Month: December 2021

Uncategorized Published - 24 December, 2021    By - Dr Clemens
HAPPY HOLIDAYS FROM ANESTHESIA EXPERTS

Hello our readers we want to wish you and your family a fun and safe Holiday Season.  We will not have any blogs to read except for this one.  Take the day off and enjoy your family.

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Uncategorized Published - 23 December, 2021    By - Dr Clemens
Perioperative Opioid Consumption and Clinical Outcomes in Surgical Patients With a Pre-existing Opioid-Based Intrathecal Drug Delivery System

AUTHORS: D’Souza, Ryan S. MD et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 35-43 BACKGROUND:  Intrathecal drug delivery systems (IDDS) have been utilized for over 3 decades for management of chronic pain and spasticity. Patients with IDDS may present for surgical procedures unrelated to the IDDS device, although data […]

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Uncategorized Published - 23 December, 2021    By - Dr Clemens
Relationship Between the Loaded Pressure and Flow Rate of Packed Red Blood Cells and Various Infusion Solutions in Normal Infusion Lines and Catheters

AUTHORS: Miyoshi, Hirotsugu MD, PhD et al Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1107-1115 Abstract   BACKGROUND: We investigated the relationship between the loaded pressure and flow rate in various catheters and the entire infusion line including the catheters, in several infusion solutions and packed red blood cells. METHODS: […]

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Uncategorized Published - 23 December, 2021    By - Dr Clemens
Outcome of Organ Dysfunction in the Perioperative Period

AUTHORS: Thiele, Robert H. MD et al Anesthesia & Analgesia: August 2021 – Volume 133 – Issue 2 – p 393-405 Abstract While intraoperative mortality has diminished greatly over the last several decades, the risk of death within 30 days of surgery remains stubbornly high and is ultimately related to perioperative organ failure. Perioperative strokes, while […]

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Uncategorized Published - 23 December, 2021    By - Dr Clemens
Reducing Postoperative Delirium with Intraoperative Processed EEG

Authors: Jacqueline M. Leung, MD, MPH; Daniel J. Cole, MD, FASA ASA Monitor March 2021, Vol. 85, 1–12. Postoperative delirium is a geriatric syndrome associated with prolonged hospital length of stay and worsened functional and cognitive status after hospital discharge. Despite its prevalence, its pathophysiology is incompletely understood. Delirium is a complex interplay between patient vulnerability […]

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Uncategorized Published - 23 December, 2021    By - Dr Clemens
Innovation in sedation and analgesia training

AUTHORS: Wei-Nung Teng et al Curr Opin Anesthesiology . 2019 Aug;32(4):472-479. Abstract Purpose of review: We reviewed evidence of recent innovations in sedation education and discuss experiences with sedation training in Taiwan. Recent findings: Current Status of Sedation Training: Didactic training and supervised clinical mentoring are common methods of sedation training. Although training course designed by professional societies […]

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Uncategorized Published - 22 December, 2021    By - Dr Clemens
Newer Airway Devices Should Not Cause Deskilling From Direct Laryngoscopy

Author: Uday Jain, MD, PhD, FASA ASA Monitor March 2021, Vol. 85, 23. As technology and its skillful use advance, older techniques fall into disuse. Over time, this leads to deskilling in older techniques. Newer technologies may not be as widely available as the older ones, even within the United States. Newer technologies are often unavailable […]

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Uncategorized Published - 22 December, 2021    By - Dr Clemens
Simulation Analysis of Flow Rate Variability During Microinfusions: The Effect of Vertical Displacement and Multidrug Infusion in Conventional Infusion Pumps Versus New Cylinder-Type Infusion Pumps

AUTHORS: Oh, Eun Jung MD, PhD et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 59-68 Abstract   BACKGROUND: Medication dosing errors can occur during microinfusions when there is vertical pump displacement or multidrug infusion through a single intravenous path. We compared flow rate variability between new-generation cylinder-type infusion pumps […]

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Uncategorized Published - 22 December, 2021    By - Dr Clemens
Vasopressors in Trauma: A Never Event?

AUTHORS: Richards, Justin E. MD et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 68-79 Abstract Vasopressor use in severely injured trauma patients is discouraged due to concerns that vasoconstriction will worsen organ perfusion and result in increased mortality and organ failure in hypotensive trauma patients. Hypotensive resuscitation is advocated […]

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Uncategorized Published - 22 December, 2021    By - Dr Clemens
A Remote Surveillance Platform to Monitor General Care Ward Surgical Patients for Acute Physiologic Deterioration

AUTHORS: Safavi, Kyan C. MD, MBA et al Anesthesia & Analgesia: October 2021 – Volume 133 – Issue 4 – p 933-939 BACKGROUND:  The traditional paradigm of hospital surgical ward care consists of episodic bedside visits by providers with periodic perusals of the patient’s electronic health record (EHR). Vital signs and laboratory results are directly pushed […]

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