Month: November 2021

Uncategorized Published - 30 November, 2021    By - Dr Clemens
Impact of Neuraxial Versus General Anesthesia on Discharge Destination in Patients Undergoing Primary Total Hip and Total Knee Replacement

AUTHORS: Duque, Melissa MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1379-1386 BACKGROUND:  Total knee replacement (TKR) and total hip replacement (THR) are 2 of the most common orthopedic surgical procedures in the United States. These procedures, with fairly low mortality rates, incur significant health care costs, with […]

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Uncategorized Published - 30 November, 2021    By - Dr Clemens
Early Postoperative Outcomes of Super Morbid Obese Compared to Morbid Obese Patients After Ambulatory Surgery Under General Anesthesia

AUTHORS: Hajmohamed, Sherine MD et al  Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1366-1373 BACKGROUND:  Patients with body mass index (BMI) ≥50 kg/m2, defined as super morbid obesity, represent the fastest growing segment of patients with obesity in the United States. It is currently unknown if super morbid obese patients […]

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Uncategorized Published - 30 November, 2021    By - Dr Clemens
What Is the Learning Curve for Lumbar Spine Surgery Under Spinal Anesthesia?

DG Journal Club AUTHORS: James L West, Gaetano De Biase et al. World Neurosurg. 2021 Nov 1 BACKGROUND Spinal anesthesia (SA) is routinely used in obstetrics and orthopedic surgery but has not been widely adopted in lumbar spinal surgery (LSS). One of the perceived barriers is the learning curve for the neurosurgical and anesthesia team […]

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Uncategorized Published - 30 November, 2021    By - Dr Clemens
Efficiency Metrics at an Academic Freestanding Ambulatory Surgery Center: Analysis of the Impact on Scheduled End-Times

AUTHORS: Reeves, J. Jeffery MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1406-1414 BACKGROUND:  Understanding the impact of key metrics on operating room (OR) efficiency is important to optimize utilization and reduce costs, particularly in freestanding ambulatory surgery centers. The aim of this study was to assess the […]

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Uncategorized Published - 30 November, 2021    By - Dr Clemens
A Comparison of Dexmedetomidine and Propofol on Emergence Delirium in Children Undergoing Cleft Palate Surgery With Sevoflurane-Based Anesthesia

DG Journal Club Authors: Lili Huang, Li Wang et al. J Craniofac Surg. 2021 Nov 3 ABSTRACT Emergence delirium is a common complication after sevoflurane-anesthesia and have a serious impact on children undergoing cleft palate surgery. The aim of this study was to compare the effect of propofol and dexmedetomidine on emergence delirium in children. […]

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Uncategorized Published - 29 November, 2021    By - Dr Clemens
Inhalational Versus Intravenous Anesthetic Conditioning for Subarachnoid Hemorrhage-Induced Delayed Cerebral Ischemia

AUTHORS: Umeshkumar Athiraman, Abhijit V Lele et al. Stroke. 2021 Nov 4 BACKGROUND Inhalational anesthetics were associated with reduced incidence of angiographic vasospasm and delayed cerebral ischemia (DCI) in patients with aneurysmal subarachnoid hemorrhage (SAH). Whether intravenous anesthetics provide similar level of protection is not known. METHODS Anesthetic data were collected retrospectively for patients with […]

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Uncategorized Published - 29 November, 2021    By - Dr Clemens
Urinary Neutrophil Gelatinase–Associated Lipocalin/Hepcidin-25 Ratio for Early Identification of Patients at Risk for Renal Replacement Therapy After Cardiac Surgery

AUTHORS: Elitok, Saban MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1510-1519 Abstract BACKGROUND: Acute kidney injury requiring renal replacement therapy (AKI-RRT) is strongly associated with mortality after cardiac surgery; however, options for early identification of patients at high risk for AKI-RRT are extremely limited. Early after cardiac […]

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Uncategorized Published - 29 November, 2021    By - Dr Clemens
Preoperative Care for Cataract Surgery: The Society for Ambulatory Anesthesia Position Statement

AUTHORS: Sweitzer, BobbieJean MD, FACP, SAMBA-F, FASA et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1431-1436 Abstract Cataract surgeries are among the most common procedures requiring anesthesia care. Cataracts are a common cause of blindness. Surgery remains the only effective treatment of cataracts. Patients are often elderly with comorbidities. […]

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Uncategorized Published - 29 November, 2021    By - Dr Clemens
Enhanced Recovery Programs in an Ambulatory Surgical Oncology Center

AUTHORS: Afonso, Anoushka M. MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1391-1401 BACKGROUND:  We describe the implementation of enhanced recovery after surgery (ERAS) programs designed to minimize postoperative nausea and vomiting (PONV) and pain and reduce opioid use in patients undergoing selected procedures at an ambulatory cancer […]

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Uncategorized Published - 29 November, 2021    By - Dr Clemens
Remote Ischemic Preconditioning Reduces Acute Kidney Injury After Cardiac Surgery

AUTHORS: Long, Yu-qin MD et al Anesthesia & Analgesia: November 2021 Abstract BACKGROUND: Results from previous studies evaluating the effects of remote ischemic preconditioning (RIPC) on morbidity and mortality after cardiac surgery are inconsistent. This meta-analysis of randomized controlled trials (RCTs) aims to determine whether RIPC improves cardiac and renal outcomes in adults undergoing cardiac surgery. […]

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