Month: July 2021

Uncategorized Published - 16 July, 2021    By - Dr Clemens
Association of Delirium during Critical Illness With Mortality

AUTHORS: Hughes, Christopher G. MD, MS et al Anesthesia & Analgesia: April 30, 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 […]

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Uncategorized Published - 16 July, 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 30, 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 […]

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Uncategorized Published - 16 July, 2021    By - Dr Clemens
Predictive Performance of Oximetry to Detect Sleep Apnea in Patients Taking Opioids

AUTHORS: Waseem, Rida MA et al Anesthesia & Analgesia: May 5, 2021 BACKGROUND: Long-term use of opioids for treatment of chronic pain is associated with significant risks including worsening unrecognized or untreated sleep apnea that may increase morbidity and mortality. Overnight oximetry has been validated for predicting sleep apnea in surgical and sleep clinic patients. The […]

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Uncategorized Published - 16 July, 2021    By - Dr Clemens
The Association Between Race and Adverse Postoperative Outcomes in Children With Congenital Heart Disease Undergoing Noncardiac Surgery

AUTHORS: Nasr, Viviane G. MD et al Anesthesia & Analgesia: May 13, 2021 BACKGROUND: The association between race and perioperative outcomes has been evaluated in adult cardiac surgical and in healthy pediatric patients but has not been evaluated in children with congenital heart disease (CHD) presenting for noncardiac procedures. This study compares the incidence of the […]

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Uncategorized Published - 16 July, 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 14, 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 […]

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Uncategorized Published - 15 July, 2021    By - Dr Clemens
Analgesia After Cesarean Delivery in the United States 2008–2018

AUTHORS: Reed, Sydney E. MD et al Anesthesia & Analgesia: May 19, 2021 BACKGROUND: Optimizing analgesia after cesarean delivery is a priority and requires balancing adequate pain relief with the risk of analgesics-associated adverse effects. Current recommendations are for use of a multimodal, opioid-sparing analgesic regimen that includes neuraxial morphine combined with scheduled nonsteroidal anti-inflammatory drugs […]

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Uncategorized Published - 15 July, 2021    By - Dr Clemens
The Association of Preoperative Frailty and Postoperative Delirium

AUTHORS: Gracie, Thomas J. BS et al Anesthesia & Analgesia: May 20, 2021 Abstract BACKGROUND: Both frailty and postoperative delirium (POD) are common in elective surgical patients 65 years of age and older. However, the association between preoperative frailty and POD remains difficult to characterize owing to the large number of frailty and POD assessment tools […]

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Uncategorized Published - 15 July, 2021    By - Dr Clemens
Quantitative Pupillometry as a Predictor of Pediatric Postoperative Opioid–Induced Respiratory Depression

AUTHORS: Packiasabapathy, Senthil MD et al Anesthesia & Analgesia: May 24, 2021 BACKGROUND: Safe postoperative pain relief with opioids is an unmet critical medical need in children. There is a lack of objective, noninvasive bedside tool to assess central nervous system (CNS) effects of intraoperative opioids. Proactive identification of children at risk for postoperative respiratory depression […]

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Uncategorized Published - 15 July, 2021    By - Dr Clemens
Comparison of the Spectral Features of the Frontal Electroencephalogram in Patients Receiving Xenon and Sevoflurane General Anesthesia

AUTHORS: McGuigan, Steven MBChB et al Anesthesia & Analgesia: May 28, 2021 BACKGROUND: Depth-of-anesthesia monitoring is often utilized for patients receiving xenon anesthesia. Processed electroencephalogram (EEG) depth-of-anesthesia monitoring relies to a significant extent on frequency domain analysis of the frontal EEG, and there is evidence that the spectral features observed under anesthesia vary significantly between anesthetic […]

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Uncategorized Published - 15 July, 2021    By - Dr Clemens
Effect of Paratracheal Pressure on the Glottic View During Direct Laryngoscopy

AUTHORS: Won, Dongwook MD et al Anesthesia & Analgesia: June 1, 2021 BACKGROUND: Cricoid pressure has been used as a component of the rapid sequence induction and intubation technique. However, concerns have been raised regarding the effectiveness and safety of cricoid pressure. Paratracheal pressure, a potential alternative to cricoid pressure to prevent regurgitation of gastric contents […]

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