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Uncategorized Published - 8 December, 2022    By - Dr Clemens
Early-Career Anesthesiologists Get Real About Transitioning to Practice … and How ASA Can Help

Authors: Cesar Padilla, MD; Ciera Ward, MD ASA Monitor November 2022, Vol. 86, 29. The first few years in practice bring a mix of emotions, a host of new opportunities and experiences, evolving personal and professional demands, and recalibrated expectations for what professional support should look like. As young anesthesiologists ourselves – one year and four years […]

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Uncategorized Published - 7 December, 2022    By - Dr Clemens
Anesthesia Incident Reporting System (AIRS) Case 2022-11: Workin’ on the Night Shift

ASA Monitor November 2022, Vol. 86, 11. Because of our busy OR schedule, a complex, high-risk, scheduled surgical procedure was performed during late-night hours by surgeons and anesthesiology professionals who had been at work since early in the morning. The patient entered the OR on schedule at 7 p.m., and incision was made at 8:30 p.m. […]

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Uncategorized Published - 7 December, 2022    By - Dr Clemens
Harnessing the Workforce Potential

Authors: Crystal C. Wright, MD, FASA et al  ASA Monitor November 2022, Vol. 86, 23–24. Anesthesia professionals are currently experiencing workforce shortages, which are projected to only worsen across the United States. Many of us experience this reality daily in our private and academic practices, with shortages resulting in anesthesiologists experiencing longer work hours, more calls, […]

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Uncategorized Published - 7 December, 2022    By - Dr Clemens
How Is Infectiousness Determined in COVID-19 Patients

Radius Anesthesia blog October 17, 2022  Current CDC guidelines continue to advise persons who test positive for COVID-19 to isolate for a minimum of five days (4). While the CDC defines the start of isolation as the date of symptom onset, organizations such as schools and businesses may begin the isolation period on the day of […]

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Uncategorized Published - 7 December, 2022    By - Dr Clemens
A $6,000 urine test? Hospital company sued over ‘unconscionable’ fee

Author: Ethan Baron The Mercury News Savannah Thompson walked into the emergency department at John Muir Medical Center in Walnut Creek, California, just after midnight June 14, fearing she had ingested fentanyl — a synthetic opiate responsible for a North America-wide epidemic of fatal overdoses — in what she had been told was cocaine, according […]

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Uncategorized Published - 7 December, 2022    By - Dr Clemens
Adapting to Changes in Medicine and in the Patient

Author: Amy Gallagher ASA Monitor November 2022, Vol. 86, 16. Accepting and adapting to change is a function of growth and development, which is a critical factor in the complex and fast-growing pursuit of personalized medicine. As a clinical pharmacologist, Robert L. Barkin, MBA, PharmD, FCP, OFRSM, has been involved in pain management for decades. Barkin […]

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Uncategorized Published - 6 December, 2022    By - Dr Clemens
Anesthesiology Oversight for Procedural Sedation

Authors: Basem B. Abdelmalak, MD, FASA, SAMBA-F et al  ASA Monitor November 2022, Vol. 86, 26–27. Driven by advances in minimally invasive diagnostic and therapeutic procedures, the demand for anesthesia and procedural sedation outside the OR has expanded more rapidly than ever. This has placed tremendous strain on anesthesiology departments, both to fulfill anesthesia service needs […]

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Uncategorized Published - 6 December, 2022    By - Dr Clemens
New Training Paradigms

Authors: Richard P. Dutton, MD, MBA, FASA; et al  ASA Monitor November 2022, Vol. 86, 21–22. Most hospitals in America are seeking an increase in anesthesia services, mainly due to increasing need for nonoperating room coverage. At present, the market demand for anesthesia clinicians exceeds the available supply by a substantial margin. Among the possible solutions […]

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Uncategorized Published - 6 December, 2022    By - Dr Clemens
Perioperative Pediatric Erythrocyte Transfusions: Incorporating Hemoglobin Thresholds and Physiologic Parameters in Decision-making

Authors: Laura A. Downey, M.D.; Susan M. Goobie, M.D., F.R.C.P.C. Anesthesiology November 2022, Vol. 137, 604–619. Erythrocyte transfusions in pediatric patients during the perioperative period are indicated for the treatment of severe anemia, bleeding, and/or decreased oxygen-carrying capacity resulting in end-organ dysfunction. However, erythrocyte transfusions can place pediatric patients at risk for transfusion-related adverse outcomes including infection, […]

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Uncategorized Published - 6 December, 2022    By - Dr Clemens
What medication options exist for migraine prophylaxis when solid oral dosage forms cannot be administered?

Authors: Holshouser B, Ferguson M. Pract Pain Manag. 2022 September/October;22(5). For children and adolescents, the prevalence of migraine by age 15 is 8% to 23%, and around 38.8% of Americans age 12 and older should be offered or considered for preventive migraine treatment.¹˒² Due to the debilitating nature of migraine disorder, it is important to […]

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