Month: January 2020

Uncategorized Published - 20 January, 2020    By - Dr Clemens
Association for Healthcare Social Media Launches

Author: Kate O’Rourke Anesthesiology News Interested in social media but not sure how best to use the platforms? There’s a society for that. The recently launched Association for Healthcare Social Media (AHSM; ahsm.org) is the first professional society devoted to the use of social media by health care professionals, and the first 501(c)(3) nonprofit organization created […]

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Uncategorized Published - 17 January, 2020    By - Dr Clemens
Risk of Major Complications After Perioperative Norepinephrine Infusion Through Peripheral Intravenous Lines

AUTHORS: Pancaro, Carlo MD et al Anesthesia & Analgesia: September 27, 2019 BACKGROUND: Continuous infusions of norepinephrine to treat perioperative hypotension are typically administered through a central venous line rather than a peripheral venous catheter to avoid the risk of localized tissue necrosis in case of drug extravasation. There is limited literature to estimate the […]

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Uncategorized Published - 17 January, 2020    By - Dr Clemens
Assessment of Coagulation by Thromboelastography During Ongoing Postpartum Hemorrhage

AUTHORS: Rigouzzo, Agnes MD et al Anesthesia & Analgesia: September 24, 2019 BACKGROUND: Rapid assessment of hemostasis during postpartum hemorrhage (PPH) is essential to allow characterization of coagulopathy, to estimate bleeding severity, and to improve outcome. Point of care (POC) coagulation monitors could be of great interest for early diagnosis and treatment of coagulation disorders in […]

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Uncategorized Published - 17 January, 2020    By - Dr Clemens
Adequacy of Preoperative Resuscitation in Laparoscopic Pyloromyotomy and Anesthetic Emergence

AUTHORS: Gilbertson, Laura E. MD et al Anesthesia & Analgesia: September 24, 2019 BACKGROUND: Pyloromyotomy is one of the most common surgical procedures performed on otherwise healthy infants. Pyloric stenosis results in a hypochloremic, hypokalemic metabolic alkalosis that is considered a medical emergency. This alkalotic state is believed to be associated with an increased incidence of […]

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Uncategorized Published - 17 January, 2020    By - Dr Clemens
Apnea and Opioids a Dangerous Mix in Acute Heart Failure

Author: Nikki Kean Anesthesiology News Urgent ICU transfers cited Many patients who are admitted to the hospital with acute heart failure (HF) have previously undiagnosed sleep-disordered breathing (SDB), according to a new study. And even when the breathing problems are detected during their hospital stay, the patients often are still given opioids, despite their potential […]

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Uncategorized Published - 17 January, 2020    By - Dr Clemens
Health care providers are unrecognized victims of mass killings. We’re doing little to support them

Author: ELIZABETH MÉTRAUX STAT JANUARY 3, 2020 The night a gunman opened fire on a crowd of 20,000 at a Las Vegas music concert, Dr. Kevin Menes was in charge of the emergency department at Sunrise Hospital. “I was pulling people five or six at a time out of patrol cars, pickup trucks, ambulances, you name it,” he […]

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Uncategorized Published - 16 January, 2020    By - Dr Clemens
Post-op Anemia Poses Significant Risks to Cardiac Patients

Author: Christina Frangou Anesthesiology News Men With Cardiac Risk Particularly Vulnerable, Study Reveals Postoperative anemia is strongly associated with serious adverse events—including myocardial infarction, acute renal failure and death—after major general and vascular operations, and the effect is especially pronounced in patients who are at high cardiac risk, according to a new study. Investigators said […]

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Uncategorized Published - 16 January, 2020    By - Dr Clemens
Sub-hypnotic dose of propofol as antiemetic prophylaxis attenuates intrathecal morphine-induced postoperative nausea and vomiting, and pruritus in parturient undergoing cesarean section

Authors: Sylvanus Kampo et al BMC Anesthesiology volume 19, Article number: 177 (2019) Background Postoperative Nausea and Vomiting (PONV) is a dreadful and uncomfortable experience that significantly detracts patients’ quality of life after surgery. This study aimed to examine the antiemetic effect of a single sub-hypnotic dose of propofol as prophylaxis for PONV. Method In this prospective, double-blind, randomized control […]

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Uncategorized Published - 16 January, 2020    By - Dr Clemens
“Redheads Need More Anesthesia” – Fact Or Fiction?

RK.md The notion that natural redheads need “more anesthesia” and/or are resistant to certain medications has been spread by the media (ie, Time Magazine and The New York Times), the scientific literature, and even seasoned anesthesiologists who (anecdotally) claim this to be true. The “basic science” behind this stems from the high prevalence of allele mutations in redheads […]

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Uncategorized Published - 16 January, 2020    By - Dr Clemens
Timing of β-Blocker Reintroduction and the Occurrence of Postoperative Atrial Fibrillation after Cardiac Surgery

Authors: Camille Couffignal, Pharm.D et al Anesthesiology 2 2020, Vol.132, 267-279. Background: For cardiac surgery patients under chronic β-blocker therapy, guidelines recommend their early postoperative reintroduction to decrease the incidence of postoperative atrial fibrillation. The authors hypothesized that the timing of β-blocker reintroduction affects their effectiveness on the incidence of postoperative atrial fibrillation. Methods: This multicenter prospective […]

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