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Uncategorized Published - 10 October, 2023    By - Dr Clemens
Clinician Safety in NORA

Authors: Candace Chang, MD, MPH et  al Anesthesia Patient Safety Foundation Oct 2023 INTRODUCTION While patient safety is an established field of study, little attention has been directed to clinician safety. According to the Occupational Health Safety Network, 1 in 5 nonfatal occupational injuries occurs in the health care and social assistance industry, and health […]

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Uncategorized Published - 10 October, 2023    By - Dr Clemens
Dabigatran in Rabbit Cardiopulmonary Bypass: Comment

Authors: Gabor Erdoes, M.D., Ph.D. et al  Anesthesiology September 2023. To the Editor: Nadtochiy et al.  report using intravenous dabigatran, a direct thrombin inhibitor (DTI), for anticoagulation in an animal model of simulated cardiopulmonary bypass (CPB).  Activated clotting time, thromboelastometric reaction time, and fibrin deposition in sections of the arterial line filters were analyzed to compare anticoagulation with […]

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Uncategorized Published - 10 October, 2023    By - Dr Clemens
Dabigatran in Rabbit Cardiopulmonary Bypass: Reply

Authors: Michael P. Eaton, M.D., F.A.S.A. et al  Anesthesiology September 2023. In Reply: The authors thank Drs. Erdoes, Koster, and Levy for their very cogent and detailed analysis of our study.  We agree with many of the points they made, specifically the very limited effect dabigatran has on coagulation due to its specificity for thrombin. Most would […]

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Uncategorized Published - 10 October, 2023    By - Dr Clemens
29 physician specialties ranked by 2022 burnout rates

Author: Erica Carbajal Becker’s Hospital Review Last year, 53 percent of physicians reported burnout. Among them, emergency medicine specialists had the highest rate at 65 percent, according to Medscape’s latest report on physician burnout and depression. Across the board, physician burnout has jumped 11 percentage points from 2018, when 42 percent of physicians said they were burned out. The […]

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Uncategorized Published - 9 October, 2023    By - Dr Clemens
Are Serious Anesthesia Risks of Semaglutide and Other GLP-1 Agonists Under-Recognized? Case Reports of Retained Solid Gastric Contents in Patients Undergoing Anesthesia

Authors: William Brian Beam, MD; Lindsay R. Hunter Guevara, MD Anesthesia Patient Safety Foundation Oct 2023 SUMMARY: GLP-1 receptor agonists are an increasingly popular class of medications for weight loss and diabetes management. An important mechanism for these medications is direct gastric stimulation of GLP-1 receptors leading to delayed gastric emptying and potential for retained gastric […]

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Uncategorized Published - 9 October, 2023    By - Dr Clemens
Remimazolam: Patient Safety Considerations of a Novel, Practice-Changing Drug in Perioperative Medicine

Authors: Arnoley S. Abcejo, MD; Miguel T. Teixeira, MD Anesthesia Patient Safety Foundation Oct 2023 INTRODUCTION Remimazolam besylate (ByFavo™ in the USA and in South Korea, Anerem® in Japan, Aptimyda™ in EU, and Ruima® in China) is an intravenous, short-acting, and ultrafast onset benzodiazepine (nonanalgesic) with potent sedative-hypnotic, anxiolytic, anticonvulsant, and muscle relaxant properties. As […]

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Uncategorized Published - 9 October, 2023    By - Dr Clemens
Difficult Airway Management in Neonates: Comment

Author: Takashi Asai, M.D., Ph.D. Anesthesiology September 2023. To the Editor: I read with interest the article by Thomas et al. on fiberoptic tracheal intubation via a laryngeal mask airway (LMA) Unique (Laryngeal Mask Company Limited, USA) in neonates. They state that, to perform this, it is necessary to use a second tracheal tube as a “pusher” (not […]

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Uncategorized Published - 9 October, 2023    By - Dr Clemens
Difficult Airway Management in Neonates: Reply

Author: James Joseph Thomas, M.D Anesthesiology September 2023. In Reply: Dr. Asai appears to be discussing a slightly different, yet intriguing concept that he has previously published.   It is important to clarify, as he mentioned in his letter, that depending on the patient, the endotracheal tube could extend beyond the glottis, surpassing the grille of […]

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Uncategorized Published - 9 October, 2023    By - Dr Clemens
Pfizer’s Hospira recalls local anesthetics

Author: Paige Twenter Becker’s Hospital Review Hospira, a New York City-based Pfizer company, recalled two lots of lidocaine and one lot of sodium bicarbonate because vials could contain glass particles. The recalled medications are 4.2% sodium bicarbonate injection, 5 milliequivalents per 10 milliliters; 1% lidocaine hydrochloride injection, 50 milligrams per 5 milliliters; and 2% lidocaine hydrochloride injection, […]

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Uncategorized Published - 7 October, 2023    By - Dr Clemens
The physician specialists most likely to be sued

Author: Claire Wallace Becker’s ASC Review General surgeons are the most likely to face malpractice lawsuits during their careers, with 90% reporting being either a sole or co-defendant in a lawsuit, according to Medscape’s 2023 “Physicians and Malpractice Report,” published Oct. 26. Here are 22 physician specialties and the frequencies at which they face malpractice lawsuits: General […]

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