Month: May 2017

Uncategorized Published - 9 May, 2017    By - Dr Clemens
A Prospective Study of Chronic Pain after Thoracic Surgery

Authors: Emine Ozgur Bayman, Ph.D. et al Anesthesiology 5 2017, Vol.126, 938-951. Background: The goal of this study was to detect the predictors of chronic pain at 6 months after thoracic surgery from a comprehensive evaluation of demographic, psychosocial, and surgical factors. Methods: Thoracic surgery patients were enrolled 1 week before surgery and followed up 6 months postsurgery […]

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Uncategorized Published - 8 May, 2017    By - Dr Clemens
Ischemic Optic Neuropathy in Cardiac Surgery: Incidence and Risk Factors in the United States from the National Inpatient Sample 1998 to 2013

Authors: Daniel S. Rubin, M.D. et al Anesthesiology 5 2017, Vol.126, 810-821. Background: Ischemic optic neuropathy is the most common form of perioperative visual loss, with highest incidence in cardiac and spinal fusion surgery. To date, potential risk factors have been identified in cardiac surgery by only small, single-institution studies. To determine the preoperative risk factors for […]

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Uncategorized Published - 8 May, 2017    By - Dr Clemens
Nebulization of Antiinfective Agents in Invasively Mechanically Ventilated Adults: A Systematic Review and Meta-analysis

Authors: Candela Solé-Lleonart, M.D. et al Anesthesiology 5 2017, Vol.126, 890-908. Background: Nebulization of antiinfective agents is a common but unstandardized practice in critically ill patients. Methods: A systematic review of 1,435 studies was performed in adults receiving invasive mechanical ventilation. Two different administration strategies (adjunctive and substitute) were considered clinically relevant. Inclusion was restricted to studies using […]

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Uncategorized Published - 8 May, 2017    By - Dr Clemens
Causes and Characteristics of Death in Intensive Care Units: A Prospective Multicenter Study

Authors: Jean-Christophe Orban, M.D., Ph.D. et al Anesthesiology 5 2017, Vol.126, 882-889 Background: Different modes of death are described in selected populations, but few data report the characteristics of death in a general intensive care unit population. This study analyzed the causes and characteristics of death of critically ill patients and compared anticipated death patients to unexpected […]

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Uncategorized Published - 8 May, 2017    By - Dr Clemens
Clinical Effectiveness and Safety of Intraoperative Methadone in Patients Undergoing Posterior Spinal Fusion Surgery: A Randomized, Double-blinded, Controlled Trial

Authors: Glenn S. Murphy, M.D. et al Anesthesiology 5 2017, Vol.126, 822-833. Background: Patients undergoing spinal fusion surgery often experience severe pain during the first three postoperative days. The aim of this parallel-group randomized trial was to assess the effect of the long-duration opioid methadone on postoperative analgesic requirements, pain scores, and patient satisfaction after complex spine […]

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Uncategorized Published - 8 May, 2017    By - Dr Clemens
Lack of Association between Preoperative Statin Use and Respiratory and Neurologic Complications after Cardiac Surgery

Authors: Ryu Komatsu, M.D. et al Anesthesiology 5 2017, Vol.126, 799-809. Background: Statins may reduce the risk of pulmonary and neurologic complications after cardiac surgery. Methods: The authors acquired data for adults who had coronary artery bypass graft, valve surgery, or combined procedures. The authors matched patients who took statins preoperatively to patients who did not. First, the […]

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Uncategorized Published - 5 May, 2017    By - Dr Clemens
Malignant Hypercompliance

Author: Kirk Hogan, M.D., J.D. Anesthesiology 5 2017, Vol.126, 759-762. AT the University of Wisconsin, Madison, Wisconsin, in the 1970s, a circulating nurse was designated to maintain a list of all malignant hyperthermia (MH) family surnames taped to the inside of the swinging doors to the operating suite to be cross-checked by everyone responsible for preoperatively […]

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Uncategorized Published - 5 May, 2017    By - Dr Clemens
Searching for the Optimal Pain Management Technique after Knee Arthroplasty: Analgesia Is Just the Tip of the Iceberg

Authors: Brian M. Ilfeld, M.D., M.S. et al Anesthesiology 5 2017, Vol.126, 768-770. TOTAL knee arthroplasty (TKA) is among the most common and painful surgical procedures, with more than 700,000 performed annually within the United States alone. Due to the difficulty of providing adequate pain relief, practitioners have proposed and evaluated a plethora of analgesic techniques. […]

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Uncategorized Published - 5 May, 2017    By - Dr Clemens
The Devil Is in the Detail: Remote Ischemic Preconditioning for Perioperative Kidney Protection

Authors: Felix Kork, M.D., M.Sc. et al Anesthesiology 5 2017, Vol.126, 763-765. ACUTE kidney injury (AKI) is a leading postoperative complication and is associated with higher mortality and higher morbidity.1  Even minor postoperative creatinine increases below AKI criteria are associated with adverse outcome in both noncardiac surgery2  and cardiac surgery patients.3  Hence, a method for the effective prevention of […]

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Uncategorized Published - 5 May, 2017    By - Dr Clemens
A Case Report From the Anesthesia Incident Reporting System

ASA Monitor 04 2017, Vol.81, 40-42. 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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