Month: May 2021

Uncategorized Published - 7 May, 2021    By - Dr Clemens
Intraoperative Data Enhance the Detection of High-Risk Acute Kidney Injury Patients When Added to a Baseline Prediction Model

AUTHORS: Kim, Minjae MD, MS et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 430-441 BACKGROUND:  Aspects of intraoperative management (eg, hypotension) are associated with acute kidney injury (AKI) in noncardiac surgery patients. However, it is unclear if and how the addition of intraoperative data affects a baseline risk prediction […]

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Uncategorized Published - 6 May, 2021    By - Dr Clemens
Influence of Levobupivacaine Regional Scalp Block on Hemodynamic Stability, Intra- and Postoperative Opioid Consumption in Supratentorial Craniotomies

AUTHORS: Carella, Michele MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 500-511 BACKGROUND:  The anesthetic management of supratentorial craniotomy (CR) necessitates tight intraoperative hemodynamic control. This type of surgery may also be associated with substantial postoperative pain. We aimed at evaluating the influence of regional scalp block (SB) […]

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Uncategorized Published - 6 May, 2021    By - Dr Clemens
Development and Impact of an Institutional Enhanced Recovery Program on Opioid Use, Length of Stay, and Hospital Costs Within an Academic Medical Center

AUTHORS: Thiele, Robert H. MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 442-455 BACKGROUND:  Enhanced Recovery (ER) is a change management framework in which a multidisciplinary team of stakeholders utilizes evidence-based medicine to protocolize all aspects of a surgical care to allow more rapid return of function. While […]

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Uncategorized Published - 6 May, 2021    By - Dr Clemens
Exploring Factors Associated With Morbidity and Mortality in Patients With Do-Not-Resuscitate Orders

AUTHORS: Cobert, Julien MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 512-523 BACKGROUND:  Anesthesiologists caring for patients with do-not-resuscitate (DNR) orders may have ethical concerns because of their resuscitative wishes and may have clinical concerns because of their known increased risk of morbidity/mortality. Patient heterogeneity and/or emphasis on […]

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Uncategorized Published - 6 May, 2021    By - Dr Clemens
Nerve Stimulation Reduces Pain, Opioid Use After Orthopaedic Surgery

DG News Percutaneous peripheral nerve stimulation yields impressive reductions in pain scores and opioid use during the first week after common orthopaedic surgery procedures, according to a study published online first in the journal Anesthesiology. The benefits of postoperative nerve stimulation were “much greater than what we had anticipated, concurrently reducing pain scores by more than […]

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Uncategorized Published - 6 May, 2021    By - Dr Clemens
Successful Implementation of a Perioperative Data Warehouse Using Another Hospital’s Published Specification From Epic’s Electronic Health Record System

AUTHORS: Epstein, Richard H. MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 465-474 BACKGROUND:  Many hospitals have replaced their legacy anesthesia information management system with an enterprise-wide electronic health record system. Integrating the anesthesia data within the context of the global hospital information infrastructure has created substantive challenges […]

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Uncategorized Published - 5 May, 2021    By - Dr Clemens
Trends in Comorbidities and Complications Among Patients Undergoing Hip Fracture Repair

AUTHORS: Bekeris, Janis MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 475-484 BACKGROUND:  Hip fracture patients represent various perioperative challenges related to their significant comorbidity burden and the high incidence of morbidity and mortality. As population trend data remain rare, we aimed to investigate nationwide trends in the […]

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Uncategorized Published - 5 May, 2021    By - Dr Clemens
A Retrospective Study of Neurological Complications in Pediatric Patients With Moyamoya Disease Undergoing General Anesthesia

AUTHORS: Lang, Shih-Shan MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 493-499 BACKGROUND:  Moyamoya disease is a condition with potentially devastating and permanent neurological sequelae. Adequate volume status and blood pressure, tight control of carbon dioxide to achieve normocarbia, and providing postoperative analgesia to prevent hyperventilation are typical […]

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Uncategorized Published - 5 May, 2021    By - Dr Clemens
Risk of Hypoxemia by Induction Technique Among Infants and Neonates Undergoing Pyloromyotomy

AUTHORS: Park, Raymond S. MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 367-373 BACKGROUND:  In patients presenting for pyloromyotomy, most practitioners prioritize rapid securement of the airway due to concern for aspiration. However, there is a lack of consensus and limited evidence on the choice between rapid sequence […]

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Uncategorized Published - 5 May, 2021    By - Dr Clemens
Skip the catheterization? AI uses imaging data to ID coronary plaque blockages that require surgery

I thought this was interesting so I wanted to share it with our readers. Author: Michael Walter Cardiovascular Business Researchers have found that an advanced AI model can use imaging findings to make fractional flow reserve (FFR) calculations and predict when coronary artery plaque blockages require surgery. Sharing its findings in the International Journal of Cardiology, […]

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