Month: December 2019

Uncategorized Published - 6 December, 2019    By - Dr Clemens
Cuff Leaks in the ICU: Etiologies, Management and Complications

Anesthesiology News Authors: Sagar Patel, DO et al Anesthesia providers are often confronted with the management of a “cuff leak” in mechanically ventilated patients in the OR and ICU.1 Certainly, the advantage of the OR environment is that the patient is in a relatively more controlled setting, monitored by health care providers (HCPs) who are familiar […]

Read More
Uncategorized Published - 6 December, 2019    By - Dr Clemens
Nearly All Types of Menopausal Hormone Therapy Tied to Higher Breast Cancer Risk

Author: Amy Orciari Herman Edited by William E. Chavey, MD, MS All types of menopausal hormone therapy (HT), except vaginal estrogen, are associated with increased breast cancer risk, according to a large meta-analysis in the Lancet. Researchers examined prospective data on over 100,000 postmenopausal women who developed breast cancer. Among the other findings: Excess risk for breast […]

Read More
Uncategorized Published - 5 December, 2019    By - Dr Clemens
Invasive Respiratory or Vasopressor Support and/or Death as a Proposed Composite Outcome Measure for Perioperative Care Research

AUTHORS: Mizota, Toshiyuki MD, PhD et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 679-685 BACKGROUND: There is a need for a clinically relevant and feasible outcome measure to facilitate clinical studies in perioperative care medicine. This large-scale retrospective cohort study proposed a novel composite outcome measure comprising invasive respiratory […]

Read More
Uncategorized Published - 5 December, 2019    By - Dr Clemens
Transport of Critically Ill Patients by the Anesthesia Versus the Intensive Care Unit Service: A Before–After Study of Operating Room Workflows

AUTHORS: Dupont, Frank W. MD et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 671-678 BACKGROUND: We implemented a new policy at our institution where the responsibility for intensive care unit (ICU) patient transports to the operating room (OR) was changed from the anesthesia to the ICU service. We hypothesized […]

Read More
Uncategorized Published - 5 December, 2019    By - Dr Clemens
Coagulation Factor Levels and Underlying Thrombin Generation Patterns in Adult Extracorporeal Membrane Oxygenation Patients

AUTHORS: Mazzeffi, Michael MD, MPH, MSc et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 659-666 BACKGROUND: There is a paucity of data on the underlying procoagulant–anticoagulant balance during extracorporeal membrane oxygenation (ECMO). We hypothesized that adult ECMO patients would have an imbalance between procoagulant and anticoagulant factors, leading to […]

Read More
Uncategorized Published - 5 December, 2019    By - Dr Clemens
Grade 3 Echocardiographic Diastolic Dysfunction Is Associated With Increased Risk of Major Adverse Cardiovascular Events After Surgery

AUTHORS: Zhou, Yan MD, PhD et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 651-658 BACKGROUND: Diastolic dysfunction is common and may increase the risk of cardiovascular complications. This study investigated the hypothesis that, in patients with isolated left ventricular diastolic dysfunction, higher grade diastolic dysfunction was associated with greater […]

Read More
Uncategorized Published - 5 December, 2019    By - Dr Clemens
Homing in on Optimal Compression Rate and Depth for CPR

 Authors: Duval S et al.  JAMA Cardiol 2019 Aug 14 Compression at a rate of 86 to 129 per minute and depth of 3.8 to 5.6 cm was associated with higher survival to discharge. Adult cardiac arrest guidelines recommend delivery of chest compressions at a rate of 100 to 120 per minute and a depth of […]

Read More
Uncategorized Published - 4 December, 2019    By - Dr Clemens
Targeted Use of Alcohol-Based Hand Rub on Gloves During Task Dense Periods: One Step Closer to Pathogen Containment by Anesthesia Providers in the Operating Room

AUTHORS: Birnbach, David J. MD, MPH et al Anesthesia & Analgesia: December 2019 – Volume 129 – Issue 6 – p 1557-1560 BACKGROUND: Anesthesia providers’ hand hygiene practices in the operating room may contribute to the transmission of bacteria. There is a debate, however, over the best approaches for pathogen containment during task dense periods (induction […]

Read More
Uncategorized Published - 4 December, 2019    By - Dr Clemens
10 Common Pediatric Airway Problems—And Their Solutions

Anesthesiology News Author: Christine E. Whitten, MD Dr. Whitten is the author of “Anyone Can Intubate: A Step–by–Step Guide to Intubation and Airway Management” and “Pediatric Airway Management: A Step–by–Step Guide,” both from Mooncat Publications. She also blogs about airway management at AirwayJedi.com, and has created instructional DVDs on the topic. She reported no other relevant financial […]

Read More
Uncategorized Published - 4 December, 2019    By - Dr Clemens
Intraoperative Transfusion Targets: Avoiding the Extremes

AUTHORS: Hensley, Nadia B. MD et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 642-643 Blood transfusion can save lives when patients need it, but only increases risks and costs when they do not. In the operating room, our job is not only to decide who needs a transfusion, but […]

Read More