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Uncategorized Published - 10 November, 2020    By - Dr Clemens
Macintosh Videolaryngoscope for Intubation in the Operating Room

AUTHORS: De Jong, Audrey MD, PhD et al Anesthesia & Analgesia: July 2020 BACKGROUND: “Macintosh”-videolaryngoscopes (VLs) are VLs that allow both direct and indirect laryngoscopy for intubation. We describe the decision-making and implementation-processes that our hospital used regarding the choice of device. We compared the performances of 4 Macintosh-VLs both in direct and indirect laryngoscopy. […]

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Uncategorized Published - 10 November, 2020    By - Dr Clemens
Risk Factors for Intraoperative Hypoglycemia in Children

AUTHORS: Riegger, Lori Q. MD et al Anesthesia & Analgesia: June 2020 BACKGROUND: Intraoperative hypoglycemia can result in devastating neurologic injury if not promptly diagnosed and treated. Few studies have defined risk factors for intraoperative hypoglycemia. The authors sought to characterize children with intraoperative hypoglycemia and determine independent risk factors in a multicenter cohort. METHODS: […]

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Uncategorized Published - 10 November, 2020    By - Dr Clemens
Hypotension Prediction Index for Prevention of Hypotension during Moderate- to High-risk Noncardiac Surgery

Authors: Kamal Maheshwari, M.D., M.P.H. et al  Anesthesiology December 2020, Vol. 133, 1214–1222. Background The Hypotension Prediction Index is a commercially available algorithm, based on arterial waveform features, that predicts hypotension defined as mean arterial pressure less than 65 mmHg for at least 1 min. We therefore tested the primary hypothesis that index guidance reduces the […]

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Uncategorized Published - 10 November, 2020    By - Dr Clemens
Dexmedetomidine and Clonidine Attenuate Sevoflurane-Induced Tau Phosphorylation and Cognitive Impairment in Young Mice via α-2 Adrenergic Receptor

AUTHORS: Sun, Mingyang MD, PhD et al Anesthesia & Analgesia: November 2020 BACKGROUND: Anesthetic sevoflurane induces tau phosphorylation and cognitive impairment in young mice. The underlying mechanism and the targeted interventions remain largely unexplored. We hypothesized that dexmedetomidine and clonidine attenuated sevoflurane-induced tau phosphorylation and cognitive impairment by acting on α-2 adrenergic receptor. METHODS: Six-day-old […]

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Uncategorized Published - 10 November, 2020    By - Dr Clemens
Anesthesiologist accused of overprescribing opioids loses medical license

Author: Eric Oliver Becker’s ASC Review Anesthesiologist Pramila Byahatti, MD, lost her medical license after she allegedly overprescribed opioids without a medical basis, the STL News reports. Dr. Byahatti allegedly traveled from her Rhode Island home to her office in New Jersey weekly to prescribe large amounts of opioids to patients. During her weekly visits, she saw […]

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Uncategorized Published - 10 November, 2020    By - Dr Clemens
Study shows second wave of COVID-19 caused by virus strains with increased transmission, infectivity

Author: Denise Baez DG Alerts The second wave of coronavirus diseases 2019 (COVID-19) cases appears to be characterised by severe acute respiratory syndrome coronavirus disease 2 (SARS-CoV-2) strains with diverse genotypes, according to a study published in mBio. After sequencing the genomes of 5,085 SARS-CoV-2 strains causing 2 COVID-19 disease waves in Houston, Texas, S. […]

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Uncategorized Published - 10 November, 2020    By - Dr Clemens
Effects of State Law Limiting Postoperative Opioid Prescription in Patients After Cesarean Delivery

AUTHORS: Potnuru, Paul P. MD et al Anesthesia & Analgesia: June 2020 BACKGROUND: The impact of the Florida State law House Bill 21 (HB 21) restricting the duration of opioid prescriptions for acute pain in patients after cesarean delivery is unknown. Our objective was to assess the association of the passage of Florida State law […]

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Uncategorized Published - 9 November, 2020    By - Dr Clemens
Practice without fear

Author: Karen Sullivan Sibert, MD A penned point You may be weary of being told that our profession is facing a time of unprecedented threat – from third-party payers, from the government, from non-physician practitioners. You’ve heard it so often that your brain is tuning it out. Is the threat level exaggerated for dramatic effect? […]

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Uncategorized Published - 9 November, 2020    By - Dr Clemens
Transversus Abdominis Plane Block With Liposomal Bupivacaine for Pain After Cesarean Delivery

AUTHORS: Nedeljkovic, Srdjan S. MD et al Anesthesia & Analgesia: July 2020 BACKGROUND: In women undergoing cesarean delivery under spinal anesthesia with intrathecal morphine, transversus abdominis plane (TAP) block with bupivacaine hydrochloride (HCl) may not improve postsurgical analgesia. This lack of benefit could be related to the short duration of action of bupivacaine HCl. A […]

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Uncategorized Published - 9 November, 2020    By - Dr Clemens
The Clinical Classroom: Specific Scenarios for the Anesthesia Teacher

Author: Tony Mira SUMMARY It’s back to the chalkboard as we continue our review of the teaching rules for anesthesia providers.  In today’s article, we will focus primarily on case configuration, payment issues and documentation requirements. In today’s article, we want to address some additional rules and circumstances one must consider when it comes to […]

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