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Uncategorized Published - 9 June, 2023    By - Dr Clemens
Perioperative Brain Health: A Patient Safety Priority All Anesthesia Professionals Must Address 2023

Authors: Natalie C. Moreland, MD et al  Anesthesia Safety Patient Foundation Newsletter Volume 38, No. 2 June 2023  It is not uncommon for patients to ask if and how anesthesia will affect their brain. Perioperative bain health is a particular concern for older patients, families, and caregivers. As such, brain health has been recognized as […]

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Uncategorized Published - 9 June, 2023    By - Dr Clemens
Pro-Con Debate: Peripheral Nerve Blockade Should Be Provided Routinely in Extremity Trauma, Including in Patients At Risk for Acute Compartment Syndrome

Authors: Samet, Ron E. MD et al  Anesthesia & Analgesia 136(5):p 855-860, May 2023. Abstract In this Pro-Con commentary article, we discuss the controversial debate of whether to provide peripheral nerve blockade (PNB) to patients at risk of acute extremity compartment syndrome (ACS). Traditionally, most practitioners adopt the conservative approach and withhold regional anesthetics for fear […]

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Uncategorized Published - 9 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 […]

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Uncategorized Published - 9 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 […]

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Uncategorized Published - 9 June, 2023    By - Dr Clemens
Pain Management in Sickle Cell Disease

Authors: Damilola Oladinni OMS III et al Pract Pain Manag. 2023 May/June;23(3). A review of pain management options for acute vaso-occlusive crises and chronic pain episodes in sickle cell disease. Background There are approximately 100,000 people living with sickle cell disease in the United States and millions more globally. Sickle cell trait (SCT) is even […]

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Uncategorized Published - 8 June, 2023    By - Dr Clemens
Failure to Rescue and Mortality Differences After Appendectomy in a Low-Middle-Income Country and the United States

AUTHORS: Rosero, Eric B. MD, MSc et al  Anesthesia & Analgesia 136(6):p 1030-1038, June BACKGROUND: Major disparities in complications and mortality after appendectomy between countries with different income levels have not been well characterized, as comparative studies at patient level between countries are scant. This study aimed to investigate variations in postoperative complications, mortality, and failure […]

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Uncategorized Published - 8 June, 2023    By - Dr Clemens
Recognizing and Maximizing the Nexus of Perioperative Medicine and Narrative Medicine 2023

Author: Vetter, Thomas R. MD, MPH, MFA Anesthesia & Analgesia 136(4):p 665-674, April 2023.  Abstract Perioperative medicine remains an evolving, interdisciplinary subspecialty, which encompasses the unique perspectives and incorporates the respective vital expertise of numerous stakeholders. This integrated model of perioperative medicine and care has a wide-ranging set of clinical, strategic, and operational goals. Among […]

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Uncategorized Published - 8 June, 2023    By - Dr Clemens
Association of Opioid Administration During General Anesthesia and Survival for Severely Injured Trauma Patients 2023

AUTHORS: Levy, Dominique T. BS et al  Anesthesia & Analgesia 136(5):p 905-912, May 2023. BACKGROUND: There is a lack of reported clinical outcomes after opioid use in acute trauma patients undergoing anesthesia. Data from the Pragmatic, Randomized, Optimal Platelet and Plasma Ratios (PROPPR) study were analyzed to examine opioid dose and mortality. We hypothesized that higher […]

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Uncategorized Published - 8 June, 2023    By - Dr Clemens
Training Anesthesiology Residents to Care for the Traumatically Injured in the United States 2023

Authors: Blaine, Kevin P. MD, MPH, FASA et al  Anesthesia & Analgesia 136(5):p 861-876, May 2023. Abstract Training and education for trauma anesthesiology have been predicated on 2 primary pathways: learning through peripheral “complex, massive transfusion cases”—an assumption that is flawed due to the unique demands, skills, and knowledge of trauma anesthesiology—or learning through experiential education, […]

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Uncategorized Published - 8 June, 2023    By - Dr Clemens
Nitrous Oxide in Obstetrics: Time to Deliver Differently? 2023

Authors: Melissa Kreso, MD, MSBA, FASA; Nina Schloemerkemper, MD, FRCA ASA Monitor June 2023, Vol. 87, 34–36. The climate crisis has been named the world’s biggest health threat by the United Nations. Greenhouse gases are a cause, and, unfortunately, greenhouse gas emissions from U.S. health care have increased by more than 30% over the last decade (Nature […]

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