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Uncategorized Published - 2 January, 2019    By - Dr Clemens
A Case Report From the Anesthesia Incident Reporting System

ASA Monitor 12 2018, Vol.82, 58-59. Review of unusual patient care experiences is a cornerstone of medical education. Each month, the AQI-AIRS Steering Committee abstracts a patient history submitted to the Anesthesia Incident Reporting System (AIRS) and authors a discussion of the safety and human factors challenges involved. Real-life case histories often include multiple clinical decisions, […]

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Uncategorized Published - 1 January, 2019    By - Dr Clemens
HAPPY NEW YEARS

We wish our readers and their loved ones a great and happy 2019!

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Uncategorized Published - 31 December, 2018    By - Dr Clemens
CPT® Codes Change Annually — Here’s How to Stay Updated to Ensure You Get Paid

Each year, Current Procedural Terminology (CPT) codes are added, revised and deleted. These code changes affect your daily practice, and staying abreast of these changes is critical. ASA closely monitors these revisions and updates coding resources each year by releasing new iterations of Relative Value Guide® (RVG™) and CROSSWALK®. ASA’s Director of Payment and Practice Management, Sharon […]

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Uncategorized Published - 31 December, 2018    By - Dr Clemens
Surgery to remove wisdom teeth puts some teens and young adults on a path to opioid abuse

Author:  Mellisa Healy LA Times Dec 04, 2018  Teens and young adults who are prescribed opioids for dental procedures may be at increased risk for subsequent opioid use and abuse, a new study suggests. For older teens and young adults, the extraction of so-called wisdom teeth is a painful rite of passage. A new study […]

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Uncategorized Published - 31 December, 2018    By - Dr Clemens
The Economics of a Cardiac Anesthesiologist

Authors: Christopher A. Troianos, M.D., FASE ASA Monitor 12 2018, Vol.82, 46-47. Concurrently serving as the president of the Society of Cardiovascular Anesthesiologists (SCA) and chair of the ASA Committee on Economics, has afforded me the opportunity to view the economic value of cardiothoracic anesthesiologists through a unique perspective. Medical advancements have allowed patients to live longer […]

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Uncategorized Published - 31 December, 2018    By - Dr Clemens
Fentanyl is the deadliest drug in America, CDC confirms

Fentanyl is now the most commonly used drug involved in drug overdoses, according to a new government report. The latest numbers from the US Centers for Disease Control and Prevention’s National Center for Health Statistics say that the rate of drug overdoses involving the synthetic opioid skyrocketed by about 113% each year from 2013 through 2016. The […]

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Uncategorized Published - 31 December, 2018    By - Dr Clemens
Locum Tenens 101: What You Need to Know

Authors: Lisa E. Weiss, M.D. et al  ASA Monitor 12 2018, Vol.82, 38-40. Locum tenens, derived from the Latin phrase “to hold the place of,” usually refers to doctors who contract with a company to provide medical services for a limited period of time. Since its beginnings in the 1970s, the locum tenens industry has grown to […]

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Uncategorized Published - 28 December, 2018    By - Dr Clemens
ACE question: In a cardiopulmonary bypass circuit, blood drains from the right side of the heart into the venous drainage reservoir. Blood leaving the reservoir next encounters which component of the heart–lung machine?

(A) The aortic cannula (B) The cardiopulmonary bypass pump (C) The oxygenator (D) The cardioplegia delivery pump For a patient who is on full cardiopulmonary bypass (CPB), systemic venous blood flows from the vena cavae into the venous drainage cannulas, and then flows into the CPB venous reservoir. Blood is drawn from the CPB venous […]

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Uncategorized Published - 28 December, 2018    By - Dr Clemens
Get a Grip! How to Cope Without Letting Go

Authors: Karishma Patel Bhangare, M.D. et al  ASA Monitor 12 2018, Vol.82, 8-10. “Beep, beep, beep.” The alarm sounds at 5:15 a.m. You shower, get ready, grab a packed lunch and run to the car. It better not be later than 5:45 a.m., otherwise you will not make it to the hospital in time. Before turning on […]

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Uncategorized Published - 28 December, 2018    By - Dr Clemens
Early Resumption of β Blockers Is Associated with Decreased Atrial Fibrillation after Noncardiothoracic and Nonvascular Surgery: A Cohort Analysis

Authors: Ashish K. Khanna, M.D., F.C.C.P., F.C.C.M. et al  Anesthesiology 12 2018, Vol.129, 1101-1110. What We Already Know about This Topic: Use of beta (β) blockers in the perioperative period is associated with reduced incidence of postoperative atrial fibrillation In chronic β-blocker users, optimal timing for β-blocker resumption in the postoperative setting is unclear What This […]

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