Month: January 2020

Uncategorized Published - 8 January, 2020    By - Dr Clemens
Anesthesia Type Is Not Associated With Postoperative Complications in the Care of Patients With Lower Extremity Traumatic Fractures

AUTHORS: Brovman, Ethan Y. MD et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 1034-1042 BACKGROUND:  Lower extremity fracture fixation is commonplace and represents the majority of orthopedic trauma surgical volume. Despite this, few studies have examined the use of regional anesthesia or neuraxial anesthesia (RA/NA) versus general anesthesia […]

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Uncategorized Published - 8 January, 2020    By - Dr Clemens
Comparison of Standard and Enhanced Pulse Oximeter Auditory Displays of Oxygen Saturation: A Laboratory Study With Clinician and Nonclinician Participants

AUTHORS: Paterson, Estrella BPsySc(Hons) et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 997-1004 BACKGROUND:  When engaged in visually demanding tasks, anesthesiologists depend on the auditory display of the pulse oximeter (PO) to provide information about patients’ oxygen saturation (Spo2). Current auditory displays are not always effective at providing […]

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Uncategorized Published - 8 January, 2020    By - Dr Clemens
Diabetes During Pregnancy Tied to Early-Onset CVD in Offspring

This has nothing to do with anesthesia however I wanted to share with our readers. By Amy Orciari Herman Edited by André Sofair, MD, MPH, and William E. Chavey, MD, MS In utero exposure to maternal diabetes is associated with increased risk for cardiovascular disease in early adulthood, according to a study in The BMJ. Using Danish health […]

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Uncategorized Published - 8 January, 2020    By - Dr Clemens
Red Blood Cell Transfusion in Pediatric Orthotopic Liver Transplantation: What a Difference a Few Decades Make

AUTHORS: Tran, Lieu T. MD et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 1087-1092 BACKGROUND:  Liver transplantation in children is often associated with coagulopathy and significant blood loss. Available data are limited. In this observational retrospective study, we assessed transfusion practices in pediatric patients undergoing liver transplantation at […]

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Uncategorized Published - 7 January, 2020    By - Dr Clemens
Factors Affecting Patient Satisfaction With Their Anesthesiologist: An Analysis of 51,676 Surveys From a Large Multihospital Practice

AUTHORS: Pozdayakova, Anastasia BS et alAnesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 951-959 BACKGROUND: An increasing focus of health care quality is the assessment of patient-reported outcomes, including satisfaction. Because anesthesia care occurs in the context of perioperative surgical care, direct associations between anesthetic management and patient experience may […]

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Uncategorized Published - 7 January, 2020    By - Dr Clemens
Prospective External Validation of the Pediatric Risk Assessment Score in Predicting Perioperative Mortality in Children Undergoing Noncardiac Surgery

AUTHORS: Valencia, Eleonore MD et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 1014-1020 BACKGROUND:  Early identification of children at high risk for perioperative mortality could lead to improved outcomes; however, there is a lack of well-validated risk prediction tools. The Pediatric Risk Assessment (PRAm) score is a new […]

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Uncategorized Published - 7 January, 2020    By - Dr Clemens
Population Pharmacokinetics of Intraperitoneal Bupivacaine Using Manual Bolus Atomization Versus Micropump Nebulization and Morphine Requirements in Young Children

AUTHORS: Meier, Petra M. MD et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 963-972 BACKGROUND:  Intraperitoneal (IP) administration of local anesthetics is used in adults and children for postoperative analgesia after laparoscopic surgery. Population pharmacokinetics (PK) of IP bupivacaine has not been determined in children. Objectives of this […]

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Uncategorized Published - 7 January, 2020    By - Dr Clemens
Perioperative Dextrose Infusion and Postoperative Nausea and Vomiting

AUTHORS: Zorrilla-Vaca, Andres BS et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 943-950 BACKGROUND:  Perioperative IV dextrose infusions have been investigated for their potential to reduce the risk of postoperative nausea and vomiting. In this meta-analysis, we investigated the use of an intraoperative or postoperative infusion of dextrose […]

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Uncategorized Published - 7 January, 2020    By - Dr Clemens
1-Minute Smoking Cessation Intervention Improves Quit Rates

This has nothing to do with anesthesia however I wanted to share with our readers. By Kelly Young Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD A very brief smoking cessation intervention delivered in emergency departments conferred a higher quit rate than a control program, according to a JAMA Internal Medicine study. Nearly 1600 Chinese […]

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Uncategorized Published - 6 January, 2020    By - Dr Clemens
Music, soft voices during surgery may reduce postoperative opioid use

Author: Erin Michael Healio Playing recordings of soft music or soothing words through earphones when patients are under general anesthesia could help them reduce the need for opioids after surgery, according to a study published in BMJ. “Anesthesia is usually considered a state of no sensations, yet several observations suggest that the central auditory pathway stays […]

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