Month: October 2020

Uncategorized Published - 12 October, 2020    By - Dr Clemens
Postoperative Critical Events Associated With Obstructive Sleep Apnea: Results From the Society of Anesthesia and Sleep Medicine Obstructive Sleep Apnea Registry

AUTHORS: Bolden, Norman MD et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1032-1041 BACKGROUND:  Obstructive sleep apnea (OSA) patients are at increased risk for pulmonary and cardiovascular complications; perioperative mortality risk is unclear. This report analyzes cases submitted to the OSA Death and Near Miss Registry, focusing on […]

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Uncategorized Published - 12 October, 2020    By - Dr Clemens
Using Dynamic Variables to Guide Perioperative Fluid Management

Author: Azriel Perel, M.D. Anesthesiology October 2020, Vol. 133, 929–935. Intravenous fluid administration is an integral part of patient management during anesthesia. This practice has a strong clinical rationale since a decrease in blood volume, either present before or developing during surgery, is a major cause of morbidity and mortality. In order to preempt the risk […]

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Uncategorized Published - 12 October, 2020    By - Dr Clemens
Preoperative Acupuncture Reduces Pain And Opioids Need For Veterans

By Dr. Kamal Kant Medical Dialogues Veterans who have acupuncture before surgery report less pain and need far fewer opioids to manage their discomfort, according to a randomized, controlled study being presented at the ANESTHESIOLOGY® 2020 annual meeting. Veterans who received acupuncture also reported they were more satisfied with their pain control than those who […]

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Uncategorized Published - 12 October, 2020    By - Dr Clemens
Technological Assessment and Objective Evaluation of Minimally Invasive and Noninvasive Cardiac Output Monitoring Systems

Authors: Bernd Saugel, M.D. et al  Anesthesiology October 2020, Vol. 133, 921–928. Cardiac output (CO) is a main determinant of oxygen delivery. Maintenance of adequate CO is thus a mainstay of hemodynamic management in perioperative and intensive care medicine. Methods to measure CO can be classified as invasive, minimally invasive, or noninvasive methods (fig. 1).1  While invasive […]

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Uncategorized Published - 12 October, 2020    By - Dr Clemens
Workers With Health Insurance Face Rising Out-of-Pocket Costs

By Reed Abelson New York Times A new survey from the Kaiser Family Foundation shows annual premiums for a family now top $21,000, and deductibles have more than doubled since 2010. The high cost of health care is persisting during the pandemic, even for people lucky enough to still have job-based insurance. The average annual cost […]

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Uncategorized Published - 9 October, 2020    By - Dr Clemens
Postoperative Hypotension after Noncardiac Surgery and the Association with Myocardial Injury

Authors: Victor G. B. Liem, M.D., M.Sc. et al  Anesthesiology September 2020, Vol. 133, 510–522. Background Intraoperative hypotension has been associated with postoperative morbidity and early mortality. Postoperative hypotension, however, has been less studied. This study examines postoperative hypotension, hypothesizing that both the degree of hypotension severity and longer durations would be associated with myocardial injury. […]

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Uncategorized Published - 9 October, 2020    By - Dr Clemens
The Effect of High-Flow Nasal Oxygen on Carbon Dioxide Accumulation in Apneic or Spontaneously Breathing Adults During Airway Surgery

Authors: Booth, Anton W. G. FANZCA et al Anesthesia & Analgesia: June 30, 2020 BACKGROUND: High-flow nasal oxygen (HFNO) is an emerging technology that has generated interest in tubeless anesthesia for airway surgery. HFNO has been shown to maintain oxygenation and CO2 clearance in spontaneously breathing patients and is an effective approach to apneic oxygenation. Although it […]

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Uncategorized Published - 9 October, 2020    By - Dr Clemens
Study shows patients with Parkinson’s disease, COVID-19 have a high mortality risk

By Denise Baez DG Alerts A study of almost 80,000 adults with coronavirus disease 2019 (COVID-19) showed that people with Parkinson’s disease have a 30% higher risk of dying from the virus compared with people without Parkinson’s. The results, published in Movement Disorders, come from an analysis of the TriNetX COVID-19 research network — a health […]

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Uncategorized Published - 9 October, 2020    By - Dr Clemens
All the pros—and cons—of convalescent plasma therapy for COVID-19

Author: Claire Maldarelli Popular Science The treatment has been around for about a century, and hasn’t really gotten any better with age. Since coronavirus cases started to climb back in March, scientists have been struggling to identify drugs and other therapies that can treat COVID-19, the disease caused by the novel virus. Unlike many bacterial invaders that […]

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Uncategorized Published - 9 October, 2020    By - Dr Clemens
Nasal calcium rich salts show reduction of exhaled aerosol particles up to 99%

EurekAlert In a paper published in Molecular Frontiers Journal, researchers from Cambridge, Massachusetts have discovered a more effective way of eliminating airborne particles from airways using nasal calcium-rich salts called FEND, which have potential applications in the fight against Covid-19. Sensory Cloud, creators of FEND and a Boston-based technology startup that designs solutions to problems of human wellbeing […]

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