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Uncategorized Published - 30 December, 2022    By - Dr Clemens
Migraine Prevention and Treatment: What’s the Outlook?

Author: Doheny K. Pract Pain Manag. 2023 January/February;23(1). Migraine affects at least 39 million US adults, according to the Association of Migraine Disorders,¹ causing lost workdays, time away from family, and other quality of life issues. Worldwide, about 10% of people are affected by migraine and women are three times as likely to be affected […]

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Uncategorized Published - 29 December, 2022    By - Dr Clemens
MOCK ORAL BOARD EXAMS

Author: Richard Novak, MD The Anesthesia Consultant The Department of Anesthesiology, Perioperative and Pain Medicine at Stanford has administered Mock Oral Board Exams to its residents twice yearly since the 1980s. The Mock Oral is designed to mimic the conditions of the American Board of Anesthesiology (ABA) Standardized Oral Exam (SOE), which candidates must pass to become board-certified. The […]

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Uncategorized Published - 29 December, 2022    By - Dr Clemens
Still Trying to Find the Right Oxygenation Target in Critically Ill Patients

NEJM Journal Watch Patricia Kritek, MD, reviewing Bernard SA et al.  JAMA 2022 Nov 8 Semler MW et al. N Engl J Med 2022 Nov 10 Two trials showed no benefit to targeted titration of oxygen in the intensive care unit. Assuring adequate oxygen delivery is a central tenet in the intensive care unit (ICU); however, some studies have […]

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Uncategorized Published - 29 December, 2022    By - Dr Clemens
Anesthesia Incident Reporting System (AIRS) Case 2023-1: Management and Prevention of Peripheral I.V. Infiltration and Extravasation

ASA Monitor January 2023, Vol. 87, 14–15. An 11-year-old patient with complex past medical history, including known difficult vascular access, history of central access complications, and neuromuscular scoliosis, presented for posterior spine fusion. There was difficulty securing peripheral I.V.s, even with ultrasound guidance. A small-gauge I.V. was placed in the left saphenous vein as a backup […]

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Uncategorized Published - 29 December, 2022    By - Dr Clemens
Delirium After Anesthesia in Children

Radius Anesthesia blog Delirium after anesthesia, also known as emergence delirium (ED) is a clinical condition in which patients have alterations to their attention, awareness, and perceptions. In children, this often results in behavioral disturbances such as crying, sobbing, thrashing and disorientation [1]. Emergence delirium can be a difficult diagnosis to make as most children are […]

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Uncategorized Published - 29 December, 2022    By - Dr Clemens
Help Wanted: Must Have the Brain of an Internist, Hands of a Surgeon, and Heart of a Psychiatrist

Author: Talmage D. Egan, MD, FASA ASA Monitor January 2023, Vol. 87, 1–7. In my role as chair of an anesthesiology department at an academic medical center, every few weeks I have lunch with the medical students rotating on our service. These lunches are in part an effort to recruit our medical school’s best students into […]

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Uncategorized Published - 28 December, 2022    By - Dr Clemens
Alternative Sleep Apnea Treatment: Comment

Authors: Amrita Roy, M.D. et al  Anesthesiology December 2022. To the Editor: The analysis, by Sakaguchi et al., of the role of high-flow nasal oxygen administered postoperatively in those diagnosed with obstructive sleep apnea (OSA) in lieu of conventional continuous positive airway pressure therapy is interesting.  We would welcome further commentary from the authors on a few […]

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Uncategorized Published - 28 December, 2022    By - Dr Clemens
Trends & Technology

ASA Monitor January 2023, Vol. 87, 23–24. Trends Hair straightening chemicals associated with higher risk of uterine cancer In a National Institutes of Health (NIH)-funded study of over 33,000 women, researchers found that women who used chemical hair straightening products were at higher risk for uterine cancer than women who did not use these products. The […]

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Uncategorized Published - 28 December, 2022    By - Dr Clemens
Alternative Sleep Apnea Treatment: Reply

Authors: Yuichi Sakaguchi, M.D. et al  Anesthesiology December 2022. In Reply: We thank Roy et al.  for their relevant comments on our article.  As Roy et al. correctly pointed out, head-of-bed elevation by 30 degrees did not significantly improve oxygenation variables such as mean nadir oxygen saturation measured by pulse oximetry (Spo2), lowest Spo2, and percent time Spo2 < 90% in our […]

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Uncategorized Published - 28 December, 2022    By - Dr Clemens
The Importance of Your Anesthesia Practice’s Payer Contract Negotiations

Author: Jeanette Mini, Vice President Fusion Anesthesia Solutions In the final part of our series focused on Revenue Cycle Health, we’ll explore the importance of annual payer contract negotiations in your anesthesia practice. It’s no surprise that the No Surprises Act has made it more difficult to negotiate with payers, in some instances, payers will not even […]

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