Month: May 2017

Uncategorized Published - 15 May, 2017    By - Dr Clemens
Epidemiology of Cardiac Arrest During Hospitalization for Delivery in Canada: A Nationwide Study

AUTHORS: Balki, Mrinalini MBBS, MD et al Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 890–897 BACKGROUND: Cardiac arrest in pregnancy is a rare and devastating condition with high mortality and morbidity. The objective of this study was to generate information about maternal cardiac arrest in Canada by examining the frequency, […]

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Uncategorized Published - 12 May, 2017    By - Dr Clemens
A New Pediatric Sedation State Scale

Authors: Cravero JP et al., Pediatrics 2017 May 139:e20162897 This easy-to-learn 6-point scale was developed to assess the quality or “state” of sedation experienced by children undergoing procedural sedation. Investigators developed a simple scale to evaluate quality — as opposed to depth — of sedation experienced by pediatric patients undergoing any type of sedation (pharmacologic or nonpharmacologic) […]

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Uncategorized Published - 12 May, 2017    By - Dr Clemens
Diffuse Apneic Oxygenation Benefits Respiratory Physiology During Prolonged Apnea

Authors: West JR et al., Am J Emerg Med 2017 Apr 2; In patients undergoing endotracheal intubation who had apnea for >60 seconds, DAO correlated with increased pH and decreased PaCO2. Diffuse apneic oxygenation (DAO) uses high-flow nasal cannula oxygen during laryngoscopy for endotracheal intubation. This approach is believed to flush CO2 from the lungs and to improve respiratory […]

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Uncategorized Published - 12 May, 2017    By - Dr Clemens
A Systematic Review and Meta-analysis Examining the Impact of Incident Postoperative Delirium on Mortality

Authors: Gavin M. Hamilton, M.D., M.Sc. et al Anesthesiology published on May 4, 2017 Background: Delirium is an acute and reversible geriatric syndrome that represents a decompensation of cerebral function. Delirium is associated with adverse postoperative outcomes, but controversy exists regarding whether delirium is an independent predictor of mortality. Thus, we assessed the association between incident postoperative […]

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Uncategorized Published - 12 May, 2017    By - Dr Clemens
Frequency and Type of Situational Awareness Errors Contributing to Death and Brain Damage: A Closed Claims Analysis

Authors: Christian M. Schulz, M.D. et al Anesthesiology Newly Published on May 4, 2017. Background: Situational awareness errors may play an important role in the genesis of patient harm. The authors examined closed anesthesia malpractice claims for death or brain damage to determine the frequency and type of situational awareness errors. Methods: Surgical and procedural anesthesia death and […]

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Uncategorized Published - 12 May, 2017    By - Dr Clemens
Goal-directed Fluid Therapy Does Not Reduce Primary Postoperative Ileus after Elective Laparoscopic Colorectal Surgery: A Randomized Controlled Trial

Authors: Juan C. Gómez-Izquierdo, M.D. et al      Anesthesiology Newly Published on May 4, 2017. Background: Inadequate perioperative fluid therapy impairs gastrointestinal function. Studies primarily evaluating the impact of goal-directed fluid therapy on primary postoperative ileus are missing. The objective of this study was to determine whether goal-directed fluid therapy reduces the incidence of primary postoperative ileus […]

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Uncategorized Published - 11 May, 2017    By - Dr Clemens
Neurophysiologic Correlates of Ketamine Sedation and Anesthesia: A High-density Electroencephalography Study in Healthy Volunteers

Authors: Phillip E. Vlisides, M.D. et al Anesthesiology published on May 11, 2017. Background: Previous studies have demonstrated inconsistent neurophysiologic effects of ketamine, although discrepant findings might relate to differences in doses studied, brain regions analyzed, coadministration of other anesthetic medications, and resolution of the electroencephalograph. The objective of this study was to characterize the dose-dependent effects […]

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Uncategorized Published - 11 May, 2017    By - Dr Clemens
Validation of Innovative Techniques for Monitoring Nociception during General Anesthesia: A Clinical Study Using Tetanic and Intracutaneous Electrical Stimulation

Authors: Sandra Funcke, M.D. et al Anesthesiology published on May 11, 2017. doi:10.1097/ALN.0000000000001670 Background: This study compares the analgesic indices Analgesia Nociception Index (heart rate variability), Surgical Pleth Index (photoplethysmography), and pupillary dilatation, to heart rate, mean arterial pressure, and bispectral index, with regard to diagnostic accuracy and prediction probability for nociceptive response. The primary endpoint was […]

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Uncategorized Published - 11 May, 2017    By - Dr Clemens
Epidural Neostigmine versus Fentanyl to Decrease Bupivacaine Use in Patient-controlled Epidural Analgesia during Labor: A Randomized, Double-blind, Controlled Study

Authors: Jessica L. Booth, M.D. et al Anesthesiology published on May 11, 2017 Background: The addition of opioids to epidural local anesthetic reduces local anesthetic consumption by 20% but at the expense of side effects and time spent for regulatory compliance paperwork. Epidural neostigmine also reduces local anesthetic use. The authors hypothesized that epidural bupivacaine with neostigmine […]

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Uncategorized Published - 11 May, 2017    By - Dr Clemens
Meta-Analysis: Just a Week of NSAID Use Tied to Increased Heart Attack Risk

Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM Use of nonsteroidal anti-inflammatory drugs (NSAIDs) for even 1 week is associated with increased risk for myocardial infarction, a meta-analysis in The BMJ finds. Using individual patient data from four studies from healthcare databases, researchers identified over 61,000 cases of acute MI and 385,000 controls […]

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