Month: July 2017

Uncategorized Published - 6 July, 2017    By - Dr Clemens
How Stable Are Patients with Moderate Aortic Stenosis and Left Ventricular Dysfunction?

Authors: WJ., J Am Coll Cardiol 2017 May 16; 69:2393 A high rate of adverse events prompts the question of whether earlier intervention would improve outcomes. The authors of this international, four-site study examined longitudinal outcomes data on 305 patients (mean age, 73; 75% men) who were identified on baseline echocardiograms with moderate aortic stenosis (AS; defined […]

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Uncategorized Published - 6 July, 2017    By - Dr Clemens
Evaluation of Nitrous Oxide in the Gas Mixture for Anesthesia II (ENIGMA II) Revisited: Patients Still Vomiting

Authors: Edmond C. K. Li, M.D. et al Anesthesiology 7 2017, Vol.127, 204-205. To the Editor: We read the secondary analysis of the Evaluation of Nitrous Oxide in the Gas Mixture for Anesthesia II (ENIGMA II) trial for severe postoperative nausea and vomiting (PONV) with great interest.1 Because PONV remains an often-cited risk in using nitrous oxide,2 the […]

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Uncategorized Published - 6 July, 2017    By - Dr Clemens
Low-Dose Aspirin Beginning Early in Pregnancy Helps Prevent Preterm Preeclampsia

Use of low-dose aspirin lowers the risk for preeclampsia among women determined to be at high risk during first-trimester screening, according to a study presented at a meeting of the Fetal Medicine Foundation and published in the New England Journal of Medicine. Over 1700 high-risk women with singleton pregnancies were randomized to receive 150-mg aspirin or […]

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Uncategorized Published - 6 July, 2017    By - Dr Clemens
Adding Antibiotics to Incision-and-Drainage of Small Skin Abscesses Helps

In small, uncomplicated skin abscesses, the addition of antibiotics to usual treatment improves short-term outcomes, a New England Journal of Medicine study finds. In a multicenter trial, researchers randomized almost 800 adults and children with single skin abscesses to one of three regimens after incision and drainage: clindamycin, trimethoprim-sulfamethoxazole (TMP-SMX), or placebo. Treatments were prescribed for 10 […]

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Uncategorized Published - 5 July, 2017    By - Dr Clemens
Accounting for Planned Postoperative Intubation

Authors: Thomas M. Austin, M.D. et al Anesthesiology 7 2017, Vol.127, 195-196. To the Editor: We read with interest the article by Bulka et al.1  regarding the use of intraoperative nondepolarizing muscle relaxants (NDMRs) and their association with postoperative pneumonia. We commend them for increasing knowledge in an area that is exceedingly important. In this article, postoperative pneumonia […]

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Uncategorized Published - 5 July, 2017    By - Dr Clemens
Perioperative Steroid Management: Approaches Based on Current Evidence

Authors: Melanie M. Liu, M.D. et al Anesthesiology 7 2017, Vol.127, 166-172. CHRONIC steroid therapy is a cornerstone treatment for many common conditions, including inflammatory bowel disease, rheumatologic disease, reactive airway disease, and immunosuppression for transplant recipients. Patients on chronic steroid therapy may develop secondary adrenal insufficiency that can manifest as full-blown adrenal crisis in the […]

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Uncategorized Published - 5 July, 2017    By - Dr Clemens
Calculating Ideal Body Weight: Keep It Simple

Authors: Olivier Moreault, M.D. et al Anesthesiology 7 2017, Vol.127, 203-204. To the Editor: We read with much interest the editorial on protective ventilation by Hedenstierna and Edmark in the December issue of Anesthesiology.1  We agree with most of the ideas put forward. However, as thoracic anesthesiologists, we strongly believe in the importance, during one-lung ventilation, of […]

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Uncategorized Published - 5 July, 2017    By - Dr Clemens
Apneic Intubation: Video Laryngoscopy Lacks the Continuous Ventilation Offered by Other Airway Management Techniques

Authors: Seth T. Herway, M.D. et al Anesthesiology 7 2017, Vol.127, 201-202. To the Editor: The article by Aziz et al.1  significantly contributes toward understanding the response of anesthesiologists to failed intubation attempts with conventional direct laryngoscopy. We are concerned, however, that one unwise message that may be drawn from this paper is that video laryngoscopy is the sine […]

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Uncategorized Published - 5 July, 2017    By - Dr Clemens
Assessing Success of Rescue Intubation Techniques after Failed Direct Laryngoscopy

Authors: Fu-Shan Xue, M.D. et al     Anesthesiology 7 2017, Vol.127, 198-200. To the Editor: In a multicentered, observational study comparing the success rate of commonly used rescue intubation techniques after a failed direct laryngoscopy, Aziz et al.1  showed that video laryngoscopy was associated with a higher success rate of rescue intubation and was more commonly used than […]

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Uncategorized Published - 4 July, 2017    By - Dr Clemens
Happy Fourth of July

We hope our readers have a fabulous Independent Day and celebrate the greatest country ever with your friends, family and loved ones.

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