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Uncategorized Published - 10 August, 2022    By - Dr Clemens
Factors Associated With Postreperfusion Syndrome in Living Donor Liver Transplantation

AUTHORS: Umehara, Kaoru MD, PhD Anesthesia & Analgesia: August 2022 – Volume 135 – Issue 2 – p 354-361 BACKGROUND: Postreperfusion syndrome (PRS) after portal vein reperfusion during liver transplantation (LT) has been reported to cause rapid hemodynamic changes and is associated with a prolonged postoperative hospital stay, renal failure, and increased mortality. Although there are […]

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Uncategorized Published - 9 August, 2022    By - Dr Clemens
Levels of Maternal Care: The Anesthesiologist’s Role in Reducing Maternal Mortality

Authors: David Stahl, MD et al  ASA Monitor July 2022, Vol. 86, 34–35. Walking into the PACU following an appendectomy on a Saturday afternoon, the on-call obstetrician pages you about a pregnant patient in the ED. You work at a 50-bed hospital in a mountain town that provides basic obstetric services but has no ICU and […]

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Uncategorized Published - 9 August, 2022    By - Dr Clemens
Outlying End-Tidal Carbon Dioxide During General Anesthesia Is Associated With Postoperative Pulmonary Complications

AUTHORS: Akkermans, Annemarie MD, PhD et al  Anesthesia & Analgesia: August 2022 – Volume 135 – Issue 2 – p 341-353 BACKGROUND:  Postoperative pulmonary complications (PPCs) occur in up to 33% of patients who undergo noncardiothoracic surgery. Emerging evidence suggests that permissive hypercapnia may reduce the risk of lung injury. We hypothesized that higher intraoperative end-tidal […]

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Uncategorized Published - 9 August, 2022    By - Dr Clemens
Intraoperative Hypotension and Myocardial Injury After Noncardiac Surgery in Adults With or Without Chronic Hypertension

AUTHORS: Cohen, Barak MD et al  Anesthesia & Analgesia: August 2022 – Volume 135 – Issue 2 – p 329-340 BACKGROUND: The risk of myocardial injury progressively increases at intraoperative mean arterial pressures (MAPs) ≤65 mm Hg. Higher pressures might be required in chronically hypertensive patients. We aimed to test the hypothesis that the harm threshold […]

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Uncategorized Published - 9 August, 2022    By - Dr Clemens
Clonidine Versus Midazolam Premedication and Postoperative Negative Behavioral Changes in Younger Children

AUTHORS: Zickerman, Caroline MD et al  Anesthesia & Analgesia: August 2022 – Volume 135 – Issue 2 – p 307-315 Abstract Export BACKGROUND: Postoperative negative behavioral changes (NBCs) are common among children, but risk for this is thought to be reduced with premedication. Midazolam has for many years been a standard premedication for children. More recently, […]

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Uncategorized Published - 9 August, 2022    By - Dr Clemens
Postoperative Outcomes Associated With Procedural Sedation Conducted by Physician and Nonphysician Anesthesia Providers

AUTHORS: van der Merwe et al  Anesthesia & Analgesia: August 2022 – Volume 135 – Issue 2 – p 250-263 BACKGROUND:  There is an unmet need for essential surgical services in Africa. Limited anesthesia services are a contributing factor. Nonphysician anesthesia providers are utilized to assist with providing anesthesia and procedural sedation to make essential surgeries […]

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Uncategorized Published - 8 August, 2022    By - Dr Clemens
PSH Myths Worth Busting: 10 Years of Change and 6 Misconceptions

Author: Rob Shakar, MD, FASA ASA Monitor July 2022, Vol. 86, 41. In 2012, ASA introduced the Perioperative Surgical Home (PSH) as a response to the shift from volume-based to value-based health care. The society recognized that anesthesiologists would increasingly be measured by the cost-effectiveness and quality of the care they provide. We believed a patient-centric, […]

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Uncategorized Published - 8 August, 2022    By - Dr Clemens
SEE Question

ASA Monitor July 2022, Vol. 86, 16. Based on a recent meta-analysis, which of the following viruses was associated with the HIGHEST rate of acute cardiac injury among critically ill patients? □ (A) Influenza A subtype H3N2 □ (B) Influenza B □ (C) SARS-CoV-2 The course of illness for patients with COVID-19 caused by SARS-CoV-2 may […]

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Uncategorized Published - 8 August, 2022    By - Dr Clemens
Utilization and Outcomes of Extracorporeal Membrane Oxygenation in Obstetric Patients in the United States

AUTHORS: Taha, Bushra MD et al  Anesthesia & Analgesia: August 2022 – Volume 135 – Issue 2 – p 268-276 BACKGROUND:  Utilization of extracorporeal membrane oxygenation (ECMO) for adult critically ill patients is increasing, but data in obstetric cohorts are scant. This study analyzed ECMO utilization and maternal outcomes in obstetric patients in the United States. […]

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Uncategorized Published - 8 August, 2022    By - Dr Clemens
Anesthesia Incident Reporting System (AIRS) Case 2022-07: Machines Taking Us By Surprise

ASA Monitor July 2022, Vol. 86, 15. In December 2021, an infusion pump manufacturer sent out a letter to its customers, many of which are anesthesiology departments, warning that its pumps posed a safety risk. After an upstream occlusion alarm, the user can clear the alarm state without clearing the upstream occlusion; in this case, the […]

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