Month: March 2022

Uncategorized Published - 21 March, 2022    By - Dr Clemens
Renal function during sevoflurane or total intravenous propofol anaesthesia a single-centre parallel randomised controlled study

DG Journal Club AUTHORS: Stephanie FranzC)n et al Br J Anaesth. 2022 Mar BACKGROUND The choice of anaesthetic may influence regulation of renal perfusion and function. We investigated renal function in patients anaesthetised with propofol or sevoflurane before surgery and postoperatively. METHODS Patients with ASA physical status 1-2 planned for spinal surgery were randomised to […]

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Uncategorized Published - 21 March, 2022    By - Dr Clemens
Ventilator Weaning and Discontinuation Practices for Critically Ill Patients

Authors: Karen E. A. Burns, MD MSc et al JAMA March 23, 2021 Key Points Question  In critically ill patients who receive invasive mechanical ventilation, how is invasive mechanical ventilation discontinued and do discontinuation practices differ internationally? Findings  In this prospective observational study that included 1868 patients from 142 intensive care units in Canada, Europe, the US, […]

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Uncategorized Published - 21 March, 2022    By - Dr Clemens
Time of day does not affect TAVR or SAVR outcomes

Author: Michael Walter Cardiovascular Business Patient outcomes after transcatheter aortic valve replacement (TAVR) and surgical aortic valve replacement (SAVR) do not significantly change based on the time of day the procedure takes place, according to new findings published in Circulation: Cardiovascular Quality and Outcomes. Pointing to a single-center analysis that found SAVR outcomes may improve in […]

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Uncategorized Published - 18 March, 2022    By - Dr Clemens
The Big MAC: Sizing Up Monitored Anesthesia Care

Author: Tony Mira F1rstNews Summary: When the anesthesia provider opts for monitored anesthesia care in a patient case, what is he/she really signing on to? This anesthesia technique is a bit slippery in terms of identification, requirements and even payment. Several months ago, we published an article on the three anesthesia techniques available to anesthesiologists and […]

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Uncategorized Published - 18 March, 2022    By - Dr Clemens
The Practice of Pediatric Cardiac Anesthesiology in the United States

AUTHORS: Nasr, Viviane G. MD, MPH et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 532-539 BACKGROUND:  With advances in surgical and catheter-based interventions and technologies in patients with congenital heart disease (CHD), the practice of pediatric cardiac anesthesiology has evolved in parallel with pediatric cardiac surgery and pediatric cardiology […]

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Uncategorized Published - 18 March, 2022    By - Dr Clemens
Intubation Practices and Adverse Peri-intubation Events in Critically Ill Patients From 29 Countries

Authors: Vincenzo Russotto MD et al JAMA March 23, 2021 Key Points Question  Among critically ill patients undergoing tracheal intubation worldwide, how common are major adverse events during the peri-intubation period? Findings  In this prospective observational study that included 2964 patients from 197 sites across 29 countries from October 2018 to July 2019, at least one major […]

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Uncategorized Published - 18 March, 2022    By - Dr Clemens
Evaluation of the Efficacy of Dexmedetomidine as A Local Anesthetics Adjuvant in Children

DG Journal Club AUTHORS: Yan Sun, Zhilin Wu, ShuJun Sun, Rui Chen J Clin Pharmacol. 2022 Feb 27 [Epub ahead of print] Dexmedetomidine has been identified as a useful adjunct to improve the effect of nerve blocks in adults, however, its effect for children is not fully investigated. This meta-analysis is aimed to evaluate the […]

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Uncategorized Published - 18 March, 2022    By - Dr Clemens
Opioid use disorder in anaesthesia and intensive care

DG Journal Club AUTHORS: Bridin P Murnion, Apo Demirkol Anaesth Intensive Care. 2022 Feb Opioid misuse is common, as is opioid agonist treatment of opioid dependence. Almost 3% of Australians and over 3.5% of those living in New Zealand report misuse of analgesics. Over 50,000 Australians receive opioid agonist treatment with methadone or buprenorphine for […]

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Uncategorized Published - 17 March, 2022    By - Dr Clemens
Twins in patient with thrombocytopenia

Author: Rex Russell Case Report in Anesthesia A 28 year G3P2 carrying twins vertex vertex, presents the day before induction for consultation with anesthesia.  She states that she was diagnosed with thrombocytopenia by MFM, and started on 10 mg of prednisone for a platelet count of 71K.  She has had two prior deliveries without epidural […]

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Uncategorized Published - 17 March, 2022    By - Dr Clemens
What to know about taking ibuprofen during pregnancy

This is important for our readers that treat pain patients. Author: Zawn Villines MedicalNewsToday Aches and pains are common throughout pregnancy, and some people take pain relievers to reduce their discomfort. However, experts recommend that pregnant individuals avoid ibuprofen (Advil) after 20 weeks. This recommendation comes from the Food and Drug Administration (FDA). Additionally, some research suggests […]

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