Month: April 2020

Uncategorized Published - 20 April, 2020    By - Dr Clemens
NIH Funds Program Aimed at Anesthesiology Drug Diversion

Author: Bob Kronemyer Anesthesiology News The National Institutes of Health (NIH) has made additional funds available to Invistics Corp., based in Atlanta, to make its software even more effective at detecting drug diversion in anesthesiology. The company received its first NIH grant, a little more than $1 million, in 2017. The supplemental amount received last […]

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Uncategorized Published - 17 April, 2020    By - Dr Clemens
A Comparison of Spinal Anesthesia Versus Monitored Anesthesia Care With Local Anesthesia in Minimally Invasive Fetal Surgery

AUTHORS: Ferschl, Marla B. MD et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 409-415 BACKGROUND:  Minimally invasive fetal surgery is commonly performed to treat twin-to-twin transfusion syndrome with selective fetoscopic laser photocoagulation and twin-reversed arterial perfusion sequence using radiofrequency ablation. Although an increasing number of centers worldwide are […]

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Uncategorized Published - 17 April, 2020    By - Dr Clemens
Body Position Alters Mechanical Power and Respiratory Mechanics During Thoracic Surgery

AUTHORS: Chiumello, Davide MD et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 391-401 BACKGROUND:  During thoracic surgery, patients are usually positioned in lateral decubitus and only the dependent lung ventilated. The ventilated lung is thus exposed to the weight of the contralateral hemithorax and restriction of the dependent […]

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Uncategorized Published - 17 April, 2020    By - Dr Clemens
Aviation-Style Computerized Surgical Safety Checklist Displayed on a Large Screen and Operated by the Anesthesia Provider Improves Checklist Performance

AUTHORS: Jelacic, Srdjan MD, FASE et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 382-390 BACKGROUND:  Many hospitals have implemented surgical safety checklists based on the World Health Organization surgical safety checklist, which was associated with improved outcomes. However, the execution of the checklists is frequently incomplete. We reasoned […]

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Uncategorized Published - 17 April, 2020    By - Dr Clemens
Ketamine Administration During Hospitalization Is Not Associated With Posttraumatic Stress Disorder Outcomes in Military Combat Casualties

AUTHORS: Highland, Krista B. PhD et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 402-408 BACKGROUND:  Ketamine is routinely used within the context of combat casualty care. Despite early concerns that ketamine administration may be associated with elevated risk of posttraumatic stress disorder (PTSD), more recent evidence suggests no […]

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

AUTHORS: Rigouzzo, Agnes MD et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 416-425 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 […]

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Uncategorized Published - 17 April, 2020    By - Dr Clemens
Innovation Hackathon Wants to Reinvent the Ventilator Right Away

Author: Michael Vleesides Anesthesiology News The Challenge Has Already Started With the COVID-19 crisis yet to peak around the world and supplies of mechanical ventilators steadily growing shorter in some locations, a group of enterprising anesthesiologists from Massachusetts General Hospital is trying to make a difference. Their CoVent-19 Challenge is calling upon engineers, innovators, designers […]

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Uncategorized Published - 17 April, 2020    By - Dr Clemens
FDA reports more shortages of drugs used to put COVID-19 patients on ventilators

Increasing demand for sedatives used to help put COVID-19 patients onto ventilators means the US Food and Drug Administration (FDA) added two more – this time the injectables propofol and dexmedetomidine – to its list of drug shortages. The propofol shortage was also previously listed by the American Society for Health-System Pharmacists (ASHP) earlier this month, with […]

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Uncategorized Published - 16 April, 2020    By - Dr Clemens
Estimating the Impact of Carbon Dioxide Absorbent Performance Differences on Absorbent Cost During Low-Flow Anesthesia

AUTHORS: Feldman, Jeffrey M. MD, MSE et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 374-381 BACKGROUND:  Reducing fresh gas flow when using a circle anesthesia circuit is the most effective strategy for reducing both inhaled anesthetic vapor cost and waste. As fresh gas flow is reduced, the amount […]

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Uncategorized Published - 16 April, 2020    By - Dr Clemens
Effect of Sugammadex on Postoperative Myasthenic Crisis in Myasthenia Gravis Patients

AUTHORS: Mouri, Hideyuki MD et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 367-373 BACKGROUND:  In myasthenia gravis (MG) patients, postoperative myasthenic crisis, and residual neuromuscular blocking agent (NMBA) can cause respiratory failure that requires mechanical ventilation. However, it remains unclear whether the use of sugammadex for NMBA reversal […]

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