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Uncategorized Published - 13 June, 2023    By - Dr Clemens
Perioperative Anaphylaxis: Comment

Authors: Eleonora Balzani, M.D. et al  Anesthesiology May 2023. To the Editor: We read the interesting review published by Tacquard et al. and appreciated the effort to provide evidence on the epidemiology, clinical manifestations, and management of perioperative anaphylaxis. While we recommend reading this review to the practitioner who wishes to better understand the mechanisms underlying drug-induced […]

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Uncategorized Published - 13 June, 2023    By - Dr Clemens
Perioperative Anaphylaxis: Comment

Authors: Mark Nelson, M.D., M.Ed. et al  Anesthesiology May 2023. To the Editor: We read with great interest the erudite review of anaphylaxis by Tacquaer et al. and summary by Avram which appeared in the January 2023 issue of Anesthesiology. The review is comprehensive and timely. The mechanisms for hypotension associated with anaphylaxis are identified as vasoplegia, […]

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Uncategorized Published - 13 June, 2023    By - Dr Clemens
Perioperative Anaphylaxis: Reply

Authors: Charles Tacquard, M.D., Ph.D. et al  Anesthesiology May 2023. In Reply: We thank the authors of the four letters to the editor  for their interest in our work regarding our article  and would like to respond to them as follows. Valach et al.  suggest intramuscular epinephrine should be used as first-line treatment in perioperative anaphylaxis. We disagree with […]

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Uncategorized Published - 13 June, 2023    By - Dr Clemens
Perioperative Anaphylaxis: Comment

Authors: Vivek Arora, M.B.B.S., M.D.; Alex Lee, M.D. Anesthesiology May 2023. To the Editor: We read with great interest the clinical focus review titled “Perioperative Anaphylaxis” published by Tacquard et al. in the January 2023 issue of Anesthesiology.  The authors’ suggestion in Table 6, “Management Considerations for Perioperative Anaphylaxis,” that sugammadex may be considered as a therapy for rocuronium-induced […]

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Uncategorized Published - 13 June, 2023    By - Dr Clemens
The Autumn Ghost. How the Battle Against a Polio Epidemic Revolutionized Modern Medical Care

Author: Selma H. Calmes, M.D. Anesthesiology May 2023. This interesting and well-written book documents the beginning of modern intensive care, focusing on polio epidemics in Copenhagen, Denmark, in the 1940s through the 1950s. These epidemics left many patients dead from respiratory failure when polio paralyzed the muscles needed for ventilation. Little could be done then […]

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Uncategorized Published - 12 June, 2023    By - Dr Clemens
Migraine Triggers and Premonitory Symptoms 2023

Author: Kathleen Doheny Practical Pain Management June 2023 Clinicians can help patients recognize and cope with migraine triggers, including differentiating them from premonitory symptoms. Individuals with migraine who see a new physician almost always want to talk about their triggers, as Michael Marmura, MD, associate professor of neurology at Thomas Jefferson University and Jefferson Health […]

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Uncategorized Published - 12 June, 2023    By - Dr Clemens
Perioperative Medicine: What the Future Can Hold for Anesthesiology 2023

Authors: Gottumukkala, Vijaya MBBS, MD (Anes), FRCA et al   Anesthesia & Analgesia 136(4):p 628-635, April 2023. With changing global demographics and evolving epidemiological trends, the burden of noncommunicable diseases and injuries is increasing at a rapid pace making integration of surgery and anesthesia care—as perioperative care—critical to achieving the United Nations 2030 Agenda for 17 sustainable […]

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Uncategorized Published - 12 June, 2023    By - Dr Clemens
New Practice Guidelines for Neuromuscular Blockade 2023

Authors: Connie Chung, MD et al  Anesthesia Safety Patient Foundation Newsletter Volume 38, No. 2 June 2023  The American Society of Anesthesiologists (ASA) Committee on Practice Parameters (CPP), chaired by Karen Domino, MD, MPH, created a task force to develop guidelines for neuromuscular blockade (NMB) to improve patient safety and satisfaction. The Anesthesia Patient Safety […]

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Uncategorized Published - 12 June, 2023    By - Dr Clemens
Artificial Intelligence for Perioperative Medicine: Perioperative Intelligence 2023

Authors: Maheshwari, Kamal MD, MPH et al  Anesthesia & Analgesia 136(4):p 637-645, April 2023. Abstract The anesthesiologist’s role has expanded beyond the operating room, and anesthesiologist-led care teams can deliver coordinated care that spans the entire surgical experience, from preoperative optimization to long-term recovery of surgical patients. This expanded role can help reduce postoperative morbidity and […]

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Uncategorized Published - 12 June, 2023    By - Dr Clemens
The Anesthesiologist as Public Health Physician 2023

Author: Moonesinghe, S. Ramani OBE, MD (Res) Anesthesia & Analgesia 136(4):p 675-678, April 2023. The Center for Disease Control (CDC) defines Public Health as follows: “… the science of protecting and improving the health of people and their communities. This work is achieved by promoting healthy lifestyles, researching disease and injury prevention, and detecting, preventing […]

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