Month: February 2018

Uncategorized Published - 26 February, 2018    By - Dr Clemens
Pupillary Reflex for Evaluation of Thoracic Paravertebral Block: A Prospective Observational Feasibility Study

AUTHORS: Duceau, Baptiste MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1342–1347 BACKGROUND: Although thoracic paravertebral block (TPVB) is recommended in major breast surgery, there is no gold standard to assess the success of TPVB. Pupillary dilation reflex (PDR) is the variation of the pupillary diameter after a noxious […]

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Uncategorized Published - 26 February, 2018    By - Dr Clemens
Mortality, Geriatric, and Nongeriatric Surgical Risk Factors Among the Eldest Old: A Prospective Observational Study

AUTHORS: Pelavski, Andres D. MD, PhD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1329–1336 BACKGROUND: Preoperative risk and postoperative outcomes among the elderly are the subject of extensive debate. However, the eldest old, that is, the fastest-growing and most vulnerable group, are insufficiently studied; even their mortality rate is […]

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Uncategorized Published - 26 February, 2018    By - Dr Clemens
Red Blood Cell Transfusion and Surgical Site Infection After Colon Resection Surgery: A Cohort Study

AUTHORS: Mazzeffi, Michael MD, MPH, MSc et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1316–1321 BACKGROUND: Surgical site infections (SSIs) after colon surgery remain a critical safety issue. Patients with an SSI have an increased risk of death, prolonged hospitalization, and increased costs of care. Red blood cell (RBC) transfusion […]

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Uncategorized Published - 26 February, 2018    By - Dr Clemens
Low End-Tidal Carbon Dioxide at the Onset of Emergent Trauma Surgery Is Associated With Nonsurvival: A Case Series

AUTHORS: Dudaryk, Roman MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1261–1266 BACKGROUND: End-tidal carbon dioxide (EtCO2) is a valuable marker of the return of adequate circulation after cardiac arrest due to medical causes. Previously, the prognostic value of capnography in trauma has been studied among limited populations in […]

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Uncategorized Published - 26 February, 2018    By - Dr Clemens
Anthem Calls On Eye Surgeons To Monitor Anesthesia During Cataract Surgery

By Michelle Andrews KHN contributing columnist Michelle Andrews writes the series Insuring Your Health, which explores health care coverage and costs. If you need cataract surgery, your eye surgeon may have to do double duty as your anesthetist under a new policy by health insurer Anthem. In a clinical guideline released this month, the company said it’s not medically […]

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Uncategorized Published - 23 February, 2018    By - Dr Clemens
Stroke Volume Variation and Pulse Pressure Variation Are Not Useful for Predicting Fluid Responsiveness in Thoracic Surgery

AUTHORS: Jeong, Dae Myoung MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1158–1165 BACKGROUND: Stroke volume variation (SVV) and pulse pressure variation (PPV) are used as indicators of fluid responsiveness, but little is known about the usefulness of these dynamic preload indicators in thoracic surgery, which involves an open […]

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Uncategorized Published - 23 February, 2018    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 - 23 February, 2018    By - Dr Clemens
Xenon as an Adjuvant to Propofol Anesthesia in Patients Undergoing Off-Pump Coronary Artery Bypass Graft Surgery: A Pragmatic Randomized Controlled Clinical Trial

AUTHORS: Al tmimi, Layth MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1118–1128 BACKGROUND: Xenon was shown to cause less hemodynamic instability and reduce vasopressor needs during off-pump coronary artery bypass (OPCAB) surgery when compared with conventionally used anesthetics. As xenon exerts its organ protective properties even in subanesthetic […]

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Uncategorized Published - 23 February, 2018    By - Dr Clemens
Postoperative High-Sensitivity Troponin and Its Association With 30-Day and 12-Month, All-Cause Mortality in Patients Undergoing On-Pump Cardiac Surgery

AUTHORS: Mauermann, Eckhard MD, MSc et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1110–1117 BACKGROUND: Troponin T is a predictor of cardiac morbidity and mortality after cardiac surgery with most data examining fourth generational troponin T assays. We hypothesize that postoperative high-sensitivity troponin T (hsTnT) measured in increments of the […]

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Uncategorized Published - 23 February, 2018    By - Dr Clemens
ICD-11 is on its way — 8 insights for the May release

Written by Angie Stewart  WHO has published a beta draft of the ICD-11 that includes new chapters and changes to code structures, according to ICD10 Monitor. Here are eight insights: With up to 13 dimensions, the ICD-11 is designed as an EHR-compatible database. It will link with the Systematized Nomenclature of Medicine — Clinical Terms, which is currently […]

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