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Uncategorized Published - 1 November, 2023    By - Dr Clemens
Hospital Leadership – A Difficult Task That Is Not Getting Any Easier

Authors: Zachary Deutch, MD, FASA; Russ Armistead, MBA ASA Monitor November 2023, Vol. 87, 10–11. Behind every successful leader is a great support network! Pictured are members of the Armistead family cheering on the Wake Forest football team. Left to right: Mr. Armistead’s wife, daughter, granddaughter, son-in-law, and grandson. Many ASA members have interacted with members […]

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Uncategorized Published - 1 November, 2023    By - Dr Clemens
The Walk

Author: Emily C. Raffensberger, M.S. Anesthesiology October 2023. I’m bound comfortably snug inside a cocoon of anesthesia. There’s nothing to see, to taste, to touch. Nothing hurts. Everything is starch and antiseptic. Out of the nothingness come pinpricks of sound. There is the hum of ventilation. I hear a voice say the phrase “wake up.” […]

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Uncategorized Published - 1 November, 2023    By - Dr Clemens
Trends in Anesthesiology

ASA Monitor November 2023, Vol. 87, 18. Trends Flu vaccine shows strong protection again hospitalization in South America A Centers for Disease Control and Prevention (CDC) report released in September evaluated vaccine effectiveness during the March-September Southern Hemisphere influenza season. A human neutrophil (red) containing ingested Klebsiella pneumoniae (purple). Photo courtesy of NIAID. Based on data contributed by […]

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Uncategorized Published - 1 November, 2023    By - Dr Clemens
The Stimulant Overdose Crisis

Authors: William Amarquaye, PharmD et al Pract Pain Manag. 2023 March/April;22(2). With an unprecedented surge in psychostimulant-related deaths due to cross-contamination of illicitly manufactured fentanyl, here’s what prescribers and physicians need to know, including monitoring and mitigating risk, for their patients who use methamphetamine and cocaine. A Special Report. Background: It Started with Opioids The […]

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Uncategorized Published - 31 October, 2023    By - Dr Clemens
Perioperative Culture and Its Impact on the Success or Failure of a Regional Anesthesia/Acute Pain Service

Authors: George Tewfik, MD, MBA, FASA, CPE, MSBA et al  ASA Monitor October 2023, Vol. 87, e2–e3. Picture two starkly different scenarios… In Hospital A, the regional anesthesia team mandates and directs the perioperative analgesic plan. When the acute pain attending for the day and the resident identify a patient on the OR schedule who may […]

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Uncategorized Published - 31 October, 2023    By - Dr Clemens
Baseline gastric volume of fasting diabetic patients is not higher than that of non-diabetics

Authors: Anahi Perlas, MD, FRCPC et al  Anesthesiology October 2023. Background The physiology of diabetes mellitus can increase the risk of perioperative aspiration but there is limited and contradictory evidence on the incidence of “full stomach” in fasting diabetic patients. The aim of this study is to assess the baseline gastric content (using gastric ultrasound) […]

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Uncategorized Published - 31 October, 2023    By - Dr Clemens
Long-term outcomes with spinal versus general anesthesia for hip fracture surgery

Authors: Emily A. Vail, MD MSc. et al  Anesthesiology October 2023. Background The effects of spinal versus general anesthesia on long-term outcomes have not been well-studied. We tested the hypothesis that spinal anesthesia is associated with better long-term survival and functional recovery than general anesthesia. Methods We conducted a pre-specified analysis of long-term outcomes of […]

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Uncategorized Published - 31 October, 2023    By - Dr Clemens
Perioperative Mortality of the COVID-19 Recovered Patient Compared to a Matched Control

Authors: Michael F. Aziz, MD et al  Anesthesiology October 2023. Background: Surgical procedures performed on patients with recent exposure to COVID-19 infection have been associated with increased mortality risk in prior studies. Accordingly, elective surgery is often delayed after infection. We aimed to compare 30-day hospital mortality and postoperative complications (acute kidney injury, pulmonary complications) […]

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Uncategorized Published - 31 October, 2023    By - Dr Clemens
Evaluation of Adults with New-Onset Generalized Musculoskeletal Pain

Author: Don Goldeberg MD Pract Pain Manag. 2023 March/April;22(2). Test your clinical knowledge with five case examples on how to make a differential diagnosis for acute widespread pain. An abrupt onset of widespread musculoskeletal pain is commonly seen in primary care and specialty medicine. There are multiple potential causes for such pain, including brief self-limited […]

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Uncategorized Published - 30 October, 2023    By - Dr Clemens
Association Between Hospital Postoperative Troponin Use and Patient Outcomes After Vascular Surgery

AUTHORS: Azizi, Paymon M. MSc et al  Anesthesia & Analgesia 137(3):p 629-637, September 2023. BACKGROUND: Acute myocardial injury after noncardiac surgery, which is most often symptomatically silent, is associated with increased mortality and morbidity. However, it is not known if routine postoperative troponin testing will affect patient outcomes. METHODS: We assembled a cohort of patients who […]

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