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Uncategorized Published - 6 July, 2023    By - Dr Clemens
Gender Gap: A Qualitative Study of Women and Leadership Acquisition in Anesthesiology

AUTHORS: Basile, Ellen R. DO et al Anesthesia & Analgesia 136(1):p 6-12, January 2023. BACKGROUND: The representation of women among leaders in the field of anesthesia continues to trail that of their male counterparts. This qualitative study was conducted to understand the pathway of leadership acquisition among women in the field of anesthesiology. METHODS: Using constructivist […]

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Uncategorized Published - 6 July, 2023    By - Dr Clemens
Risks and Benefits of the Use of the Postanesthesia Care Unit as an Intensive Care Unit and Special Considerations for Anesthesia Professionals

AUTHORS: George Tewfik, MD, MBA, FASA, CPE, MSBA et al Anesthesia Patient Safety Foundation Oct 23 SUMMARY:The use of the post anesthesia care unit (PACU) as an intensive care unit (ICU) is a decision that can be made to accommodate overflow patients that require critical care. There are numerous risks and benefits to this alternate […]

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Uncategorized Published - 6 July, 2023    By - Dr Clemens
Most Antidepressants Ineffective for Common Pain Conditions

DG News Some antidepressant drugs are effective for some pain conditions, but most are either ineffective or the evidence is inconclusive, despite being used for a range of pain conditions, according to an overview of the latest evidence published by The BMJ today. To explore this further, Giovanni Ferreira, University of Sydney, Sydney, Australia, and colleagues searched […]

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Uncategorized Published - 5 July, 2023    By - Dr Clemens
Effect of intubation in the lateral position under general anesthesia induction on the position of double-lumen tube placement in patients undergoing unilateral video-assisted thoracic surgery

DG Journal Club AUTHORS: Xi Zhang et al Trials. 2023 Jan 29; 24(1): 67 BACKGROUND The double-lumen tube (DLT) is an essential equipment for thoracic anesthesia and the precise position of DLT placement is particularly important for anesthesia and surgery. However, the incidence of DLT malposition remains high and it leads to lung isolation failure […]

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Uncategorized Published - 5 July, 2023    By - Dr Clemens
Preoperative Identification of Patient-Dependent Blood Pressure Targets Associated With Low Risk of Intraoperative Hypotension During Noncardiac Surgery

AUTHORS: Schnetz, Michael P. MD, PhD et al  Anesthesia & Analgesia 136(2):p 194-203, February 2023. BACKGROUND: Intraoperative hypotension (IOH) is strongly linked to organ system injuries and postoperative death. Blood pressure itself is a powerful predictor of IOH; however, it is unclear which pressures carry the lowest risk and may be leveraged to prevent subsequent hypotension. […]

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Uncategorized Published - 5 July, 2023    By - Dr Clemens
Artificial Intelligence, Patient Safety, and Achieving the Quintuple Aim in Anesthesiology

AUTHORS: Jonathan M. Tan, MD, MPH, MBI, FASA et al  Anesthesia Patient Safety Foundation Feb 2023 INTRODUCTION Anesthesiology as a specialty has a long history of innovation in technology development linked to improvements in patient safety. However, the speed of technological development in the past 20 years has been unprecedented. This is mostly related to […]

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Uncategorized Published - 5 July, 2023    By - Dr Clemens
Can Nudges Mitigate Deadly User Errors?

Authors: Molly Kraus, MD; Karl Poterack, MD Anesthesia Patient Safety Foundation Oct 22 In May of 2022, a former Vanderbilt nurse was convicted of gross neglect of an impaired adult and criminally negligent homicide for the death of her patient in 2017. While she had intended to give her patient midazolam (Versed) for sedation during […]

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Uncategorized Published - 5 July, 2023    By - Dr Clemens
Migrant-Native Disparities in Obstetric Neuraxial Analgesia Use: The Role of Host-Country Language Proficiency

AUTHORS: Hamwi, Sousan BDS, MPH et al  Anesthesia & Analgesia January 30, 2023. BACKGROUND: Neuraxial analgesia (NA) is the most effective modality in managing labor pain with widespread availability in high-income countries. Previous research has reported a differential obstetric NA use among migrant and native women, but the contribution of language barriers is not well […]

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Uncategorized Published - 4 July, 2023    By - Dr Clemens
Nociception Level Index–Guided Intraoperative Analgesia for Improved Postoperative Recovery

AUTHORS: Ruetzler, Kurt MD, PhD, FAHA et al Anesthesia & Analgesia 136(4):p 761-771, April 2023. BACKGROUND: Nociception is the physiological response to nociceptive stimuli, normally experienced as pain. During general anesthesia, patients experience and respond to nociceptive stimuli by increasing blood pressure and heart rate if not controlled by preemptive analgesia. The PMD-200 system from Medasense […]

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Uncategorized Published - 4 July, 2023    By - Dr Clemens
Congratulation America the Greatest Country Ever

Today is the 247th commemoration of the day the Declaration of Independence was adopted by the Second Continental Congress. Happy Birthday America the Greatest Country Ever

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