January, 2024    By - Dr Clemens
The Incidence and Predictors of Failed Spinal Anesthesia After Intrathecal Injection of Local Anesthetic for Cesarean Delivery

AUTHORS: Jin, Sherry Y. FRCPC et al  Anesthesia & Analgesia 138(2):p 430-437, February 2024. | BACKGROUND: The incidence of failed spinal anesthesia varies widely in the obstetric literature. Although many risk factors have been suggested, their relative predictive value is unknown. The primary objective of this retrospective cohort study was to determine the incidence of failed spinal […]

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Uncategorized Published - 15 January, 2024    By - Dr Clemens
Trends and In-Hospital Mortality for Perioperative Myocardial Infarction

AUTHORS: Rubin, Daniel S. MD, MS et al Anesthesia & Analgesia 138(2):p 420-429, February 2024. BACKGROUND: The frequency of perioperative myocardial infarction has been declining; however, previous studies have only described type 1 myocardial infarctions. Here, we evaluate the overall frequency of myocardial infarction with the addition of an International Classification of Diseases 10th revision (ICD-10-CM) […]

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Uncategorized Published - 15 January, 2024    By - Dr Clemens
Perioperative Management and Outcomes in Patients With Autism Spectrum Disorder

AUTHORS: O’Brien, Elizabeth M. MD et al Anesthesia & Analgesia 138(2):p 438-446, February 2024. BACKGROUND: Autism spectrum disorder (ASD) is a neurocognitive disorder characterized by impairments in communication and socialization. There are little data comparing the differences in perioperative outcomes in children with and without ASD. We hypothesized that children with ASD would have higher postoperative […]

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