Month: July 2016

Uncategorized Published - 7 July, 2016    By - Dr Clemens
Surgical Cricothyrotomy, Rather than Percutaneous Cricothyrotomy, in “Cannot Intubate, Cannot Oxygenate” Situation

Author: Takashi Asai, M.D., Ph.D. Anesthesiology 8 2016, Vol.125, 269-271. CRICOTHYROTOMY (except for surgical tracheostomy) is regarded as the last resort in a situation of “cannot intubate, cannot oxygenate” after induction of general anesthesia,1–3  and thus, we should always be prepared to perform this task reliably in such a dire situation. Cricothyrotomy can be performed either surgically […]

Read More
Uncategorized Published - 7 July, 2016    By - Dr Clemens
A Population-based Study Evaluating the Association between Surgery in Early Life and Child Development at Primary School Entry

Authors: James D. O’Leary, M.D. et al Anesthetic Neurotoxicity Meets Big Data: Reasons to Be Cheerful? Anesthesiology 8 2016, Vol.125, 272-279 Background: It is unclear whether exposure to surgery in early life has long-term adverse effects on child development. The authors aimed to investigate whether surgery in early childhood is associated with adverse effects on child development […]

Read More
Uncategorized Published - 7 July, 2016    By - Dr Clemens
Perioperative Diastolic Dysfunction in Patients Undergoing Noncardiac Surgery Is an Independent Risk Factor for Cardiovascular Events: A Systematic Review and Meta-analysis

Authors: Ashraf Fayad, M.D., M.Sc., F.R.C.P.C., F.A.C.C., F.A.S.E. et al Anesthesiology 7 2016, Vol.125, 72-91. Background: The prognostic value of perioperative diastolic dysfunction (PDD) in patients undergoing noncardiac surgery remains uncertain, and the current guidelines do not recognize PDD as a perioperative risk factor. This systematic review aimed to investigate whether existing evidence supports PDD as an […]

Read More
Uncategorized Published - 7 July, 2016    By - Dr Clemens
Preliminary Intraoperative Validation of the Nociception Level Index: A Noninvasive Nociception Monitor

Authors: Ruth Edry, M.D. et al Anesthesiology 7 2016, Vol.125, 193-203. Background: The nociception level (NoL) index is an index of nociception based on nonlinear combination of heart rate, heart rate variability, photoplethysmograph wave amplitude, skin conductance, skin conductance fluctuations, and their time derivatives. The authors evaluated the abilities of the NoL index and other measures of […]

Read More
Uncategorized Published - 6 July, 2016    By - Dr Clemens
Guidelines for Imaging and Transfusion in Trauma

Authors: Glen J et al., BMJ 2016 Jun 22; 353:i3051 Early, whole-body computed tomography is emphasized; crystalloid is discouraged. Sponsoring Organization: U.K.’s National Institute for Health and Care Excellence (NICE) Target Population: Emergency physicians, surgeons, and other clinicians who care for patients with trauma Background and Objective An expert panel commissioned by the U.K.’s National Health Service reported recommendations […]

Read More
Uncategorized Published - 6 July, 2016    By - Dr Clemens
Whole Body CT for Severe Trauma Might Not Offer Survival Advantage

Authors: Wurmb TE and Bernhard M., Lancet 2016 Jun 28; There were no major outcome differences between patients randomized to immediate, whole-body computed tomography and those who underwent targeted imaging. Retrospective studies in European cohorts have raised the possibility that immediate, whole-body computed tomography (CT) can decrease mortality for patients with severe trauma (NEJM JW Emerg Med […]

Read More
Uncategorized Published - 6 July, 2016    By - Dr Clemens
Determining the Likelihood of Appendicitis: Clinical Scoring Systems vs. Gestalt

Authors: Golden SK et al., Emerg Med J 2016 Jul 33:458 Neither clinical scoring systems nor physician gestalt, alone or in combination, adequately risk stratified patients with appendicitis. Several scoring systems have been developed to risk stratify patients with suspected appendicitis. To determine how they compare with physician’s estimates of risk, researchers conducted a prospective observational study […]

Read More
Uncategorized Published - 6 July, 2016    By - Dr Clemens
Perioperative Visual Loss in Spine Fusion Surgery: Ischemic Optic Neuropathy in the United States from 1998 to 2012 in the Nationwide Inpatient Sample

Authors: Daniel S. Rubin, M.D. et al Anesthesiology p ublished on 6 2016 Background: Perioperative ischemic optic neuropathy (ION) causes visual loss in spinal fusion. Previous case–control studies are limited by study size and lack of a random sample. The purpose of this study was to study trends in ION incidence in spinal fusion and risk factors […]

Read More
Uncategorized Published - 6 July, 2016    By - Dr Clemens
Methodologic Considerations for Collecting Patient-reported Outcomes from Unselected Surgical Patients

Authors: Daniel L. Helsten, M.D. et al Anesthesiology published on 06 2016. Background: The impact of surgery on health is only appreciated long after hospital discharge. Furthermore, patients’ perceptions of postoperative health are not routinely ascertained. The authors instituted the Systematic Assessment and Targeted Improvement of Services Following Yearlong Surgical Outcomes Surveys (SATISFY-SOS) registry to evaluate patients’ […]

Read More
Uncategorized Published - 5 July, 2016    By - Dr Clemens
Aortic Valve Replacement: Meta-Analysis Finds No Mortality Difference Between TAVI and SAVR

Authors: Gargiulo G et al., Ann Intern Med 2016 Jun 7; The mortality comparisons had wide confidence intervals, however, signaling inconclusive results. Transcatheter aortic valve implantation (TAVI) is a better option than medical therapy for people with severe aortic stenosis who cannot undergo surgical aortic valve replacement (SAVR). However, there are some conflicting results regarding whether TAVI […]

Read More