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Uncategorized Published - 11 June, 2021    By - Dr Clemens
Of Parachutes, Speedometers, and EEG: What Evidence Do We Need to Use Devices and Monitors?

Authors: Berger, Miles MD, PhD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1274-1277 EDITORIAL What physiologic monitors should we use in the operating room? Though it has been over 173 years since William T. G. Morton first successfully administered a general anesthetic, the question of how we should […]

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Uncategorized Published - 11 June, 2021    By - Dr Clemens
Artificial Intelligence in Anesthesiology: Hype, Hope, and Hurdles

Authors: Lonsdale, Hannah MBChB et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1111-1113 Artificial intelligence (A.I.) is moving into every aspect of our lives: selecting the online advertisements that we see, recognizing our voices, and providing automated answers when we speak to customer service helpline chatbots. Machine learning, a […]

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Uncategorized Published - 11 June, 2021    By - Dr Clemens
Innovative Monitoring Technology: Are We Ready for the Future?

Authors: Ashish K. Khanna, MD, FCCP, FCCM, FASA et al  ASA Monitor June 2021, Vol. 85, 28–30. While the intraoperative period is safe, the postoperative period is not. About 4,000 deaths per year occur in the first 30 days after non-cardiac surgery (Lancet 2019;393:401). Most cardio-respiratory events happen while patients are recovering from surgery during the […]

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Uncategorized Published - 10 June, 2021    By - Dr Clemens
Anesthesia Innovation with AI: The Power Is Ours

Authors: Vesela P. Kovacheva, MD, PhD et al  ASA Monitor June 2021, Vol. 85, 34–35. Imagine a future day at work powered by artificial intelligence (AI) technologies. Your patient that day has been risk-stratified preoperatively, and all conditions have been optimized according to the most current guidelines. As you talk to the patient, the preoperative […]

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Uncategorized Published - 10 June, 2021    By - Dr Clemens
How Hospital Revenue Woes Threaten Anesthesiology Practice: Forget the pandemic, say hospital executives. What have you done for us lately?

Author: Karen S. Sibert, MD, FASA ASA Monitor June 2021, Vol. 85, 14–15. There was a time, at the peak of the pandemic, when many of us believed that anesthesiologists finally would get the public recognition and respect we’ve earned – at a painful price – for our front-line work in airway management and critical […]

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Uncategorized Published - 10 June, 2021    By - Dr Clemens
Intraoperative Analgesia–Nociception Monitors: Where We Are and Where We Want To Be

Author: Anderson, T. Anthony PhD, MD Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1261-1263 EDITORIAL Traditionally, many aspects of perioperative anesthesia require a qualitative approach to managing patient care. Intraoperative intravenous fluid management is still typically based on estimated blood loss, calculated insensible losses, patient hourly fluid requirements, and […]

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Uncategorized Published - 10 June, 2021    By - Dr Clemens
Intraoperative Electronic Alerts Improve Compliance With National Quality Program Measure for Perioperative Temperature Management

AUTHORS: Lakha, Sameer MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1167-1175 BACKGROUND:  Reimbursement for anesthesia services has been shifting from a fee-for-service model to a value-based model that ties payment to quality metrics. The Centers for Medicare & Medicaid Service’s (CMS) value-based payment program includes a quality […]

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Uncategorized Published - 10 June, 2021    By - Dr Clemens
Prediction of an Acute Hypotensive Episode During an ICU Hospitalization With a Super Learner Machine-Learning Algorithm

AUTHORS: Cherifa, Ményssa MSc et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1157-1166 BACKGROUND:  Acute hypotensive episodes (AHE), defined as a drop in the mean arterial pressure (MAP) <65 mm Hg lasting at least 5 consecutive minutes, are among the most critical events in the intensive care unit (ICU). […]

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Uncategorized Published - 9 June, 2021    By - Dr Clemens
Percutaneous Peripheral Nerve Stimulation (Neuromodulation) for Postoperative Pain

Authors: Brian M. Ilfeld, M.D., M.S. et al  Anesthesiology July 2021, Vol. 135, 95–110. Background Percutaneous peripheral nerve stimulation is an analgesic technique involving the percutaneous implantation of a lead followed by the delivery of electric current using an external pulse generator. Percutaneous peripheral nerve stimulation has been used extensively for chronic pain, but only […]

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Uncategorized Published - 9 June, 2021    By - Dr Clemens
Levels of Evidence Supporting the North American and European Perioperative Care Guidelines for Anesthesiologists between 2010 and 2020

Authors: Andres Laserna, M.D. et al  Anesthesiology July 2021, Vol. 135, 31–56. Background Although there are thousands of published recommendations in anesthesiology clinical practice guidelines, the extent to which these are supported by high levels of evidence is not known. This study hypothesized that most recommendations in clinical practice guidelines are supported by a low […]

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