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Uncategorized Published - 4 January, 2023    By - Dr Clemens
SEE Question

ASA Monitor January 2023, Vol. 87, 16. The American Heart Association, the American College of Cardiology, and the Heart Failure Society of America updated their guideline for the management of heart failure in 2022. Which of the following statements is an important takeaway from this new guideline? □ (A) Patients with prior heart failure but now with […]

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Uncategorized Published - 4 January, 2023    By - Dr Clemens
UpToDate®

ASA Monitor January 2023, Vol. 87, 19. Prothrombin complex concentrate versus plasma for coagulopathy and bleeding after cardiopulmonary bypass (September 2022) Unactivated prothrombin complex concentrate (PCC) is used to rapidly correct warfarin anticoagulation. Observational studies have described off-label use of PCC to treat surgical coagulopathic bleeding, but supporting data are limited. One randomized trial compared administration […]

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Uncategorized Published - 4 January, 2023    By - Dr Clemens
ASRA Pain Medicine Has so Much to Celebrate!

Authors: Samer Narouze, MD, PhD; Angie Stengel, CAE ASA Monitor January 2023, Vol. 87, 34. A year has passed since we announced our rebranding from the American Society of Regional Anesthesia and Pain Medicine to ASRA Pain Medicine, supporting health care professionals who care for patients across the pain continuum from acute to chronic and everything in […]

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Uncategorized Published - 3 January, 2023    By - Dr Clemens
Case 2023-1: Anesthesia Management of Postpartum Hemorrhage

ASA Monitor January 2023, Vol. 87, 13. Case presentation A 24-year-old woman, G1P0 at 41 weeks gestation, had an uneventful vaginal delivery facilitated by epidural analgesia at a medium-sized community hospital with an expanding labor and delivery service. Postpartum vaginal bleeding persisted despite administration of Pitocin and methergine. Attempts to place a Bakri uterine balloon for […]

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Uncategorized Published - 3 January, 2023    By - Dr Clemens
Create Your Value Proposition Before You Need It

Authors: Phillip J. Richardson, MD, MBA, FASA, CPE, FAACD, FACHE ; Shena J. Scott, MBA, FACMPE ASA Monitor January 2023, Vol. 87, 31. The ASA Committee on Practice Management has compiled a compendium of resources to help groups understand the process of developing a value proposition and, if necessary, respond to a request for proposal (RFP). RFP […]

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Uncategorized Published - 3 January, 2023    By - Dr Clemens
Mitigating Endoscope-Associated Infections: Revised ANSI/AAMI Standards and New Duodenoscope Surveillance Antimicrobial Sampling and Culturing Protocols

Author: Uday Jain, BSEE, MD, PhD, FASA ASA Monitor January 2023, Vol. 87, 29. Abstract Anesthesiologists provide anesthesia for numerous endoscopy procedures. They also perform bronchoscopy and other endoscopies. There are recent developments in mitigating endoscopy-associated infections. Carbapenem-resistant Enterobacteriaceae (CRE) infections, which are resistant to multiple antibiotics, have been traced to duodenal endoscopy, cystoscopy, and ureteroscopy […]

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Uncategorized Published - 3 January, 2023    By - Dr Clemens
Banding Together

Author: Michael W. Champeau, MD, FASA ASA Monitor January 2023, Vol. 87, 9. We need to band together – and stay together. We cannot let our differences drive us apart. Those words were a portion of my closing comments to the House of Delegates at its meeting in New Orleans in October. They also echo the […]

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Uncategorized Published - 3 January, 2023    By - Dr Clemens
AI-Powered Respiratory and Circulatory Distress Monitoring System Alerts to Potential Complications Post-Discharge

Author: Catlin Nalley ASA Monitor January 2023, Vol. 87, 22. After a major surgery, there is an approximately 30% risk for serious adverse events during the first 30 postoperative days, and postoperative complications are ranked as the third most likely cause of death worldwide. “We wanted to develop a system that offered the anesthesiologist’s level of […]

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Uncategorized Published - 3 January, 2023    By - Dr Clemens
Epidemiology of neuropathic pain

AUTHORS: Baskozos, Georgios et al  PAIN Reports 8(2):p e1066, March 2023. Introduction: Previous epidemiological studies of neuropathic pain have reported a range of prevalences and factors associated with the disorder. Objectives: This study aimed to verify these characteristics in a large UK cohort. Methods: A cross-sectional analysis was conducted of 148,828 UK Biobank participants who completed […]

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Uncategorized Published - 2 January, 2023    By - Dr Clemens
Association of Anesthesiologist Staffing Ratio with Surgical Patient Morbidity and Mortality

Author: Amr E. Abouleish, MD, MBA, FASA ASA Monitor January 2023, Vol. 87, 28. PRACTICE MANAGEMENT Abstract In the wake of news coverage and studies examining surgeons with overlapping surgical procedures and patient outcomes, Burns et al. examined anesthesiologists covering overlapping anesthesia cases and the staffing ratio impact on patient outcomes in this retrospective, matched cohort […]

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