Month: March 2022

Uncategorized Published - 15 March, 2022    By - Dr Clemens
Association Between Aspirin Use and Sepsis Outcomes

AUTHORS: Hsu, Wan-Ting MS et al Anesthesia & Analgesia: March 2022 BACKGROUND: Aspirin has anti-inflammatory and antiplatelet activities and directly inhibits bacterial growth. These effects of aspirin may improve survival in patients with sepsis. We retrospectively reviewed a large national health database to test the relationship between prehospital aspirin use and sepsis outcomes. METHODS: We conducted […]

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Uncategorized Published - 15 March, 2022    By - Dr Clemens
Continuous Titration of Inspired Oxygen Using Oxygen Reserve Index to Decrease Oxygen Exposure During One-Lung Ventilation

AUTHORS: Yang, Mikyung MD, PhD et al Anesthesia & Analgesia: March 2022 BACKGROUND: A high fraction of inspired oxygen (Fio2) is administered during one-lung ventilation (OLV). However, a high Fio2 is not physiologic and may lead to various complications. We hypothesized that continuous titration of Fio2 using the oxygen reserve index (ORI) reduces oxygen exposure compared to conventional […]

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Uncategorized Published - 15 March, 2022    By - Dr Clemens
Success and Time to Oxygen Delivery for Scalpel-Finger-Cannula and Scalpel-Finger-Bougie Front-of-Neck Access

AUTHORS: Zhang, Jinbin MMED et al  Anesthesia & Analgesia: March 2022 BACKGROUND: Emergency front-of-neck access (FONA) is particularly challenging with impalpable neck anatomy. We compared 2 techniques that are based on a vertical midline neck incision, followed by finger dissection and then either a cannula or scalpel puncture to the cricothyroid membrane. METHODS: A manikin simulation […]

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Uncategorized Published - 14 March, 2022    By - Dr Clemens
Initial results from an Enhanced Recovery Program for pediatric cardiac surgical patients

DG Journal ClubNew AUTHORS: T Murphy et al Paediatr Anaesth. 2022 Feb BACKGROUND Over recent years, a number of enhanced recovery programs have appeared in first, adult colorectal surgery, and subsequently many other adult surgical specialties. Increasing interest in this approach to perioperative management in children culminated in the recent development of the first enhanced […]

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Uncategorized Published - 14 March, 2022    By - Dr Clemens
Anesthesia Robot

Author: Richard Novak MD The Anesthesia Consultant How soon will we see robotic anesthesia in our hospitals and surgery centers? In the past three decades the high-tech revolution introduced the internet, the laptop computer, the iPhone, Google, and global positioning satellites. Most of these discoveries originated in Silicon Valley, just miles outside Stanford University Hospital […]

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Uncategorized Published - 14 March, 2022    By - Dr Clemens
Exceptions to the Rule: What Anesthesiologists Can Do During Medical Direction

Author: Tony Mira F1rstNews Summary:  For doctors who medically direct, their primary focus should be the room or rooms they are overseeing. Nevertheless, national and local Medicare rules allow the medically directing doctor to perform certain other services, as well. What are these services and are they applicable in every jurisdiction? Today’s alert provides answers. […]

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Uncategorized Published - 14 March, 2022    By - Dr Clemens
Clonidine Versus Midazolam Premedication and Postoperative Negative Behavioral Changes in Younger Children

AUTHORS: Zickerman, Caroline MD et al Anesthesia & Analgesia: February 2022 BACKGROUND:  Postoperative negative behavioral changes (NBCs) are common among children, but risk for this is thought to be reduced with premedication. Midazolam has for many years been a standard premedication for children. More recently, the alpha-2 adrenergic agonist clonidine has also become popular as a […]

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Uncategorized Published - 14 March, 2022    By - Dr Clemens
Association Between Perioperative Medication Use and Postoperative Delirium and Cognition in Older Adults Undergoing Elective Noncardiac Surgery

AUTHORS: Duprey, Matthew S. PharmD, PhD et al Anesthesia & Analgesia: February 2022 BACKGROUND: Postoperative delirium is frequent in older adults and is associated with postoperative neurocognitive disorder (PND). Studies evaluating perioperative medication use and delirium have generally evaluated medications in aggregate and been poorly controlled; the association between perioperative medication use and PND remains unclear. […]

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Uncategorized Published - 11 March, 2022    By - Dr Clemens
Effectiveness and acceptability of noninvasive brain and nerve stimulation techniques for migraine prophylaxis

DG Journal Club AUTHORS: Yu-Chen Cheng et al J Headache Pain. 2022 Feb 20; 23(1): 28 BACKGROUND Current pharmacologic prophylactic strategies for migraine have exhibited limited efficacy, with response rates as low as 40%-50%. In addition to the limited efficacy, the acceptability of those pharmacologic prophylactic strategies were unacceptable. Although noninvasive brain/nerve stimulation strategies may […]

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Uncategorized Published - 11 March, 2022    By - Dr Clemens
Wireless Single-Lead ECG Monitoring to Detect New-Onset Postoperative Atrial Fibrillation in Patients After Major Noncardiac Surgery

AUTHORS: Jokinen, Johan D. V. MD et al Anesthesia & Analgesia: February 2022 BACKGROUND: New-onset postoperative atrial fibrillation (POAF) is associated with several cardiovascular complications and higher mortality. Several pathophysiological processes such as hypoxia can trigger POAF, but these are sparsely elucidated, and POAF is often asymptomatic. In patients undergoing major gastrointestinal cancer surgery, we aimed […]

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