Month: May 2019

Uncategorized Published - 13 May, 2019    By - Dr Clemens
Peri-op Hypotension Associated With Post-op Delirium in Critically Ill

Author: Chase Doyle Anesthesiology News Perioperative hypotension may be associated with postoperative delirium in critical care patients, according to a new study, underscoring the risks of low blood pressure in the perioperative setting. This retrospective analysis of more than 900 patients admitted directly to the surgical ICU from the OR showed that intraoperative hypotension was […]

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Uncategorized Published - 13 May, 2019    By - Dr Clemens
GPOs Work Alongside Anesthesiologists and Hospitals to Help Address Critical Drug Shortages

Anesthesiology News Letter to the Editor Todd Ebert, RPh Anesthesiology News published a commentary by John G. Brock-Utne, MD, PhD (2018;44[12]:5,7), which maintained that the blame for current drug shortages should go to group purchasing organizations (GPOs). That commentary elicited the following letter in support of GPOs. Ongoing prescription drug shortages continue to be a public health […]

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Uncategorized Published - 13 May, 2019    By - Dr Clemens
Drink five cups of coffee today

I thought this was interesting so I wanted to share it. Bill Murphy Jr. Contributing Editor Inc.com Good morning, Perhaps you’re reading this with your phone in one hand and a cup of coffee in the other, or while heading out from work to meet a colleague for coffee. If that’s the case, new research has some […]

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Uncategorized Published - 13 May, 2019    By - Dr Clemens
Primary Care Appointment Times Affect Cancer Screening Rates and Completion

By Joe Elia Edited by Susan Sadoughi, MD, and André Sofair, MD, MPH Physicians’ rates of ordering cancer screenings (and patients’ rates of completing them) fall dramatically as the day wears on, a JAMA Network Open study finds. Researchers examined the scheduled times of over 50,000 primary-care visits by patients who were due for breast or colorectal screening. The […]

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Uncategorized Published - 13 May, 2019    By - Dr Clemens
Drone delivers kidney for transplant at U of Maryland

I thought this was very interesting so wanted to share. Author: Jackie Drees An unmanned aircraft system transported a donor kidney for the first time to Baltimore-based University of Maryland Medical Center for a transplantation surgery. The drone flew 2.8 miles from a location in southwest Baltimore April 19 to deliver the donor organ, which came […]

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Uncategorized Published - 11 May, 2019    By - Dr Clemens
Surgical approach and the impact of epidural analgesia on survival after esophagectomy for cancer: A population-based retrospective cohort study

Authors: Kenneth C. Cummings III et al  PLOS ONE Jan 2019 Background Esophagectomy for esophageal cancer carries high morbidity and mortality, particularly in older patients. Transthoracic esophagectomy allows formal lymphadenectomy, but leads to greater perioperative morbidity and pain than transhiatal esophagectomy. Epidural analgesia may attenuate the stress response and be less immunosuppressive than opioids, potentially […]

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Uncategorized Published - 10 May, 2019    By - Dr Clemens
The Effects of Postoperative Residual Neuromuscular Blockade on Hospital Costs and Intensive Care Unit Admission

AUTHORS: Grabitz, Stephanie D., MD et al Anesthesia & Analgesia: January 8, 2019 BACKGROUND: Postoperative residual neuromuscular blockade continues to be a frequent occurrence with a reported incidence rate of up to 64%. However, the effect of postoperative residual neuromuscular blockade on health care utilization remains unclear. We conducted a retrospective cohort study to investigate the effects […]

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Uncategorized Published - 10 May, 2019    By - Dr Clemens
Comparing Nasal End-Tidal Carbon Dioxide Measurement Variation and Agreement While Delivering Pulsed and Continuous Flow Oxygen in Volunteers and Patients

AUTHORS: Burk, Kyle M., MS et al Anesthesia & Analgesia: January 8, 2019  BACKGROUND: Supplemental oxygen is administered during procedural sedation to prevent hypoxemia. Continuous flow oxygen, the most widespread method, is generally adequate but distorts capnography. Pulsed flow oxygen is novel and ideally will not distort capnography. We have developed a prototype oxygen administration system designed […]

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Uncategorized Published - 10 May, 2019    By - Dr Clemens
Conditions for laryngeal mask airway placement in terms of oropharyngeal leak pressure: a comparison between blind insertion and laryngoscope-guided insertion

Authors: Go Wun Kim et al BMC Anesthesiology 2019 19:4 Background Insertion under laryngoscopic guidance has been used to achieve ideal positioning of the laryngeal mask airway (LMA). However, to date, the efficacy of this technique has been evaluated only using fiberoptic evaluation, and the results have been conflicting. Other reliable tests to evaluate the […]

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Uncategorized Published - 10 May, 2019    By - Dr Clemens
Safety of 80% vs 30–35% fraction of inspired oxygen in patients undergoing surgery: a systematic review and meta-analysis

Authors: Katharina Mattishent et al British Journal of Anesthesia March 2019 Volume 122, Issue 3, Pages 311–324 Background Evidence-based guidelines from the World Health Organization (WHO) have recommended a high (80%) fraction of inspired oxygen (FiO2) to reduce surgical site infection in adult surgical patients undergoing general anaesthesia with tracheal intubation. However, there is ongoing debate […]

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