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Uncategorized Published - 21 August, 2023    By - Dr Clemens
The surgeon-anesthesiologist relationship: Learning to work together in the OR

AUTHOR: NICOLE M. KING, MD KevinMD.com Last week I walked past him sitting outside of the OR. It was morning, before all of the first start cases, but he had been there all night. I already knew this. Two back-to-back transplants overnight. He, a surgical fellow, me, a critical care anesthesiologist who was a surgical […]

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Uncategorized Published - 18 August, 2023    By - Dr Clemens
Why the stroke risk after valve replacement surgery is higher in some hospitals

Author: Corrie Pelc MedicalNewsToday Each year, about 73,000 people in the United States undergo a TAVR procedure to treat aortic stenosis. Between 3% to 7% of people who have a TAVR experience a stroke within 30 days of the procedure. Researchers from the University of Michigan report that hospitals without comprehensive stroke center status may […]

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Uncategorized Published - 18 August, 2023    By - Dr Clemens
Physician burnout solutions should be focused on subtraction not addition

AUTHOR: KENT DELAY, MD KevinMD.com I am naturally a problem solver, and I share this characteristic with most of my fellow physicians. When I felt burned out at one point in my career, I was certain that a literature search would help me solve the problem by giving me answers I could use to make […]

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Uncategorized Published - 18 August, 2023    By - Dr Clemens
A Prospective, Randomized Comparison of the Classical Altemir’s Method With the Newer Seldinger’s Technique of Submental Intubation

AUTHORS: S P S, Aswin Ram MD et al  Anesthesia & Analgesia April 12, 2023. BACKGROUND: Submental intubation performed using the classical Altemir’s technique is a well-accepted, safe technique for providing optimal operating field to the maxillofacial surgeon, in cases where either nasotracheal or orotracheal intubation is impossible. We propose a new, percutaneous Seldinger’s technique […]

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Uncategorized Published - 18 August, 2023    By - Dr Clemens
Skill Translation Following the Vital Anesthesia Simulation Training Facilitator Course

AUTHORS: Mossenson, Adam I. FANZCA, MPH, MBBS et al  Anesthesia & Analgesia April 12, 2023. BACKGROUND: Simulation-based education (SBE) is common in resource-rich locations, but barriers exist to widespread implementation in low-resource settings (LRSs). Vital Anesthesia Simulation Training (VAST) was developed to offer low-cost, immersive simulation to teach core clinical practices and nontechnical skills to […]

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Uncategorized Published - 18 August, 2023    By - Dr Clemens
Prediction of Acute Myocardial Injury in Noncardiac Surgery in Patients at Risk for Major Adverse Cardiovascular and Cerebrovascular Events

AUTHORS: Mases, Anna MD et al  Anesthesia & Analgesia April 12, 2023. BACKGROUND: The best use of perioperative cardiac biomarkers assessment is still under discussion. Massive postoperative troponin surveillance can result in untenably high workloads and costs for health care systems and potentially harmful interventions for patients. In a cohort of patients at risk for […]

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Uncategorized Published - 17 August, 2023    By - Dr Clemens
Effect of Red Blood Cell Transfusion on Regional Tissue Oxygenation in Pediatric Cardiac Surgery Patients

AUTHORS: Surma, Victoria J. MD, MS et al  Anesthesia & Analgesia April 10, 2023. BACKGROUND: Red blood cell (RBC) transfusions are used frequently in pediatric patients admitted to the intensive care unit (ICU) after cardiac surgery. To improve data-driven transfusion decision-making in the ICU, we conducted a retrospective analysis to assess the effect of RBC […]

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Uncategorized Published - 17 August, 2023    By - Dr Clemens
Outpatient Treatment With Gabapentin in Women With Severe Acute Pain After Cesarean Delivery Is Ineffective

AUTHORS: Fowler, Cedar MD, Ph et al Anesthesia & Analgesia 136(6): p 1122-1132, June 2023. BACKGROUND: Most of the 1.1 million women who deliver by cesarean in the United States each year have an uncomplicated recovery. However, severe pain resistant to standard multimodal therapy within the first days after surgery is associated with an increased risk […]

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Uncategorized Published - 17 August, 2023    By - Dr Clemens
Postoperative Catatonia After Fentanyl, Hydromorphone, and Ketamine Administration in a Patient Taking Sertraline: A Case Report

AUTHORS: Ketigian, Laura A. DO; Kidambi, Shantanu S. MD A & A Practice 17(7):p e01695, July 2023.  Abstract Opioid-induced catatonia is underrecognized and poorly understood in the literature. An 81-year-old woman with chronic kidney disease stage III taking sertraline underwent surgery with general anesthesia, receiving fentanyl, hydromorphone, and ketamine. Postoperatively, she was unresponsive, rigid, and […]

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Uncategorized Published - 17 August, 2023    By - Dr Clemens
Racial Disparities in Compensation Among US Anesthesiologists: Results of a National Survey of Anesthesiologists

AUTHORS: Vandenberg, Megan T. BA et al  Anesthesia & Analgesia 137(2):p 268-276, August 2023. BACKGROUND: A racial compensation disparity among physicians across numerous specialties is well documented and persists after adjustment for age, sex, experience, work hours, productivity, academic rank, and practice structure. This study examined national survey data to determine whether there are racial differences […]

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