Month: June 2021

Uncategorized Published - 8 June, 2021    By - Dr Clemens
Individualized versus Fixed Positive End-expiratory Pressure for Intraoperative Mechanical Ventilation in Obese Patients

Authors: Philipp Simon, M.D., Ph.D. et al  Anesthesiology June 2021, Vol. 134, 887–900. Background General anesthesia may cause atelectasis and deterioration in oxygenation in obese patients. The authors hypothesized that individualized positive end-expiratory pressure (PEEP) improves intraoperative oxygenation and ventilation distribution compared to fixed PEEP. Methods This secondary analysis included all obese patients recruited at University […]

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Uncategorized Published - 8 June, 2021    By - Dr Clemens
Perioperative Surgical Home – What it looks like for Anesthesiologists in 2021.

Fusion Anesthesia Solutions What is the Perioperative Surgical Home? The American Society of Anesthesiologists explains the Perioperative Surgical Home model where the patient’s experience of care is coordinated by a physician-led, interdisciplinary team. The expected metrics includes improved operational efficiencies, decreased resource utilization, a reduction in length of stay and readmission, and a decrease in complications and […]

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Uncategorized Published - 8 June, 2021    By - Dr Clemens
HOW LONG DOES GENERAL ANESTHESIA LAST?

Author: Richard Novak, MD The Anesthesia Consultant “I’m going to have surgery to have my gall bladder out. How long will the anesthesia last?” The query “How long does general anesthesia last?” is a common question before surgery. Modern anesthetics wear off quickly after surgery, but the answer to your question is “It depends.” It […]

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Uncategorized Published - 8 June, 2021    By - Dr Clemens
COVID-19 patients with mild symptoms make a full recovery with no lingering heart issues

Author: Michael Walter Cardiovascular Business COVID-19 patients with mild infections appear to make a full cardiovascular recovery after six months, according to new research published in JACC: Cardiovascular Imaging. The study’s authors found no evidence of lasting damage to the structure of the heart or its ability to function. “Disentangling the impact COVID-19 has on the […]

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Uncategorized Published - 8 June, 2021    By - Dr Clemens
Marijuana use linked to a greater risk of heart damage

Author: Michael Walter Cardiovascular Business Marijuana use is associated with a heightened risk of myocardial injury among individuals with no prior history of cardiovascular disease (CVD), according to new findings published in the American Journal of Cardiology. “Multiple observational studies have demonstrated an association with cannabis use and acute myocardial infarction, especially among young adults,” wrote […]

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Uncategorized Published - 7 June, 2021    By - Dr Clemens
Anesthesia Considerations for Arthroscopic Shoulder Surgery

Radius Anesthesia With as many as 70% of patients reporting severe postoperative pain following this operation, arthroscopic shoulder surgery poses a significant challenge to anesthesiologists [1]. It is one of the most painful surgeries, with its associated pain intensity rivaling that of thoracotomies and revision hip and knee arthroplasties [2]. Postoperative pain following shoulder surgery is especially […]

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Uncategorized Published - 7 June, 2021    By - Dr Clemens
Serratus Anterior Plane Block Combined with General Analgesia and Patient-Controlled Serratus Anterior Plane Block in Patients with Breast Cancer

AUTHORS: Ying-Kun Xiao, Shou-Zhang She et al. Adv Ther. 2021 May INTRODUCTION Anterior serratus muscle plane block is a novel regional block technique for blockade of the sensory plane of the lateral cutaneous branch of the intercostal nerve (T2-T9), which effectively relieves the pain of patients and improves the quality of recovery. This study aimed […]

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Uncategorized Published - 7 June, 2021    By - Dr Clemens
Aspiration

Author and blog: Cardiac Anesthesiologist Risk Factors of Aspiration Patient: Inadequate fasting Delayed gastric emptying Incompetent Lower Oesophageal Sphincter (Emergency, Pregnancy, Diabetes, Obesity, Hiatus Hernia, GORD)   Surgery: Upper GI tract Lithotomy Head down Laparoscopy Cholecystectomy   Anaesthetic: Light anaesthesia Supraglottic airways Positive-pressure ventilation Difficult airway Long surgery   Management of Aspiration: 1 Call for help, communicate […]

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Uncategorized Published - 7 June, 2021    By - Dr Clemens
Prevalence and Significance of Sacroiliac Joint Variations on Magnetic Resonance Imaging in Patients With Low Back Pain

AUTHORS: Aysu Başak Özbalci Int J Clin Pract. 2021 May OBJECTIVE The study aimed to investigate the frequency of anatomical variations on sacroiliac joint and reveal their importance by distinguishing the findings that mimic sacroiliitis in patients with low back pain. STUDY DESIGN Descriptive study. PLACE AND DURATION OF STUDY Ondokuz Mayıs University, Faculty of […]

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Uncategorized Published - 7 June, 2021    By - Dr Clemens
Volutrauma Increases Exhaled Pentanal in Rats: A Potential Breath Biomarker for Ventilator-Induced Lung Injury

AUTHORS: Müller-Wirtz, Lukas Martin MD et al Anesthesia & Analgesia: April 2021 BACKGROUND: Mechanical ventilation injures lungs, but there are currently no reliable methods for detecting early injury. We therefore evaluated whether exhaled pentanal, a lipid peroxidation product, might be a useful breath biomarker for stretch-induced lung injury in rats. METHODS: A total of 150 male […]

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