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Uncategorized Published - 1 February, 2021    By - Dr Clemens
Association Between Lower Preoperative Cognition With Intraoperative Electroencephalographic Features Consistent With Deep States of Anesthesia in Older Patients

AUTHORS: Gutiérrez, Rodrigo G. MD, PhD et al Anesthesia & Analgesia: November 2020 BACKGROUND: Patients with low cognitive performance are thought to have a higher risk of postoperative neurocognitive disorders. Here we analyzed the relationship between preoperative cognition and anesthesia-induced brain dynamics. We hypothesized that patients with low cognitive performance would be more sensitive to […]

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Uncategorized Published - 1 February, 2021    By - Dr Clemens
Reduce, Reuse, Recycle: Navigating Mask Shortages in a Pandemic

Author: Corinna J. Yu, MD, FASA ASA Monitor January 2021, Vol. 85, 26. Back in March, when the CDC suggested that health care workers could use a bandana as a makeshift mask for protection against SARS-CoV2, many scoured the shelves of home maintenance stores for personal protective equipment (PPE). “Those who cannot remember the past are condemned […]

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Uncategorized Published - 1 February, 2021    By - Dr Clemens
2021 PFS Final Rule:

Author: Tony Mira AnesthesiaLLC Summary There are several new rules for 2021 that either directly or peripherally involve the practice of anesthesia or interventional pain.  This article lists some of the provisions found in the 2021 Medicare PFS Final Rule that will be of interest to many of our readers. In previous weeks, we have […]

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Uncategorized Published - 1 February, 2021    By - Dr Clemens
Instituting a Comprehensive Delirium Prevention Program at UCSF Medical Center

By Sandra Gordon for ASA “It’s great to collaborate with people in our own department and across departments and to hopefully play a larger role in the care of many patients.” Anne Donovan, MD, associate clinical professor in the department of anesthesia and perioperative care at the University of California, San Francisco, discusses the comprehensive […]

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Uncategorized Published - 1 February, 2021    By - Dr Clemens
Mixtures of Local Anesthetics

Cardiac Anesthesiologist Mixtures  of  local  anesthetics  for  regional  anesthesia  are sometimes used in an effort to compensate for the short duration of action of certain rapidly acting agents such as chloroprocaine and lidocaine, and the long latency of longer-acting  agents such as tetracaine and  bupivacaine. Mixtures of chloroprocaine and bupivacaine theoretically offer significant clinical  advantages […]

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Uncategorized Published - 1 February, 2021    By - Dr Clemens
Higher hospitalization rates for chest pain do not lead to better outcomes

Author: Michael Walter Cardiovascular Business News Chest pain is one of the most common reasons adults in the United States visit the emergency department (ED), leading to more than 7 million patient encounters each year. Hospital admission rates for these patients varies considerably from one ED physician to the next, with some physicians admitting an especially […]

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Uncategorized Published - 29 January, 2021    By - Dr Clemens
Unexpected amaurosis occurring after peribulbar anesthesia: Exploring the causes in two cases

DG Journal Club Amina Rezkallah, Nezar Gargori et al. Eur J Ophthalmol. 2020 Dec Peribulbar anesthesia (PB) is known to be safer than retrobulbar (RB) anesthesia. To our knowledge, no amaurosis has been described after PB. We report here the cases of two patients who underwent PB before membrane peeling. The injections were administered with […]

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Uncategorized Published - 29 January, 2021    By - Dr Clemens
Restrictive Transfusion Strategy after Cardiac Surgery: Role of Central Venous Oxygen Saturation Trigger

Authors: Norddine Zeroual, M.D. et al  Anesthesiology January 2021. Background Recent guidelines on transfusion in cardiac surgery suggest that hemoglobin might not be the only criterion to trigger transfusion. Central venous oxygen saturation (Svo2), which is related to the balance between tissue oxygen delivery and consumption, may help the decision process of transfusion. We designed […]

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Uncategorized Published - 29 January, 2021    By - Dr Clemens
Researchers study what happens to your body during tailgating

This is important because my World Champion KC Chiefs play in the Super Bowl again so there will be some serious tailgating.   GO CHIEFS! AUTHOR: Elizabeth Parks, PhD, professor of nutrition and exercise physiology at the University of Missouri School of Medicine The NFL playoffs are underway, and fans are finding ways to simulate tailgating […]

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Uncategorized Published - 29 January, 2021    By - Dr Clemens
Youth who try e-cigarettes may be three times as likely to smoke regular cigarettes

Author: Shraddha Chakradher STAT morning rounds A survey of U.S. youth who were followed for four years finds that those who try e-cigarettes are three times more likely to smoke traditional cigarettes than those who don’t try the devices. The study included data from those who were between the ages of 12-24. Nearly two-thirds of this group […]

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