Month: June 2021

Uncategorized Published - 5 June, 2021    By - Dr Clemens
Happy Birthday to the Greatest Country Ever

I wish all of our readers a fun and safe holiday.   HAPPY BIRTHDAY USA!   WE LOVE YOU!  We will not have any blogs since today is the day we are honoring the national holiday.

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Uncategorized Published - 5 June, 2021    By - Dr Clemens
Novel Imaging Revealing Inner Dynamics for Cardiovascular Waveform Analysis via Unsupervised Manifold Learning

AUTHORS: Wang, Shen-Chih MD, PhD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1244-1254 BACKGROUND:  Cardiovascular waveforms contain information for clinical diagnosis. By learning and organizing the subtle change of waveform morphology from large amounts of raw waveform data, unsupervised manifold learning helps delineate a high-dimensional structure and display […]

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Uncategorized Published - 4 June, 2021    By - Dr Clemens
Blood Conservation and Hemostasis in Cardiac Surgery

AUTHORS: Joshi, Ravi V. MD, FASE et al Anesthesia & Analgesia: May 2021 BACKGROUND: Blood conservation and hemostasis are integral parts of reducing avoidable blood transfusions and the associated morbidity and mortality. Despite the publication of blood conservation guidelines for cardiac surgery, evidence suggests persistent variability in practice patterns. Members of the Society of Cardiovascular Anesthesiologists […]

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Uncategorized Published - 4 June, 2021    By - Dr Clemens
The Effects of Intraoperative Caffeine on Postoperative Opioid Consumption and Related Outcomes After Laparoscopic Surgery

AUTHORS: Vlisides, Phillip E. MD et al Anesthesia & Analgesia: May 2021 BACKGROUND: Surgical patients are vulnerable to opioid dependency and related risks. Clinical-translational data suggest that caffeine may enhance postoperative analgesia. This trial tested the hypothesis that intraoperative caffeine would reduce postoperative opioid consumption. The secondary objective was to assess whether caffeine improves neuropsychological recovery […]

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Uncategorized Published - 4 June, 2021    By - Dr Clemens
Prediction of Prolonged Opioid Use After Surgery in Adolescents

AUTHORS: Ward, Andrew PhD et al Anesthesia & Analgesia: May 2021 BACKGROUND: Long-term opioid use has negative health care consequences. Patients who undergo surgery are at risk for prolonged opioid use after surgery (POUS). While risk factors have been previously identified, no methods currently exist to determine higher-risk patients. We assessed the ability of a variety […]

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Uncategorized Published - 4 June, 2021    By - Dr Clemens
Association of Delirium during Critical Illness With Mortality

AUTHORS: Hughes, Christopher G. MD, MS et al Anesthesia & Analgesia: April 2021 BACKGROUND: The temporal association of delirium during critical illness with mortality is unclear, along with the associations of hypoactive and hyperactive motoric subtypes of delirium with mortality. We aimed to evaluate the relationship of delirium during critical illness, including hypoactive and hyperactive motoric […]

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Uncategorized Published - 4 June, 2021    By - Dr Clemens
Local Anesthetics Inhibit Transient Receptor Potential Vanilloid Subtype 3 Channel Function in Xenopus Oocytes

AUTHORS: Horishita, Reiko MD et al Anesthesia & Analgesia: June 2021 – Volume 132 – Issue 6 – p 1756-1767 BACKGROUND:  The transient receptor potential vanilloid subtype 3 (TRPV3) channel is activated by innocuous temperature and several chemical stimuli. It is proposed to be involved in pathological pain development and is therefore considered a potential target […]

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Uncategorized Published - 3 June, 2021    By - Dr Clemens
The Evaluation of a Noninvasive Respiratory Volume Monitor in Mechanically Ventilated Neonates and Infants

AUTHORS: Atkinson, Douglas B. MD et al Anesthesia & Analgesia: April 2021 BACKGROUND: The respiratory volume monitor (RVM) (ExSpiron, Respiratory Motion Inc, Watertown, MA) uses thoracic impedance technology to noninvasively and continuously measure tidal volume (TV), respiratory rate (RR), and minute ventilation (MV). We aimed to validate the accuracy of the RVM to assess ventilation in […]

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Uncategorized Published - 3 June, 2021    By - Dr Clemens
Anesthetic Management of Von Willebrand Disease in Pregnancy

AUTHORS: Reale, Sharon C. MD et al Anesthesia & Analgesia: April 2021 BACKGROUND: Although Von Willebrand disease (vWD) is the most common heritable bleeding disorder, there are limited reports regarding the safety of neuraxial anesthesia in the obstetric population and no definitive guidelines specifying recommended pretreatment or therapies for patients with vWD. The aim of this […]

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Uncategorized Published - 3 June, 2021    By - Dr Clemens
Preparing Anesthesiology Residents for Operating Room Communication Challenges: A New Approach for Conflict Resolution Training

AUTHORS: Birnbach, David J. MD, MPH et al Anesthesia & Analgesia: April 2021 BACKGROUND: The hierarchical culture in high-stake areas such as operating rooms (ORs) may create volatile communication challenges. This unfunded exploratory study sought to establish whether a conflict resolution course was effective in preparing anesthesiology residents to handle and deescalate disagreements that may […]

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