Month: September 2016

Uncategorized Published - 20 September, 2016    By - Dr Clemens
Anesthetic Considerations for the Parturient After Solid Organ Transplantation

Anesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 402–410 AUTHORS: Moaveni, Daria M. MD et al Over the past 40 years, the success of organ transplantation has increased such that female solid organ transplant recipients are able to conceive and carry pregnancies successfully to term. Anesthesiologists are faced with the […]

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Uncategorized Published - 20 September, 2016    By - Dr Clemens
The Association Between Progesterone, Estradiol, and Oxytocin and Heat Pain Measures in Pregnancy: An Observational Cohort Study

Anesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 396–401 AUTHORS: Frölich, Michael A. MD et al BACKGROUND: Hormonal action has been implicated as a possible mechanism for pregnancy-induced analgesia. Previous investigators have reported an increase in heat pain tolerance during labor compared with nonpregnant controls and postulated it was because […]

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Uncategorized Published - 20 September, 2016    By - Dr Clemens
The Effect of Early Goal-Directed Therapy on Outcome in Adult Severe Sepsis and Septic Shock Patients: A Meta-Analysis of Randomized Clinical Trials

Anesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 371–381 AUTHORS: Xu, Jing-Yuan MD et al BACKGROUND: Whether early goal-directed therapy (EGDT) improves outcome in severe sepsis and septic shock remains unclear. We performed a meta-analysis of existing clinical trials to examine whether EGDT improved outcome in the resuscitation of adult […]

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Uncategorized Published - 20 September, 2016    By - Dr Clemens
Ventilation-Induced Modulation of Pulse Oximeter Waveforms: A Method for the Assessment of Early Changes in Intravascular Volume During Spinal Fusion Surgery in Pediatric Patients

Anesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 346–356 AUTHORS: Alian, Aymen A. MD et al BACKGROUND: Scoliosis surgery is often associated with substantial blood loss, requiring fluid resuscitation and blood transfusions. In adults, dynamic preload indices have been shown to be more reliable for guiding fluid resuscitation, but these […]

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Uncategorized Published - 20 September, 2016    By - Dr Clemens
Unplanned, Postoperative Intubation in Pediatric Surgical Patients: Development and Validation of a Multivariable Prediction Model

Authors: Eric C. Cheon, M.D. et al Anesthesiology published on September 15, 2016. Background: To date, the independent predictors and outcomes of unplanned postoperative intubation (UPI) in pediatric patients after noncardiac surgery are yet to be characterized. The authors aimed to identify the incidence and predictors of this event and evaluated the effect of this event on […]

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Uncategorized Published - 19 September, 2016    By - Dr Clemens
The Effects of Fentanyl on Hepatic Mitochondrial Function

Anesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 311–325 AUTHORS: Djafarzadeh, Siamak PhD et al BACKGROUND: Remifentanil interferes with hepatic mitochondrial function. The aim of the present study was to evaluate whether hepatic mitochondrial function is affected by fentanyl, a more widely used opioid than remifentanil. METHODS: Human hepatoma HepG2 […]

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Uncategorized Published - 19 September, 2016    By - Dr Clemens
A Clinical Prediction Model for Postcardiac Surgery Atrial Fibrillation in an Asian Population

Anesthesia & Analge sia:August 2016 – Volume 123 – Issue 2 – p 283–289 AUTHORS: Zhang, Wei et al BACKGROUND: Postoperative atrial fibrillation (AF) is associated with increased morbidity, mortality, and resource utilization. Current prediction models for postoperative AF are based primarily on Western populations. In this study, we sought to develop a clinical prediction […]

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Uncategorized Published - 19 September, 2016    By - Dr Clemens
The Impact of Surgery and Stored Red Blood Cell Transfusions on Nitric Oxide Homeostasis

Anesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 274–282 AUTHORS: Nagababu, Enika PhD et al BACKGROUND: Cell-free hemoglobin (Hb) forms in stored red blood cells (RBCs) as a result of hemolysis. Studies suggest that this cell-free Hb may decrease nitric oxide (NO) bioavailability, potentially leading to endothelial dysfunction, vascular injury, […]

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Uncategorized Published - 19 September, 2016    By - Dr Clemens
Hang IV Bags From Bent ET Stylets

Endotracheal tube stylets are handy devices in many ways. They’re strong, sterile and malleable, so with a little bend, they’re great for hanging large IV bags.

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Uncategorized Published - 19 September, 2016    By - Dr Clemens
Perioperative Aspirin for Prevention of Venous Thromboembolism: The PeriOperative ISchemia Evaluation-2 Trial and a Pooled Analysis of the Randomized Trials

Authors: John W. Eikelboom, M.B.B.S. et al Anesthesiology published on September 15, 2016. Background: The PeriOperative ISchemia Evaluation-2 (POISE-2) trial compared aspirin with placebo after noncardiac surgery. Methods: The authors randomly assigned 10,010 patients undergoing noncardiac surgery to receive 200 mg aspirin or placebo 2 to 4 h before surgery and then 100 mg aspirin daily or placebo daily for up to 30 days […]

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