Month: June 2021

Uncategorized Published - 16 June, 2021    By - Dr Clemens
A Systematic Review and Meta-Analysis of Preoperative Frailty Instruments Derived From Electronic Health Data

AUTHORS: Alkadri, Jamal MD et al Anesthesia & Analgesia: May 2021 BACKGROUND: Frailty is a strong predictor of adverse outcomes in the perioperative period. Given the increasing availability of electronic medical data, we performed a systematic review and meta-analysis with primary objectives of describing available frailty instruments applied to electronic data and synthesizing their prognostic value. […]

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Uncategorized Published - 16 June, 2021    By - Dr Clemens
Emergency Front-of-Neck Airway Rescue Via the Cricothyroid Membrane

AUTHORS: Fennessy, Paul MB, BCh, BAO et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 187-195 BACKGROUND:  Emergency front-of-neck airway rescue is recommended in a can’t intubate, can’t oxygenate clinical scenario. Cannula cricothyroidotomy has been reported as having a high failure rate. Our primary aim was to estimate the angle […]

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Uncategorized Published - 16 June, 2021    By - Dr Clemens
Impact of Intraoperative Cell Salvage on Blood Coagulation Factor Concentrations in Patients Undergoing Cardiac Surgery

AUTHORS: Adam, Elisabeth H. MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1389-1395 BACKGROUND:  Cardiothoracic surgery is associated with major blood loss and allogeneic transfusion of red blood cell concentrates. To minimize allogeneic red blood cell (RBC) transfusion, intraoperative cell salvage has been effectively used for years. The […]

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Uncategorized Published - 16 June, 2021    By - Dr Clemens
Maternal Intensive Care Unit Admission as an Indicator of Severe Acute Maternal Morbidity

AUTHORS: Godeberge, Charlotte MD et al Anesthesia & Analgesia: May 2021 BACKGROUND: Severe acute maternal morbidity (SAMM) accounts for any life-threatening complication during pregnancy or after delivery. Measuring and monitoring SAMM seem critical to assessing the quality of maternal health care. The objectives were to explore the validity of intensive care unit (ICU) admission as an […]

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Uncategorized Published - 16 June, 2021    By - Dr Clemens
Preoperative Vancomycin Administration for Surgical Site Prophylaxis: Plasma and Soft-Tissue Concentrations in Pediatric Neurosurgical and Orthopedic Patients

AUTHORS: Brooks Peterson, Melissa MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1435-1444 BACKGROUND:  Vancomycin is used for antibiotic prophylaxis in pediatric surgical patients without a complete understanding of plasma and soft-tissue pharmacokinetics. Guidelines recommend incision within 60 minutes after administration; however, tissue vancomycin concentrations at that early […]

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Uncategorized Published - 15 June, 2021    By - Dr Clemens
Is Supraclavicular Block as Good as Interscalene Block for Acute Pain Control Following Shoulder Surgery?

AUTHORS: Hussain, Nasir MD, MSc et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1304-1319 BACKGROUND:  Interscalene block (ISB) is the acute pain management technique of choice for shoulder surgery, but its undesirable respiratory side effects have prompted seeking alternatives. Supraclavicular block (SCB) is proposed as an ISB alternative, but […]

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Uncategorized Published - 15 June, 2021    By - Dr Clemens
BOSTN Bundle Intervention for Perioperative Screening and Management of Patients With Suspected Obstructive Sleep Apnea

AUTHORS: Raub, Dana Cand Med et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1415-1424 BACKGROUND:  We developed and implemented a perioperative guideline for obstructive sleep apnea (OSA), comprising a preoperative screening tool (BOSTN) and clinical management pathways. OSA was suspected with 2 or more of the following: body mass […]

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Uncategorized Published - 15 June, 2021    By - Dr Clemens
Effects of Inhaled Iloprost on Lung Mechanics and Myocardial Function During One-Lung Ventilation in Chronic Obstructive Pulmonary Disease Patients Combined With Poor Lung Oxygenation

AUTHORS: Kim, Namo MD, PhD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1407-1414 BACKGROUND:  The ventilation/perfusion mismatch in chronic obstructive pulmonary disease (COPD) patients can exacerbate cardiac function as well as pulmonary oxygenation. We hypothesized that inhaled iloprost can ameliorate pulmonary oxygenation with lung mechanics and myocardial function […]

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Uncategorized Published - 15 June, 2021    By - Dr Clemens
Low Tidal Volumes Are Associated With Slightly Improved Oxygenation in Patients Having Cardiac Surgery

AUTHORS: Jia, Yuan MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1396-1406 BACKGROUND:  Mechanical ventilation with low tidal volumes appears to provide benefit in patients having noncardiac surgery; however, whether it is beneficial in patients having cardiac surgery is unclear. METHODS: We retrospectively examined patients having elective cardiac […]

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Uncategorized Published - 15 June, 2021    By - Dr Clemens
Association Between Postoperative Body Temperature and All-Cause Mortality After Off-Pump Coronary Artery Bypass Graft Surgery

AUTHORS: Nam, Karam MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1381-1388 BACKGROUND:  Inadvertent perioperative hypothermia is common in patients undergoing off-pump coronary artery bypass grafting (OPCAB). We investigated the association between early postoperative body temperature and all-cause mortality in patients undergoing OPCAB. METHODS: We reviewed the electronic […]

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