Month: July 2017

Uncategorized Published - 10 July, 2017    By - Dr Clemens
Apneic Oxygenation During Prolonged Laryngoscopy in Obese Patients: A Randomized, Controlled Trial of Buccal RAE Tube Oxygen Administration

AUTHORS: Heard, Andrew FRCA et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1162–1167 BACKGROUND: Despite optimal preoxygenation, obese patients undergoing induction of general anesthesia exhibit significant hypoxemia after 2 to 4 minutes of apnea. Apneic oxygenation techniques can assist airway management by extending the safe apnea time. We hypothesized […]

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Uncategorized Published - 10 July, 2017    By - Dr Clemens
Multicenter Study Validating Accuracy of a Continuous Respiratory Rate Measurement Derived From Pulse Oximetry: A Comparison With Capnography

AUTHORS: Bergese, Sergio D. MD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1153–1159 BACKGROUND: Intermittent measurement of respiratory rate via observation is routine in many patient care settings. This approach has several inherent limitations that diminish the clinical utility of these measurements because it is intermittent, susceptible to […]

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Uncategorized Published - 10 July, 2017    By - Dr Clemens
Systemic Lupus Erythematosus Is Associated With Increased Adverse Postoperative Renal Outcomes and Mortality: A Historical Cohort Study Using Administrative Health Data

AUTHORS: Babazade, Rovnat MD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1118–1126 BACKGROUND: Systemic lupus erythematosus (SLE) is a common autoimmune connective tissue disease that mainly harms kidneys, heart, lungs, and nervous system. Effects of surgical stimulus and anesthesia combined with SLE-related pathologies may increase morbidity and mortality. […]

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Uncategorized Published - 10 July, 2017    By - Dr Clemens
Clinical Significance of Portal Hypertension Diagnosed With Bedside Ultrasound After Cardiac Surgery

AUTHORS: Denault, André Y. MD, PhD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1109–1115 BACKGROUND: Portal venous flow pulsatility detected by Doppler ultrasound is a sign of congestive heart failure in noncritically ill patients. The assessment of portal and splenic venous flows has never been reported in patients […]

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Uncategorized Published - 7 July, 2017    By - Dr Clemens
Combined Thoracic Ultrasound Assessment during a Successful Weaning Trial Predicts Postextubation Distress

Authors: Stein Silva, M.D., Ph.D. et al Anesthesiology published on June 29, 2017. Background: Recent studies suggest that isolated sonographic assessment of the respiratory, cardiac, or neuromuscular functions in mechanically ventilated patients may assist in identifying patients at risk of postextubation distress. The aim of the present study was to prospectively investigate the value of an integrated […]

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Uncategorized Published - 7 July, 2017    By - Dr Clemens
Videolaryngoscopy versusFiber-optic Intubation through a Supraglottic Airway in Children with a Difficult Airway: An Analysis from the Multicenter Pediatric Difficult Intubation Registry

Authors: Nicholas E. Burjek, M.D. et al Anesthesiology published on June 29, 2017. Background: The success rates and related complications of various techniques for intubation in children with difficult airways remain unknown. The primary aim of this study is to compare the success rates of fiber-optic intubation via supraglottic airway to videolaryngoscopy in children with difficult airways. Our secondary […]

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Uncategorized Published - 7 July, 2017    By - Dr Clemens
Electric Stim Armband May Reduce Migraine Pain

New pilot study finds that Theranica’s electrical stimulation device, Nerivio Migra, is able to reduce migraine pain better than sham stimulation. The device is worn on the arm. Interviews with Brian Grosberg, MD, and Michael Marmura, MD Electrical stimulation has shown promise in the treatment of migraines and one device worn on the forehead, the […]

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Uncategorized Published - 7 July, 2017    By - Dr Clemens
A Prospective Study of Age-dependent Changes in Propofol-induced Electroencephalogram Oscillations in Children

Authors: Johanna M. Lee, A.B. et al Anesthesiology published on June 29, 2017. Background: In adults, frontal electroencephalogram patterns observed during propofol-induced unconsciousness consist of slow oscillations (0.1 to 1 Hz) and coherent alpha oscillations (8 to 13 Hz). Given that the nervous system undergoes significant changes during development, anesthesia-induced electroencephalogram oscillations in children may differ from […]

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Uncategorized Published - 7 July, 2017    By - Dr Clemens
Measuring Clinically Meaningful Outcomes in Chronic Pain Clinical Trials

Current recommendations for outcome measures in clinical trials for chronic pain were outlined. Standardized and clinically meaningful outcome measures in clinical trials in chronic pain may enhance efforts to develop effective treatments for chronic pain patients. Diane Flynn, MD, MPH, from Madigan Army Medical Center, outlined the current recommendations for outcome measures in clinical trials […]

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Uncategorized Published - 6 July, 2017    By - Dr Clemens
Lower Education Level Is Associated with Higher Risk for Cardiovascular Disease

Authors: Adler NE and Glymour M., JAMA Intern Med 2017 Jun 12; More than half of adults who didn’t complete high school had adverse CV events during their lifetimes. Educational attainment is associated with risk for cardiovascular disease (CVD), presumably as a marker or mediator of other traditional risk factors. To clarify the magnitude of this risk, […]

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