Month: March 2022

Uncategorized Published - 7 March, 2022    By - Dr Clemens
Cardiac Output Assessments in Anesthetized Children: Dynamic Capnography Versus Esophageal Doppler

AUTHORS: Karlsson, Jacob MD, PhD et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 644-652 BACKGROUND:  The objective of this study was to compare esophageal Doppler cardiac output (COEDM) against the reference method effective pulmonary blood flow cardiac output (COEPBF), for agreement of absolute values and ability to detect change […]

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Uncategorized Published - 7 March, 2022    By - Dr Clemens
Articulating the Anesthesia Value Proposition

Author: Tony Mira F1rstNews Summary The training of anesthesia providers focuses on the clinical skills necessary to manage patients safely and comfortably through the trauma of surgery. The irony is that, ultimately, the quality of care provided has little to do with the ongoing viability and success of the practice. The time has come to […]

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Uncategorized Published - 7 March, 2022    By - Dr Clemens
Challenges of Pediatric Anesthesia Services and Training Infrastructure in Tertiary Care Teaching Institutions in Pakistan

AUTHORS: Khan, Fauzia A. MBBS, FRCA et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 653-660 BACKGROUND:  Pakistan is a lower middle–income country located in South Asia with a population of nearly 208 million. Sindh is its second largest province. The aim of this survey was to identify the current […]

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Uncategorized Published - 4 March, 2022    By - Dr Clemens
Comparison of a Nasal Mask and Traditional Nasal Cannula During Intravenous Anesthesia for Gastroscopy Procedures

AUTHORS: Chen, Dong Xu MD et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 615-623 BACKGROUND:  Hypoxemia can occur during gastroscopy under intravenous anesthesia. The aim of this randomized controlled trial was to evaluate whether oxygenation using a nasal mask can reduce the incidence of hypoxemia during gastroscopy under intravenous […]

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Uncategorized Published - 4 March, 2022    By - Dr Clemens
Thrombin Generation in Cardiac Versus Noncardiac Surgical Cohorts

AUTHORS: Ericksen, W. Leif MD et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 606-614 BACKGROUND:  Bleeding can be a significant problem after cardiac surgery. As a result, venous thromboembolism (VTE) or anticoagulation or both following mechanical valve implantation are often delayed in these patients. The calibrated automated thrombin (CAT) […]

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Uncategorized Published - 4 March, 2022    By - Dr Clemens
Intrathecal 2-Chloroprocaine 3% Versus Hyperbaric Bupivacaine 0.75% for Cervical Cerclage

AUTHORS: Lee, Allison MD, MS et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 624-632 BACKGROUND:  Cervical cerclage is a short ambulatory procedure. For spinal anesthesia, local anesthetic agents with rapid postoperative resolution are desired. We hypothesized that in combination with fentanyl, intrathecal 2-chloroprocaine would produce earlier resolution of motor […]

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Uncategorized Published - 4 March, 2022    By - Dr Clemens
Maternal Intensive Care Unit Admission as an Indicator of Severe Acute Maternal Morbidity

AUTHORS: Godeberge, Charlotte MD et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 581-591 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 […]

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Uncategorized Published - 4 March, 2022    By - Dr Clemens
Frequent Use of Over-the-Counter Analgesics Associated With Increased Risk of Tinnitus

DG News Frequent use of non-steroidal anti-inflammatory drugs (NSAIDs) or acetaminophen or regular use of COX-2 inhibitors was associated with an almost 20% higher risk of tinnitus, according to a study published in the Journal of General Internal Medicine. Frequent use of moderate-dose aspirin was associated with a 16% higher risk among women aged younger than […]

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Uncategorized Published - 3 March, 2022    By - Dr Clemens
Remote Ischemic Preconditioning Reduces Acute Kidney Injury After Cardiac Surgery

AUTHORS: Long, Yu-qin MD et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 592-605 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 […]

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Uncategorized Published - 3 March, 2022    By - Dr Clemens
Performance of the Hypotension Prediction Index With Noninvasive Arterial Pressure Waveforms in Awake Cesarean Delivery Patients Under Spinal Anesthesia

AUTHORS: Frassanito, Luciano MD et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 633-643 BACKGROUND:  Arterial hypotension is common after spinal anesthesia (SA) for cesarean delivery (CD), and to date, there is no definitive method to predict it. The hypotension prediction index (HPI) is an algorithm that uses the arterial […]

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