Month: December 2019

Uncategorized Published - 16 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 […]

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Uncategorized Published - 13 December, 2019    By - Dr Clemens
How Do Common Comorbidities Modify the Association of Frailty With Survival After Elective Noncardiac Surgery?

AUTHORS: Hui, Yin MD et al Anesthesia & Analgesia: December 2019 – Volume 129 – Issue 6 – p 1699-1706 BACKGROUND: Older people with frailty have decreased postoperative survival. Understanding how comorbidities modify the association between frailty and survival could improve risk stratification and guide development of interventions. Therefore, we evaluated whether the concurrent presence of […]

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Uncategorized Published - 13 December, 2019    By - Dr Clemens
Intraoperative Awareness With Recall

AUTHORS: Bombardieri, Anna Maria MD, PhD et al Anesthesia & Analgesia: November 2019 – Volume 129 – Issue 5 – p 1291-1297 BACKGROUND: Unintended intraoperative awareness with recall (AWR) is a potential complication of general anesthesia. Patients typically report recollections of (1) hearing sounds or conversations, (2) being unable to breathe or move, (3), feeling pain, […]

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Uncategorized Published - 13 December, 2019    By - Dr Clemens
A Novel 3-Dimensional Approach for the Echocardiographic Evaluation of Mitral Valve Area After Repair for Degenerative Disease

AUTHORS: Karamnov, Sergey MD et al Anesthesia & Analgesia: August 2019 BACKGROUND: Currently available 2-dimensional (2D) echocardiographic methods for accurately assessing the mitral valve orifice area (MVA) after mitral valve repair (MVr) are limited due to its complex 3-dimensional (3D) geometry. We compared repaired MVAs obtained with commonly used 2D and 3D echocardiographic methods to a 3D […]

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Uncategorized Published - 13 December, 2019    By - Dr Clemens
Scoring Systems to Detect Severe OSA Compared

Author: Michael Vlessides Anesthesiology News A modified STOP-Bang algorithm designed specifically to detect severe cases of obstructive sleep apnea (OSA) does not seem to offer significant improvement over the questionnaire’s original approach, Belgian researchers have concluded. The investigators also found that the DES-OSA score is the best of the commonly used OSA scales when it […]

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Uncategorized Published - 13 December, 2019    By - Dr Clemens
10 Common Pediatric Airway Problems—And Their Solutions

Author: Christine E. Whitten, MD Anesthesiology News 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 […]

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Uncategorized Published - 13 December, 2019    By - Dr Clemens
Anxiety, Depression Linked to More Opioid Use After Surgery

A study published in the Annals of Surgery could help clinicians mitigate that risk by identifying which patients are more likely to continue to use opioids after their immediate recovery period. “There is not much research on which surgical patients require more or less opioids, despite a push in the field for personalised medicine,” said Daniel Larach, […]

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Uncategorized Published - 12 December, 2019    By - Dr Clemens
Ipsilateral hemidiaphragmatic paresis after a supraclavicular and costoclavicular brachial plexus block

Authors: Sivashanmugam T et al European Journal of Anaesthesiology (Aug 2019) BACKGROUND The costoclavicular brachial plexus block (BPB) produces faster onset of sensory motor blockade than the lateral sagittal approach. However, the incidence of phrenic nerve palsy (PNP) after a costoclavicular BPB is not known. OBJECTIVES The current study compared the incidence of ipsilateral hemidiaphragmatic […]

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Uncategorized Published - 12 December, 2019    By - Dr Clemens
LeHeR, a simple novel approach for difficult airway in non-trauma patients

Authors: Yezid N et al BMJ Case Reports 12 (8), (Aug 2019) Managing the difficult airway presents a great challenge to anaesthesiologists and emergency physicians. Although there are many methods and scoring systems available to predict and anticipate difficult airway, the dictum in emergency airway is to always expect the unexpected. We have encountered a […]

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Uncategorized Published - 12 December, 2019    By - Dr Clemens
Virtual Reality during Pediatric Vascular Access

Authors: Tomas J. Caruso et al Pediatric Anesthesia November 2019 Background Vascular access is a minor procedure that is associated with reported pain and fear in pediatric patients, often resulting in procedural incompliance. Virtual reality has been shown to be effective in adult populations for reducing pain and anxiety in various medical settings, although large […]

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