Month: May 2021

Uncategorized Published - 25 May, 2021    By - Dr Clemens
Efficacy of different infusion rates of oxytocin for maintaining uterine tone during elective caesarean section

DG Journal Club Medha Mohta, Rohit B Chowdhury et al. Anaesth Intensive Care. 2021 May Most research in this field has focused on finding oxytocin doses for initiating uterine contractions. Only limited data are available regarding the optimal rate of oxytocin infusion to maintain adequate uterine tone. This randomised, double blind study included 120 healthy […]

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Uncategorized Published - 24 May, 2021    By - Dr Clemens
Postoperative Hematocrit and Adverse Outcomes in Pediatric Cardiac Surgery Patients

AUTHORS: Long, Justin B. MD et al Anesthesia & Analgesia: March 15, 2021 BACKGROUND: We sought to examine potential associations between pediatric postcardiac surgical hematocrit values and postoperative complications or mortality. METHODS: A retrospective, cross-sectional study from the Society of Thoracic Surgeons Congenital Heart Surgery Database (STS-CHSD) and Congenital Cardiac Anesthesia Society Database Module (2014–2019) was […]

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Uncategorized Published - 24 May, 2021    By - Dr Clemens
Midazolam Premedication Immediately Before Surgery Is Not Associated With Early Postoperative Delirium

AUTHORS: Wang, Man-Ling MD et al Anesthesia & Analgesia: March 15, 2021 BACKGROUND: Postoperative delirium is common among older surgical patients and may be associated with anesthetic management during the perioperative period. The aim of this study is to assess whether intravenous midazolam, a short-acting benzodiazepine used frequently as premedication, increased the incidence of postoperative delirium. […]

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Uncategorized Published - 24 May, 2021    By - Dr Clemens
Association of Gestational Age with Postpartum Hemorrhage

Authors: Alexander J. Butwick, M.B.B.S., F.R.C.A., M.S. et al Anesthesiology June 2021, Vol. 134, 874–886. Background Risk factors for postpartum hemorrhage, such as chorioamnionitis and multiple gestation, have been identified in previous epidemiologic studies. However, existing data describing the association between gestational age at delivery and postpartum hemorrhage are conflicting. The aim of this study was […]

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Uncategorized Published - 24 May, 2021    By - Dr Clemens
Postoperative Pulmonary Complications’ Association with Sugammadex versus Neostigmine

Authors: Gen Li, M.Stat et al  Anesthesiology June 2021, Vol. 134, 862–873. Background Postoperative residual neuromuscular blockade related to nondepolarizing neuromuscular blocking agents may be associated with pulmonary complications. In this study, the authors sought to determine whether sugammadex was associated with a lower risk of postoperative pulmonary complications in comparison with neostigmine. Methods Adult patients […]

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Uncategorized Published - 24 May, 2021    By - Dr Clemens
Point-of-Care Lung Ultrasound Pattern in Healthy Parturients: Prevalence of Pulmonary Interstitial Syndrome Following Vaginal Delivery, Elective and Unplanned Intrapartum Cesarean Delivery

AUTHORS: Macias, Paul MD, MS, RD et al Anesthesia & Analgesia: March 15, 2021 BACKGROUND: Pregnancy-related cardiovascular physiologic changes increase the likelihood of pulmonary edema, with the risk of fluid extravasating into the pulmonary interstitium being potentially at a maximum during the early postpartum period. Data on the impact of labor and peripartum hemodynamic strain on […]

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Uncategorized Published - 21 May, 2021    By - Dr Clemens
Association Between Cerebral Desaturation and Postoperative Delirium in Thoracotomy With One-Lung Ventilation

AUTHORS: Cui, Fan MD et al Anesthesia & Analgesia: March 15, 2021 BACKGROUND: The association between cerebral desaturation and postoperative delirium in thoracotomy with one-lung ventilation (OLV) has not been specifically studied. METHODS: A prospective observational study performed in thoracic surgical patients. Cerebral tissue oxygen saturation (Scto2) was monitored on the left and right foreheads using […]

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Uncategorized Published - 21 May, 2021    By - Dr Clemens
Unanticipated Consequences of Switching to Sugammadex

AUTHORS: Dwan, Robyn L. DO et al Anesthesia & Analgesia: March 8, 2021 BACKGROUND: Sugammadex binds progesterone with high affinity and may interfere with hormonal contraceptive effectiveness. The clinical, economical, and ethical implications of unintended pregnancy should prompt anesthesiologists to actively consider and manage this pharmacologic interaction. We surveyed anesthesiology providers at our institution about knowledge […]

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Uncategorized Published - 21 May, 2021    By - Dr Clemens
Postoperative Hypotension and Adverse Clinical Outcomes in Patients Without Intraoperative Hypotension, After Noncardiac Surgery

AUTHORS: Khanna, Ashish K. MD, FCCP, FCCM et al Anesthesia & Analgesia: May 2021 – Volume 132 – Issue 5 – p 1410-1420 BACKGROUND:  Postoperative hypotension (POH) is associated with major adverse events. However, little is known about the association of blood pressure thresholds and outcomes in postoperative patients without intraoperative hypotension (IOH) on the general-care […]

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Uncategorized Published - 21 May, 2021    By - Dr Clemens
Non-Invasive Respiratory Support for Management of the Perioperative Patient

DG Journal Club AUTHORS: Sharon Einav, Ines Lakbar et al. Adv Ther. 2021 Mar 6 BACKGROUND Non-invasive respiratory support including high-flow nasal oxygen (HFNO), continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BiPAP) is routinely used in the perioperative period. OBJECTIVES The aim of this narrative review was to discuss some of the […]

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