Uncategorized

Uncategorized Published - 15 June, 2023    By - Dr Clemens
Cognitive Functional Therapy Effective for Low Back Pain

Author: Avery Hurt Practical Pain Management June 2023 Vol 23 Issue 3 One of the great frustrations of treating low back pain is the limited efficacy of most interventions. While most people recover completely, as many as 20% to 30% of those with low back pain go on to develop chronic pain that is stubbornly […]

Read More
Uncategorized Published - 15 June, 2023    By - Dr Clemens
Joint Letter to the Editor from the American Society of Anesthesiologists and the European Society of Anaesthesiology and Intensive Care on Management of Neuromuscular Blockade

Authors: Thomas Fuchs-Buder, M.D. et al  Anesthesiology June 2023. To the Editor: The American Society of Anesthesiologists (ASA) and the European Society of Anaesthesiology and Intensive Care (ESAIC) recently published, independently from one another, their respective Practice Guidelines for the Management of Neuromuscular Blockade.  The ASA guideline provides evidence-based recommendations regarding appropriate monitoring and antagonism of […]

Read More
Uncategorized Published - 15 June, 2023    By - Dr Clemens
Comparative Effectiveness Research on Spinal versus General Anesthesia for Surgery in Older Adults

Authors: Mark D. Neuman, M.D., M.Sc. et al  Anesthesiology June 2023. Comparative effectiveness research aims to understand the benefits and harms of different treatments to assist patients and clinicians in making better decisions. Within anesthesia practice, comparing outcomes of spinal versus general anesthesia in older adults represents an important focus of comparative effectiveness research. The authors […]

Read More
Uncategorized Published - 15 June, 2023    By - Dr Clemens
A Review of Adverse Events Associated with Perioperative Intrahospital Transport of Pediatric Patients and Guidance on Improving Safety 2023

AUTHORS: Anila B Elliott, MD et al  Anesthesia Patient Safety Foundation Newsletter Volume 38, No. 2 June 2023  Intrahospital transport is a common occurrence for many hospitalized patients. Critically ill children are an especially vulnerable population who experience preventable adverse events at least once a week, on average.1 Transporting these patients throughout the hospital introduces additional […]

Read More
Uncategorized Published - 15 June, 2023    By - Dr Clemens
Effectiveness of Critical Care Education on Resident Physicians’ Knowledge and Self-Efficacy Gains

AUTHORS: Jaffar, Muhammad et al  Simulation In Healthcare: The Journal of the Society for Simulation in Healthcare 2(1):p 51, Spring 2007. BACKGROUND: The Fundamentals of Critical Care Support (FCCS) course has been endorsed by the prestigious Leapfrog Group for Patient Safety1 and incorporates the use of human simulators to gain hands-on practice and skills needed by health […]

Read More
Uncategorized Published - 14 June, 2023    By - Dr Clemens
Resident Physicians Improve Nontechnical Skills When on Operating Room Management and Leadership Rotation

AUTHORS: Cole, Devon C. MD et al  Anesthesia & Analgesia 124(1):p 300-307, January 2017. BACKGROUND: Anesthesiology residency primarily emphasizes the development of medical knowledge and technical skills. Yet, nontechnical skills (NTS) are also vital to successful clinical practice. Elements of NTS are communication, teamwork, situational awareness, and decision making. METHODS: The first 10 consecutive senior residents […]

Read More
Uncategorized Published - 14 June, 2023    By - Dr Clemens
Continuous finger-cuff versus intermittent oscillometric arterial pressure monitoring and hypotension during induction of anesthesia and non-cardiac surgery

Authors: Karim Kouz, M.D. et al  Anesthesiology June 2023. Background Finger-cuff methods allow non-invasive continuous arterial pressure monitoring. We aimed to determine whether continuous finger-cuff arterial pressure monitoring helps clinicians reduce hypotension within 15 minutes after starting induction of anesthesia and during non-cardiac surgery. Specifically, we tested the hypotheses that continuous finger-cuff – compared to […]

Read More
Uncategorized Published - 14 June, 2023    By - Dr Clemens
A Dose-finding Study of Sugammadex for Reversal of Rocuronium in Cardiac Surgery Patients and Postoperative Monitoring for Recurrent Paralysis

Authors: T. Andrew Bowdle, M.D., Ph.D., F.A.S.E. et al  Anesthesiology July 2023, Vol. 139, 6–15. Background The dose of sugammadex recommended by the manufacturer for reversal of rocuronium is 2 mg/kg when the train-of-four count is 2 or more and 4 mg/kg when it is less than 2 but there is a posttetanic count of at least 1. […]

Read More
Uncategorized Published - 14 June, 2023    By - Dr Clemens
Medication Errors Related to Look-Alike, Sound-Alike Drugs—How Big is the Problem and What Progress is Being Made? 2023

AUTHORS: Tricia A. Meyer et al Anesthesia Safety Patient Foundation Newsletter Volume 38, No. 2 June 2023  BACKGROUND Administering the wrong medication is one of the most feared complications in any field of medicine. Anesthesia professionals are some of the only providers who prescribe, prepare, and administer their own medications. Therefore, the perceived fear among […]

Read More
Uncategorized Published - 14 June, 2023    By - Dr Clemens
Opioid Induced Respiratory Depression— Beyond Sleep Disordered Breathing 2023

AUTHOR: Toby N. Weingarten, MD Anesthesia Safety Patient Foundation Newsletter Volume 38, No. 2 June 2023  More than a decade ago the APSF established a clear edict: “No patient should be harmed by opioid-induced respiratory depression in the postoperative period.”1 Research studies established a strong association between obstructive sleep apnea (OSA) and adverse postoperative opioid-related outcomes. […]

Read More