Month: May 2020

Uncategorized Published - 11 May, 2020    By - Dr Clemens
Do ACEIs/ARBs Affect Severity, Mortality Risk in Hospitalized COVID-19 Patients with Hypertension?

Author: Kaitlyn D’Onofrio docwirenews The effects of COVID-19 range from presenting no symptoms at all to death. As experts try to determine what patient factors may affect disease severity and mortality risk from patient to patient, a new study assessed the association between angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin receptor blockers (ARBs) and severity of […]

Read More
Uncategorized Published - 8 May, 2020    By - Dr Clemens
Ultrasound-Assisted Versus Landmark-Guided Spinal Anesthesia in Patients With Abnormal Spinal Anatomy

AUTHORS: Park, Sun-Kyung MD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 787-795 BACKGROUND:  Spinal anesthesia using a surface landmark–guided technique can be challenging in patients with anatomical alterations of the lumbar spine; however, it is unclear whether using ultrasonography can decrease the technical difficulties in these populations. […]

Read More
Uncategorized Published - 8 May, 2020    By - Dr Clemens
Practical Training of Anesthesia Clinicians in Electroencephalogram-Based Determination of Hypnotic Depth of General Anesthesia

AUTHORS: Bombardieri, Anna Maria MD, PhD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 777-786 BACKGROUND:  Electroencephalographic (EEG) brain monitoring during general anesthesia provides information on hypnotic depth. We hypothesized that anesthesia clinicians could be trained rapidly to recognize typical EEG waveforms occurring with volatile-based general anesthesia. METHODS: […]

Read More
Uncategorized Published - 8 May, 2020    By - Dr Clemens
Ultrasound-assisted molecule delivery looks to preserve blood for years

Source: American Institute of Physics. “Ultrasound-assisted molecule delivery looks to preserve blood for years.” Science Daily 21 April 2020. Summary: Blood can typically be stored for only six weeks after donation, but a potential solution attempts to dry blood by using a sugar-based preservative. New work in ultrasound technology looks to provide a path to […]

Read More
Uncategorized Published - 8 May, 2020    By - Dr Clemens
Assessment of Fluid Responsiveness in Prone Neurosurgical Patients Undergoing Protective Ventilation: Role of Dynamic Indices, Tidal Volume Challenge, and End-Expiratory Occlusion Test

AUTHORS: Messina, Antonio MD, PhD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 752-761 BACKGROUND:  In patients in the prone position, the reliability of pulse pressure variation and stroke volume variation (PPV and SVV) and the use of functional hemodynamic tests to predict fluid responsiveness have not previously […]

Read More
Uncategorized Published - 8 May, 2020    By - Dr Clemens
Fibrinogen Concentrate as an Alternative to Cryoprecipitate in a Postcardiopulmonary Transfusion Algorithm in Infants Undergoing Cardiac Surgery

AUTHORS: Downey, Laura A. MD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 740-751 BACKGROUND:  Infants undergoing cardiac surgery are at risk for bleeding and massive transfusion due to an immature coagulation system, complex surgeries, and cardiopulmonary bypass (CPB) effects. Hemodilution from CPB promotes an acquired hypofibrinogenemia that […]

Read More
Uncategorized Published - 8 May, 2020    By - Dr Clemens
Improving Smoking Cessation Outcomes Through Tailored-Risk Patient Messages at a University Hospital Tobacco Cessation Service

Authors: David Gonzales, PhD The Joint Commission VOLUME 46, ISSUE 5, P 250-260, MAY 01, 2020 Background Postdischarge follow-up is a critical step for increasing effectiveness of hospital smoking cessation treatment. A quality improvement project was undertaken at an academic medical center tobacco cessation consult service to evaluate whether a tailored message (TM) linking immediate […]

Read More
Uncategorized Published - 8 May, 2020    By - Dr Clemens
Presence of a lupus anticoagulant may explain prolonged activated partial-thromboplastin time in COVID-19

By Denise Baez DG Alerts A prolonged activated partial-thromboplastin time (aPTT) should not be a barrier to the use of anticoagulation therapies in the prevention and treatment of venous thrombosis in patients with coronavirus disease 2019 (COVID-19), according to a study published in The New England Journal of Medicine. “In our study, most patients with […]

Read More
Uncategorized Published - 7 May, 2020    By - Dr Clemens
Principal Factors Associated With Ketorolac-Refractory Pain Behavior After Pediatric Myringotomy and Pressure Equalization Tube Placement

AUTHORS: Cook-Sather, Scott D. MD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 730-739 BACKGROUND:  Prophylactic analgesic administration reduces pain behavior after pediatric bilateral myringotomy and pressure equalization tube placement (BMT). We hypothesized that postoperative pain in children treated with intraoperative ketorolac would, among several exposures of interest, […]

Read More
Uncategorized Published - 7 May, 2020    By - Dr Clemens
Prospective Investigation of the Operating Room Time-Out Process

AUTHORS: Freundlich, Robert E. MD, MS et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 725-729 BACKGROUND:  Although the surgical pause or time-out is a required part of most hospitals’ standard operating procedures, little is known about the quality of execution of the time-out in routine clinical practice. An […]

Read More