Month: October 2017

Uncategorized Published - 27 October, 2017    By - Dr Clemens
Respiratory System Mechanics During Low Versus High Positive End-Expiratory Pressure in Open Abdominal Surgery: A Substudy of PROVHILO Randomized Controlled Trial

AUTHORS: Antini, Davide MD et al Anesthesia & Analgesia: June, 2017 BACKGROUND: BACKGROUND:In the 2014 PROtective Ventilation using HIgh versus LOw positive end-expiratory pressure (PROVHILO) trial, intraoperative low tidal volume ventilation with high positive end-expiratory pressure (PEEP = 12 cm H2O) and lung recruitment maneuvers did not decrease postoperative pulmonary complications when compared to low PEEP […]

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Uncategorized Published - 27 October, 2017    By - Dr Clemens
Postpartum Tubal Sterilization: Making the Case for Urgency

AUTHORS: Richardson, Michael G. MD et al Anesthesia & Analgesia: June 2017 The parturient who requests postpartum sterilization has given consideration to and has made decisions regarding this aspect of her medical care long before her delivery. She arrives at parturition expecting the postpartum procedure to be performed as intended. The American Congress of Obstetricians and […]

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Uncategorized Published - 27 October, 2017    By - Dr Clemens
Assessment of Postoperative Analgesic Drug Efficacy: Method of Data Analysis Is Critical

AUTHORS: Andersen, Lars Peter Kloster MD, PhD et al Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 1008–1013 BACKGROUND: Pain intensity ratings and opioid consumption (OC) are ubiquitous indicators of pain in postoperative trials of the efficacy of interventional procedures. Unfortunately, consensus on the appropriate statistical handling of these outcomes has not […]

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Uncategorized Published - 27 October, 2017    By - Dr Clemens
Stroke Volume Variation–Guided Versus Central Venous Pressure–Guided Low Central Venous Pressure With Milrinone During Living Donor Hepatectomy: A Randomized Double-Blinded Clinical Trial

AUTHORS: Lee, Jiwon MD et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 423–430 BACKGROUND: We previously demonstrated the usefulness of milrinone for living donor hepatectomy. However, a less-invasive alternative to central venous catheterization and perioperative contributors to good surgical outcomes remain undetermined. The current study evaluated whether the stroke volume […]

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Uncategorized Published - 27 October, 2017    By - Dr Clemens
Intraoperative “Analgesia Nociception Index”–Guided Fentanyl Administration During Sevoflurane Anesthesia in Lumbar Discectomy and Laminectomy: A Randomized Clinical Trial

AUTHORS: Upton, Henry D. MBBS, BMedSc  et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 81–90 BACKGROUND: The “Analgesia Nociception Index” (ANI; MetroDoloris Medical Systems, Lille, France) is a proposed noninvasive guide to analgesia derived from an electrocardiogram trace. ANI is scaled from 0 to 100; with previous studies suggesting that […]

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Uncategorized Published - 26 October, 2017    By - Dr Clemens
Platelet Counts and Postoperative Stroke After Coronary Artery Bypass Grafting Surgery

AUTHORS: Karhausen, Jörn A. MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1129–1139 BACKGROUND: Declining platelet counts may reveal platelet activation and aggregation in a postoperative prothrombotic state. Therefore, we hypothesized that nadir platelet counts after on-pump coronary artery bypass grafting (CABG) surgery are associated with stroke. METHODS: We evaluated […]

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Uncategorized Published - 26 October, 2017    By - Dr Clemens
Multimodal Analgesic Therapy With Gabapentin and Its Association With Postoperative Respiratory Depression

AUTHORS: Cavalcante, Alexandre N. MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 141–146 BACKGROUND: Gabapentinoids are widely used in perioperative multimodal analgesic regimens. The primary aim of this study was to determine whether gabapentin was associated with respiratory depression during phase-I postanesthesia recovery after major laparoscopic procedures. METHODS: We retrospectively […]

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Uncategorized Published - 26 October, 2017    By - Dr Clemens
Hospital-Based Acute Care Within 7 Days of Discharge After Outpatient Arthroscopic Shoulder Surgery

AUTHORS: Liu, Jiabin MD, PhD et al Anesthesia & Analgesia: June, 2017 BACKGROUND: BACKGROUND:The rate of hospital-based acute care (defined as hospital transfer at discharge, emergency department [ED] visit, or subsequent inpatient hospital [IP] admission) after outpatient procedure is gaining momentum as a quality metric for ambulatory surgery. However, the incidence and reasons for hospital-based acute […]

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Uncategorized Published - 26 October, 2017    By - Dr Clemens
Trends in Perioperative Practice and Resource Utilization in Patients With Obstructive Sleep Apnea Undergoing Joint Arthroplasty

AUTHORS: Cozowicz, Crispiana MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 66–77 BACKGROUND: Emerging evidence associating obstructive sleep apnea (OSA) with adverse perioperative outcomes has recently heightened the level of awareness among perioperative physicians. In particular, estimates projecting the high prevalence of this condition in the surgical population highlight […]

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Uncategorized Published - 26 October, 2017    By - Dr Clemens
Epidemiologic Analysis of Elective Operative Procedures in Infants Less Than 6 Months of Age in the United States

AUTHORS: Einhorn, Lisa M. MD et al Anesthesia & Analgesia: June, 2017 BACKGROUND: BACKGROUND:This study uses publicly available data to analyze the total number of elective, potentially deferrable operative procedures involving infants <6 months of age in the United States. We investigated the factors associated with the performance of these procedures in this population. METHODS: METHODS:The […]

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