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Uncategorized Published - 9 January, 2024    By - Dr Clemens
Anesthesia Incident Reporting System (AIRS) Case 2024-01: The Lingering Perils of Esophageal Intubation and Patient Harm

ASA Monitor January 2024, Vol. 88, 14. This entry was written by Dr. Yasmin Endlich on behalf of the AIRS Committee. Case presentation: A patient suffered from a cervical esophageal perforation caused by accidental esophageal intubation. The patient underwent an elective procedure and was intubated by a doctor who was still in training. In the […]

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Uncategorized Published - 9 January, 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 December 2023. 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 the perioperative […]

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Uncategorized Published - 9 January, 2024    By - Dr Clemens
Anesthesia practices sue CMS over reimbursement method

Patsy Newitt – 23 hours ago    Author: Patsy Newitt Becker’s ASC Review Four anesthesia practices are suing CMS and HHS, among other parties, alleging CMS’ methodology for calculating reimbursements is illegal in its inclusion of costs associated with nonphysician practitioners. The suit, filed Dec. 18 by U.S. Anesthesia Partners of Texas, U.S. Anesthesia Partners of Florida, U.S. Anesthesia […]

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Uncategorized Published - 9 January, 2024    By - Dr Clemens
Consequences of Hypernatremia

From Cardiac Anesthesiologist Hypernatremia and the resulting hyperosmolar state impact various bodily functions. One well-known consequence is its influence on neurological function. The occurrence of hypernatremia and subsequent hyperosmolality triggers a movement of free water from within cells to the extracellular space. This shift results in the shrinkage of brain cells, potentially leading to vascular […]

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Uncategorized Published - 8 January, 2024    By - Dr Clemens
SEE Question

ASA Monitor January 2024, Vol. 88, 8–9. Your next patient in the preoperative clinic is a 68-year-old woman scheduled to undergo an L4-5 laminectomy for chronic back pain. She had a stroke one week ago, and you are considering how long to delay this elective surgery. A recent study of older adult patients showed the risk […]

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Uncategorized Published - 8 January, 2024    By - Dr Clemens
Tracking Intraoperative Hypotension: A Measure for Payment and Improvement Purposes

Authors: Matthew T. Popovich, PhD et al  ASA Monitor January 2024, Vol. 88, 28–29. Although anesthesiologists have always paid attention to blood pressure and its effects on both immediate and postoperative patient outcomes, only recently have anesthesiologists had better definitions and criteria to assess management of a patient’s blood pressure. The question for anesthesiologists and their […]

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Uncategorized Published - 8 January, 2024    By - Dr Clemens
How the anesthesiologist shortage impeded care in 2023: 5 notes

Author: Patsy Newitt Becker’s ASC Review For ASCs, providing anesthesia in 2023 was a huge obstacle amid provider shortages and declining reimbursements. “Today’s shortage of anesthesia providers has been compounding for years and has turned into an incredible challenge for all,” Andrew Lovewell, CEO of Columbia (Mo.) Orthopaedic Group, told Becker’s. “Not only is it difficult to […]

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Uncategorized Published - 8 January, 2024    By - Dr Clemens
Trends in Anesthesiology

New treatment for rare blood cancer The U.S. Food and Drug Administration (FDA) has approved Tibsovo (ivosidenib) for the treatment of adult patients with relapsed or refractory myelodysplastic syndromes (MDS) who have an isocitrate dehydrogenase-1 (IDH1) mutation. MDS is a rare form of blood cancer caused by mutations in bone marrow cells, leading to a […]

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Uncategorized Published - 8 January, 2024    By - Dr Clemens
Stress pathways induced by volatile anesthetics and failure of preconditioning in a mitochondrial Complex I mutant

Authors: Zachariah P.G. Olufs, B.S. et al  Anesthesiology December 2023. Background Carriers of mutations in the mitochondrial electron transport chain (mETC) are at increased risk of anesthetic-induced neurotoxicity. To investigate the neurotoxicity mechanism and to test preconditioning as a protective strategy, we used a Drosophila melanogaster model of Leigh syndrome. Model flies carried a mutation in ND23 (ND2360114) that encodes […]

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Uncategorized Published - 5 January, 2024    By - Dr Clemens
User-Centered Design of a Machine Learning Dashboard for Prediction of Postoperative Complications

AUTHORS: Fritz, Bradley A. MD, MSCI et al   Anesthesia & Analgesia June 2023.  BACKGROUND: Machine learning models can help anesthesiology clinicians assess patients and make clinical and operational decisions, but well-designed human-computer interfaces are necessary for machine learning model predictions to result in clinician actions that help patients. Therefore, the goal of this study […]

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