Month: April 2017

Uncategorized Published - 26 April, 2017    By - Dr Clemens
Anaesthetic-induced cardioprotection in an experimental model of the Takotsubo syndrome – isoflurane vs. propofol

AUTHORS: Oras J, Redfors B et al Acta Anaesthesiologica Scandinavica (Jan 2017) BACKGROUND Takotsubo syndrome (TS) is an acute cardiac condition with a substantial mortality for which no specific treatment is available. We have previously shown that isoflurane attenuates the development of left ventricular (LV) dysfunction in an experimental TS-model. We compared the effects of […]

Read More
Uncategorized Published - 26 April, 2017    By - Dr Clemens
National Patient Safety Efforts Save 125,000 Lives and Nearly $28 Billion

Nationwide efforts to make health care safer are paying off, according to a report released by the Department of Health and Human Services (HHS). Thanks, in part, to provisions of the Affordable Care Act (ACA), approximately 125,000 fewer patients died due to hospital-acquired conditions (HACs), and more than $28 billion in health care costs were […]

Read More
Uncategorized Published - 26 April, 2017    By - Dr Clemens
New Guidelines Released to Improve Care of Adults With Sepsis and Septic Shock

The most important thing a health care provider can do is recognize sepsis and septic shock early and take immediate action, according to new guidelines released at the Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress. “I think it is important to recognize that sepsis and septic shock are medical emergencies,” said Andrew Rhodes, FRCP, […]

Read More
Uncategorized Published - 26 April, 2017    By - Dr Clemens
Increased Perinatal Morbidity and Mortality Among Asian American and Pacific Islander Women in the United States

AUTHORS: Siddiqui, Maryam MD et al Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 879–886 BACKGROUND: Asian American/Pacific Islanders (AAPIs) are the fastest-growing racial group in the United States. Despite a higher socioeconomic status, AAPI women experience higher rates of maternal morbidity and mortality. METHODS: Using the National Inpatient Sample, we […]

Read More
Uncategorized Published - 26 April, 2017    By - Dr Clemens
Transcutaneous Carbon Dioxide Measurements in Women Receiving Intrathecal Morphine for Cesarean Delivery: A Prospective Observational Study

AUTHORS: Bauchat, Jeanette R. MD et al Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 872–878 BACKGROUND: Neuraxial morphine is the most commonly used analgesic technique after cesarean delivery. The incidence of respiratory depression is reported to be very low (0%–1.2%) in this patient population as measured by pulse oximetry and […]

Read More
Uncategorized Published - 25 April, 2017    By - Dr Clemens
Anesthetic Outcomes of Children With Arthrogryposis Syndromes: No Evidence of Hyperthermia

AUTHORS: Gleich, Stephen J. MD et al Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 908–914 BACKGROUND: Arthrogryposis syndromes are a heterogeneous group of disorders characterized by congenital joint contractures often requiring multiple surgeries during childhood to address skeletal and visceral abnormalities. Previous reports suggest that these children have increased perioperative […]

Read More
Uncategorized Published - 25 April, 2017    By - Dr Clemens
Choice of Anesthesia for Cesarean Delivery: An Analysis of the National Anesthesia Clinical Outcomes Registry.

Authors: Juang, Jeremy MD, PhD et al Anesthesia & Analgesia published Jan 2017 Neuraxial anesthesia use in cesarean deliveries (CDs) has been rising since the 1980s, whereas general anesthesia (GA) use has been declining. In this brief report we analyzed recent obstetric anesthesia practice patterns using National Anesthesiology Clinical Outcomes Registry data. Approximately 218,285 CD […]

Read More
Uncategorized Published - 25 April, 2017    By - Dr Clemens
Yoga May Ease Pain, Up Function in Chronic Low Back Pain

Yoga may lessen pain and improve function in patients with chronic, nonspecific low back pain, a new Cochrane review suggests. However, it’s unclear whether yoga is more effective than other types of exercise, primarily because there’s so little evidence directly comparing these interventions, lead author L. Susan Wieland, assistant professor, Center for Integrative Medicine, University […]

Read More
Uncategorized Published - 25 April, 2017    By - Dr Clemens
A Predictive Model for Extended Postanesthesia Care Unit Length of Stay in Outpatient Surgeries

AUTHORS: Gabriel, Rodney A. MD et al     Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1529–1536 BACKGROUND: A predictive model that can identify patients who are at an increased risk for prolonged postanesthesia care unit (PACU) stay could help optimize resource utilization and case sequencing. Although previous studies identified some […]

Read More
Uncategorized Published - 25 April, 2017    By - Dr Clemens
The Development and Implementation of Cognitive Aids for Critical Events in Pediatric Anesthesia: The Society for Pediatric Anesthesia Critical Events Checklists

Authors: Clebone, Anna MD et al Members of the Society for Pediatric Anesthesia Quality and Safety Committee (see Acknowledgments) Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 900–907 Cognitive aids such as checklists are commonly used in modern operating rooms for routine processes, and the use of such aids may be […]

Read More