Month: October 2019

Uncategorized Published - 31 October, 2019    By - Dr Clemens
Cardiac Structure and Function in Morbidly Obese Parturients: An Echocardiographic Study

AUTHORS: Buddeberg, Bigna S. MD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 444-449 BACKGROUND: The increasing prevalence of obesity worldwide is a major threat to global health. Cardiac structural and functional changes are well documented for obesity as well as for pregnancy, but there is limited literature on […]

Read More
Uncategorized Published - 31 October, 2019    By - Dr Clemens
Electronic Audit and Feedback With Positive Rewards Improve Anesthesia Provider Compliance With a Barcode-Based Drug Safety System

AUTHORS: Bowdle, T. Andrew MD, PhD, FASE et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 418-425 BACKGROUND: We implemented a previously described barcode-based drug safety system in all of our anesthetizing locations. Providers were instructed to scan the barcode on syringes using our Anesthesia Information Management System before drug administration, […]

Read More
Uncategorized Published - 31 October, 2019    By - Dr Clemens
Oxygen Reserve Index: Validation of a New Variable

AUTHORS: Vos, Jaap Jan MD, PhD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 409-415 BACKGROUND: Pulse oximetry–derived oxygen saturation is typically >97% in normoxia and hyperoxia, limiting its clinical use. The new Oxygen Reserve Index (ORi), a relative indicator of the partial pressure of oxygen dissolved in arterial […]

Read More
Uncategorized Published - 31 October, 2019    By - Dr Clemens
Comparison of 7 Different Sensors for Detecting Low Respiratory Rates Using a Single Breath Detection Algorithm in Nonintubated, Sedated Volunteers

AUTHORS: Ermer, Sean BS et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 399-408 BACKGROUND: Numerous technologies are used to monitor respiratory rates in nonintubated patients. No technology has emerged as the standard. The primary aim of this study was to assess the limits of agreement between a reference sensor […]

Read More
Uncategorized Published - 31 October, 2019    By - Dr Clemens
Randomized Trial Comparing Early and Late Administration of Rocuronium Before and After Checking Mask Ventilation in Patients With Normal Airways

AUTHORS: Min, Se-Hee MD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 380-386 BACKGROUND: During induction of general anesthesia, it is common practice to delay neuromuscular blockade until the ability to deliver mask ventilation has been confirmed. However, the benefits of this approach have never been scientifically validated. We […]

Read More
Uncategorized Published - 31 October, 2019    By - Dr Clemens
Women and men at risk of different obesity-related conditions

I thought on Halloween this was the perfect day to share this with our readers. Medical News Today New evidence from a large dataset suggests that, while obesity increases health risks for everyone, women and men with obesity are predisposed to different obesity-related conditions. Obesity is one of the most common health conditions among populations around […]

Read More
Uncategorized Published - 30 October, 2019    By - Dr Clemens
Outcomes and Safety Among Patients With Obstructive Sleep Apnea Undergoing Cancer Surgery Procedures in a Freestanding Ambulatory Surgical Facility

AUTHORS: Szeto, Betsy MPH et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 360-368 BACKGROUND: Patients with obstructive sleep apnea (OSA) may be at increased risk for serious perioperative complications. The suitability of ambulatory surgery for patients with OSA remains controversial, and several national guidelines call for more evidence that […]

Read More
Uncategorized Published - 30 October, 2019    By - Dr Clemens
Postoperative Myocardial Injury in Middle-Aged and Elderly Patients Following Curative Resection of Esophageal Cancer With Aggressive or Standard Body Temperature Management

AUTHORS: Zhang, Zuojing MM et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 352-359 BACKGROUND: Risk of intraoperative hypothermia is relatively high in middle-aged and elderly patients undergoing curative resection of esophageal cancer, which may cause myocardial ischemia during the early postoperative period. The objective of this study was to compare […]

Read More
Uncategorized Published - 30 October, 2019    By - Dr Clemens
Prohemostatic Activity of Factor X in Combination With Activated Factor VII in Dilutional Coagulopathy

AUTHORS: Takeshita, Shusuke MD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 339-345 BACKGROUND: Recombinant activated factor VII (rFVIIa) concentrate reduces allogeneic blood transfusions, but it may increase thromboembolic complications in complex cardiac surgery. The mixture of activated factor VII (FVIIa) and factor X (FX) (FVIIa/FX) (FVIIa:FX = 1:10) […]

Read More
Uncategorized Published - 30 October, 2019    By - Dr Clemens
Anticoagulation Management and Heparin Resistance During Cardiopulmonary Bypass: A Survey of Society of Cardiovascular Anesthesiologists Members

Authors: Sniecinski, Roman M. MD, MSc et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p e41-e44 We surveyed Society of Cardiovascular Anesthesiologists members regarding anticoagulation practices for cardiopulmonary bypass and attitudes on heparin resistance. Of 550 respondents (18.5% response rate), 74.9% (95% CI, 71.3%–78.5%) used empiric weight-based dosing of heparin, […]

Read More