Month: December 2019

Uncategorized Published - 17 December, 2019    By - Dr Clemens
Dedicated IV for Packed Red Blood Cells Found Unnecessary

Author: Michael Vlessides Anesthesiology News Common hospital policies that mandate the administration of packed red blood cells (PRBCs) through a dedicated IV catheter may be overly cautious, according to the results of a new study. These policies assume detrimental effects on erythrocyte integrity when crystalloids and certain medications are coadministered. Researchers at the University of […]

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Uncategorized Published - 17 December, 2019    By - Dr Clemens
Rural Airway Management: A Case of Severe Angioedema in a Small Community Hospital

Authors: Yvon F. Bryan, MD and  Kathleen N. Johnson, BS Introduction Angioedema is a rare condition that results in localized swelling of subcutaneous or submucosal tissue in the oral cavity.1,2 Patients suffering from angioedema may require airway management depending on the degrees of severity and swelling.3 There are different airway management strategies to treat this condition, from […]

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Uncategorized Published - 17 December, 2019    By - Dr Clemens
Supplemental Intraoperative Oxygen Does Not Promote Acute Kidney Injury or Cardiovascular Complications After Noncardiac Surgery

AUTHORS: Ruetzler, Kurt MD et al Anesthesia & Analgesia: September 2019 BACKGROUND: Perioperative hyperoxia has been recommended by the World Health Organization and the Centers for Disease Control and Prevention for the prevention of surgical site infections. Based on animal studies and physiological concerns, the kidneys and heart may be at risk from hyperoxia. We therefore conducted […]

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Uncategorized Published - 17 December, 2019    By - Dr Clemens
Quality of Recovery After Breast Surgery

A Multicenter Randomized Clinical Trial Comparing Pectoral Nerves Interfascial Plane (Pectoral Nerves II) Block With Surgical Infiltration AUTHORS: Barrington, Michael J. PhD et al Anesthesia & Analgesia: September 2019 BACKGROUND: Pectoral nerves (PECS II) block is a popular regional analgesia technique for breast surgery. PECS II block or local infiltration by surgeon may improve outcomes including […]

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Uncategorized Published - 17 December, 2019    By - Dr Clemens
Intravenous Lidocaine for the Prevention of Postoperative Catheter-Related Bladder Discomfort in Male Patients Undergoing Transurethral Resection of Bladder Tumors

AUTHORS: Kim, Doo-Hwan MD et al Anesthesia & Analgesia: September 2019 BACKGROUND: Male patients undergoing transurethral resection of bladder tumors (TURBT) are prone to suffer from catheter-related bladder discomfort (CRBD). Lidocaine administration has been widely performed to reduce postoperative pain. Here, the effect of intravenous lidocaine administration on moderate-to-severe CRBD was evaluated in male patients undergoing TURBT. […]

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Uncategorized Published - 16 December, 2019    By - Dr Clemens
Variable versus fixed-rate infusion of phenylephrine during cesarean delivery

Authors: Ahmed Hasanin et al BMC Anesthesiology volume 19, Article number: 197 (2019) Background Phenylephrine is the most commonly used vasopressor for prophylaxis against maternal hypotension during cesarean delivery; however, the best regimen for its administration is not well established. Although variable infusion protocols had been suggested for phenylephrine infusion, evidence-based evaluation of variable infusion regimens are lacking. The aim […]

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Uncategorized Published - 16 December, 2019    By - Dr Clemens
New Airway Keeps Jaw Protruded, Tongue in Place

Author: Michael Vlessides Anesthesiology News Oral airways, which are used around the world an estimated 350 million times annually and often in challenging situations, are a ubiquitous part of anesthesia practice. Yet as a retired professor from the Emory University School of Medicine explained, current airways have drawbacks as they are not designed to hold […]

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Uncategorized Published - 16 December, 2019    By - Dr Clemens
Anesthetic Management of Post-Thyroidectomy Complications

Anesthesiology News The Frost Series #352 Written by: Michael Goldenberg Case Presentation A 49-year-old, 95-kg man presented for a total thyroidectomy and radical neck dissection due to a cancerous goiter. His medical history was significant for hypertension treated with beta-blockers, and type 2 diabetes mellitus. General anesthesia was induced with fentanyl, propofol, and succinylcholine. Endotracheal […]

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Uncategorized Published - 16 December, 2019    By - Dr Clemens
Unplanned or Accidental Extubation in the Perioperative Environment

Author: Lauren Berkow, MD, FASA  Anesthesiology News Introduction Endotracheal intubation and extubation are procedures routinely performed by anesthesiologists and intensive care physicians. The majority of the time, extubation is a planned event. Even when planned, the rate of complications related to extubation have been reported in the literature to be as high as 12%.1,2 Incidents of […]

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Uncategorized Published - 16 December, 2019    By - Dr Clemens
Elevated Troponin May Not Be Useful for Post–Cardiac Arrest Decision Making

Authors: Agusala V et al. Resuscitation 2019 Aug Even at very high levels, neither initial nor peak troponin predicted left ventricular dysfunction, ischemic etiology of cardiac arrest, or survival. Guidelines recommend early coronary angiography for survivors of cardiac arrest, but identifying the patients who may benefit most, or not at all, is challenging. Although troponin is […]

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