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Uncategorized Published - 15 December, 2021    By - Dr Clemens
Preoperative Point-of-Care Ultrasound to Identify Frailty and Predict Postoperative Outcomes

Authors: Cecilia Canales, M.D., M.P.H. et al  Anesthesiology December 2021. Background Frailty is increasingly being recognized as a public health issue, straining healthcare resources and increasing costs to care for these patients. Frailty is the decline in physical and cognitive reserves leading to increased vulnerability to stressors such as surgery or disease states. The goal […]

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Uncategorized Published - 15 December, 2021    By - Dr Clemens
Coffee Is Not a Clear Liquid

Authors: Pandit, Sujit K. MD; Loberg, Katherine W. BS; Pandit, Uma A. MD Anesthesia & Analgesia: November 2000 – Volume 91 – Issue 5 – p 1308 This also gives us an opportunity to clarify the prevalent ambiguity about types of “clear” liquid that are allowed 2–3 h before elective surgery. Dr. Sosis has asked a […]

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Uncategorized Published - 15 December, 2021    By - Dr Clemens
Neuromuscular Blockade and Reversal Practice Variability in the Outpatient Setting

AUTHORS: Bash, Lori D. PhD, MPH et al  Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1437-1450 BACKGROUND:  Neuromuscular blockade (NMB) is a critical part of many surgical procedures. Data on practice patterns of NMB agents (NMBAs) and NMB reversal in recent years in the US ambulatory surgical care setting are […]

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Uncategorized Published - 15 December, 2021    By - Dr Clemens
Urinary Neutrophil Gelatinase–Associated Lipocalin/Hepcidin-25 Ratio for Early Identification of Patients at Risk for Renal Replacement Therapy After Cardiac Surgery

AUTHORS: Elitok, Saban MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1510-1519 BACKGROUND: Acute kidney injury requiring renal replacement therapy (AKI-RRT) is strongly associated with mortality after cardiac surgery; however, options for early identification of patients at high risk for AKI-RRT are extremely limited. Early after cardiac surgery, […]

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Uncategorized Published - 15 December, 2021    By - Dr Clemens
Demographic Trends that Impact Anesthesia Practices

Author: Tony Mira F1rstNews Summary Today’s anesthesia practices must understand the current shift in patient demographics and determine how that will impact their practice parameters and revenue.  Groups must have plans in place to deal with the changing realities. Anesthesia has been undergoing a significant paradigm shift. It used to be that the primary focus […]

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Uncategorized Published - 14 December, 2021    By - Dr Clemens
Impact of Neuraxial Versus General Anesthesia on Discharge Destination in Patients Undergoing Primary Total Hip and Total Knee Replacement

AUTHORS: Duque, Melissa MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1379-1386 BACKGROUND:  Total knee replacement (TKR) and total hip replacement (THR) are 2 of the most common orthopedic surgical procedures in the United States. These procedures, with fairly low mortality rates, incur significant health care costs, with […]

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Uncategorized Published - 14 December, 2021    By - Dr Clemens
Efficiency Metrics at an Academic Freestanding Ambulatory Surgery Center

AUTHORS: Reeves, J. Jeffery MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1406-1414 BACKGROUND:  Understanding the impact of key metrics on operating room (OR) efficiency is important to optimize utilization and reduce costs, particularly in freestanding ambulatory surgery centers. The aim of this study was to assess the […]

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Uncategorized Published - 14 December, 2021    By - Dr Clemens
Early Postoperative Outcomes of Super Morbid Obese Compared to Morbid Obese Patients After Ambulatory Surgery Under General Anesthesia

AUTHORS: Hajmohamed, Sherine MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1366-1373 BACKGROUND:  Patients with body mass index (BMI) ≥50 kg/m2, defined as super morbid obesity, represent the fastest growing segment of patients with obesity in the United States. It is currently unknown if super morbid obese patients […]

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Uncategorized Published - 14 December, 2021    By - Dr Clemens
Comparison of a Nasal Mask and Traditional Nasal Cannula During Intravenous Anesthesia for Gastroscopy Procedures

AUTHORS: Chen, Dong Xu MD et al Anesthesia & Analgesia: December 2021 BACKGROUND: Hypoxemia can occur during gastroscopy under intravenous anesthesia. The aim of this randomized controlled trial was to evaluate whether oxygenation using a nasal mask can reduce the incidence of hypoxemia during gastroscopy under intravenous anesthesia compared with a traditional nasal cannula. METHODS: A […]

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Uncategorized Published - 14 December, 2021    By - Dr Clemens
Chronic Pain Following Fracture-Related Surgery

AUTHORS: Aulenkamp, Jana L. MD et al Anesthesia & Analgesia: December 2021 BACKGROUND: Chronic posttraumatic/postsurgical pain (CPSP) is common after traumatic or surgical damage. Exposure to both trauma and surgery, with the potential for repeated bone and nerve damage, may increase the risk of CPSP after fracture-related surgery. But the (long-term) incidences of CPSP and neuropathic […]

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