Month: June 2021

Uncategorized Published - 14 June, 2021    By - Dr Clemens
Guiding Opioid Administration by 3 Different Analgesia Nociception Monitoring Indices During General Anesthesia Alters Intraoperative Sufentanil Consumption and Stress Hormone Release

AUTHORS: Funcke, Sandra MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1264-1273 BACKGROUND:  This pilot study investigated the effect of sufentanil titration by 3 different analgesia monitoring devices or clinical signs during general anesthesia. METHODS: Forty-eight patients undergoing radical retropubic prostatectomy with sevoflurane/sufentanil anesthesia were randomly assigned into […]

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Uncategorized Published - 14 June, 2021    By - Dr Clemens
Automated Pulse Oximeter Waveform Analysis to Track Changes in Blood Pressure During Anesthesia Induction

AUTHORS: Ghamri, Yassine MSc et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1222-1233 BACKGROUND:  Intraoperative hypotension is associated with postoperative complications and death. Oscillometric brachial cuffs are used to measure arterial pressure (AP) in most surgical patients but may miss acute changes in AP. We hypothesized that pulse oximeter […]

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Uncategorized Published - 14 June, 2021    By - Dr Clemens
Predicting Deep Hypnotic State From Sleep Brain Rhythms Using Deep Learning

AUTHORS: Belur Nagaraj, Sunil PhD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1211-1221 BACKGROUND:  Brain monitors tracking quantitative brain activities from electroencephalogram (EEG) to predict hypnotic levels have been proposed as a labor-saving alternative to behavioral assessments. Expensive clinical trials are required to validate any newly developed processed […]

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Uncategorized Published - 14 June, 2021    By - Dr Clemens
Forecasting a Crisis: Machine-Learning Models Predict Occurrence of Intraoperative Bradycardia Associated With Hypotension

AUTHORS: Solomon, Stuart C. MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1201-1210 BACKGROUND: Predictive analytics systems may improve perioperative care by enhancing preparation for, recognition of, and response to high-risk clinical events. Bradycardia is a fairly common and unpredictable clinical event with many causes; it may be […]

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Uncategorized Published - 14 June, 2021    By - Dr Clemens
Early Detection of Heart Failure With Reduced Ejection Fraction Using Perioperative Data Among Noncardiac Surgical Patients

AUTHORS: Mathis, Michael R. MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1188-1200 BACKGROUND:  Heart failure with reduced ejection fraction (HFrEF) is a condition imposing significant health care burden. Given its syndromic nature and often insidious onset, the diagnosis may not be made until clinical manifestations prompt […]

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Uncategorized Published - 11 June, 2021    By - Dr Clemens
Intraoperative Electronic Alerts Improve Compliance With National Quality Program Measure for Perioperative Temperature Management

AUTHORS: Lakha, Sameer MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1167-1175 BACKGROUND:  Reimbursement for anesthesia services has been shifting from a fee-for-service model to a value-based model that ties payment to quality metrics. The Centers for Medicare & Medicaid Service’s (CMS) value-based payment program includes a quality […]

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Uncategorized Published - 11 June, 2021    By - Dr Clemens
Parsimony of Hemodynamic Monitoring Data Sufficient for the Detection of Hemorrhage

AUTHORS: Pinsky, Michael R. MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1176-1187 BACKGROUND:  Individualized hemodynamic monitoring approaches are not well validated. Thus, we evaluated the discriminative performance improvement that might occur when moving from noninvasive monitoring (NIM) to invasive monitoring and with increasing levels of featurization associated […]

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Uncategorized Published - 11 June, 2021    By - Dr Clemens
Of Parachutes, Speedometers, and EEG: What Evidence Do We Need to Use Devices and Monitors?

Authors: Berger, Miles MD, PhD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1274-1277 EDITORIAL What physiologic monitors should we use in the operating room? Though it has been over 173 years since William T. G. Morton first successfully administered a general anesthetic, the question of how we should […]

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Uncategorized Published - 11 June, 2021    By - Dr Clemens
Artificial Intelligence in Anesthesiology: Hype, Hope, and Hurdles

Authors: Lonsdale, Hannah MBChB et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1111-1113 Artificial intelligence (A.I.) is moving into every aspect of our lives: selecting the online advertisements that we see, recognizing our voices, and providing automated answers when we speak to customer service helpline chatbots. Machine learning, a […]

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Uncategorized Published - 11 June, 2021    By - Dr Clemens
Innovative Monitoring Technology: Are We Ready for the Future?

Authors: Ashish K. Khanna, MD, FCCP, FCCM, FASA et al  ASA Monitor June 2021, Vol. 85, 28–30. While the intraoperative period is safe, the postoperative period is not. About 4,000 deaths per year occur in the first 30 days after non-cardiac surgery (Lancet 2019;393:401). Most cardio-respiratory events happen while patients are recovering from surgery during the […]

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