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Uncategorized Published - 22 September, 2021    By - Dr Clemens
ACE Question

ASA Monitor September 2021, Vol. 85, 18. Increasing which of the following is MOST likely to improve the axial resolution of a transesophageal echocardiogram? □ (A) Depth □ (B) Wavelength □ (C) Frequency Ultrasound waves are characterized by their frequency (f) and wavelength (λ). These variables have significant impact on the depth of penetration and […]

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Uncategorized Published - 22 September, 2021    By - Dr Clemens
Age-Friendly Health Systems: Best Practices in Implementation

Authors: Christina M. Fleischer, BS et al  ASA Monitor September 2021, Vol. 85, 16–17. An Age-Friendly Health System optimizes care for elderly patients in accordance with clinical guidelines and best practices. The Age-Friendly Health Systems Initiative was started by The John. A Hartford Foundation and the Institute for Healthcare Improvement (IHI), along with the American […]

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Uncategorized Published - 22 September, 2021    By - Dr Clemens
Goldilocks, the Devil, and Physician Supply and Demand

Author: Thomas R. Miller, PhD, MBA ASA Monitor September 2021, Vol. 85, 14–15. Figure: Creation of temporary workforce “shortage” after a shift in the demand curve. Adopted from Arrow and Capron (1959). (The Quarterly Journal of Economics 1959;73:292-308) In introductory economics, we learn that product supply and product demand are each a function of price. As […]

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Uncategorized Published - 22 September, 2021    By - Dr Clemens
Academic Anesthesiology – Continuing to Provide Fulfillment and Opportunity

Authors: Michael Wall, MD, FCCM, FASA et al  ASA Monitor September 2021, Vol. 85, 27–28. Academic anesthesiologists have been the foundational cornerstone of anesthesiology for advancing the specialty and providing for the future and critical need for trained personnel. Over 25 years ago, Dr. David Longnecker said, “We have the opportunity, to set the course […]

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Uncategorized Published - 21 September, 2021    By - Dr Clemens
Low somatosensory cortex excitability in the acute stage of low back pain causes chronic pain

DG Journal Club Authors: Luke C Jenkins, Wei-Ju Chang et al. J Pain. 2021 Sep 4 Determining the mechanistic causes of complex biopsychosocial health conditions such as low back pain (LBP) is challenging, and research is scarce. Cross-sectional studies demonstrate altered excitability and organisation of the somatosensory and motor cortex in people with acute and […]

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Uncategorized Published - 21 September, 2021    By - Dr Clemens
Anesthesiology Landscape – The Future Is Bright!

Author: Kumar G. Belani, MBBS, MS, FACA, FAAP, SAMBA-F ASA Monitor September 2021, Vol. 85, 21–22. The expansion of anesthesia services from beyond the OR to include non-operating room anesthesia care, critical care services, subspecialty services (namely, cardiac anesthesiology, pediatric anesthesiology, regional anesthesiology, ambulatory anesthesiology, office-based anesthesia, acute and chronic pain care), and the need for […]

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Uncategorized Published - 21 September, 2021    By - Dr Clemens
The Practice of Ambulatory Anesthesiology

Authors: Leopoldo V. Rodriguez, MD, MBA, FAAP, FASA, SAMBA-F et al  ASA Monitor September 2021, Vol. 85, 25–26. There are over 5,800 Centers for Medicare & Medicaid Services (CMS)-certified ambulatory surgery centers (ASCs) in the United States, which are located in every state, each of which has its own laws and rules that govern ambulatory […]

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Uncategorized Published - 21 September, 2021    By - Dr Clemens
Improving Perioperative Brain Health: Turning Knowledge Into Action

Authors: Carol J. Peden, MB, ChB, MD, FRCA, FFICM, MPH et al  ASA Monitor September 2021, Vol. 85, 1–8. Most anesthesiologists are aware of the ASA Perioperative Brain Health initiative (PBHI) (asamonitor.pub/2UcqKDd) and its goals to increase awareness of perioperative delirium and perioperative neurocognitive disorders (PND) and to promote action to reduce the incidence of […]

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Uncategorized Published - 21 September, 2021    By - Dr Clemens
A Case Report from the Anesthesia Incident Reporting System

ASA Monitor September 2021, Vol. 85, 12–13. CASE 2021-09: If In Doubt A 78-year-old female presented to the hospital where she was diagnosed with an acute lateral wall myocardial infarction, occluded circumflex coronary artery, free wall rupture of left ventricle, and cardiac tamponade. A left femoral intra-arterial balloon pump was inserted emergently along with a left […]

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Uncategorized Published - 20 September, 2021    By - Dr Clemens
Anesthesia considerations for patients with epilepsy

DG Journal Club AUTHORS: Mohammad Jaber, Ramzi Shawahna et al. Epilepsy Behav. 2021 Sep 4 OBJECTIVE This qualitative exploratory study was conducted to explore how anesthesiologists in Palestine provide perioperative care for patients with epilepsy and how they account for the unique challenges relevant to epilepsy while planning perioperative care for patients with epilepsy. METHODS […]

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