Month: October 2022

Uncategorized Published - 13 October, 2022    By - Dr Clemens
A Randomized Pilot Study Assessing if SEDLine Monitoring During Induction of Surgical Patients is Associated With Reduced Dosage of Administered Induction Agents

Authors: Martin Krause Semin Cardiothorac Vasc Anesthesia Oct 5, 2022 Abstract Background. Intubations, especially in emergent settings, carry a high risk of hemodynamic instability with potentially catastrophic outcomes. Weight-based dosing of induction drugs can be inappropriately high for elective or emergent intubations and lead to hemodynamic instability. We hypothesized that monitoring the patient state index […]

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Uncategorized Published - 13 October, 2022    By - Dr Clemens
Hypobaric Unilateral Spinal Anesthesia Versus General Anesthesia for Hip Fracture Surgery in the Elderly

AUTHORS: Simonin, Marine MD et al Anesthesia & Analgesia: September 22, 2022 BACKGROUND: Hypotension during surgery is frequent in the elderly population and is associated with acute kidney and myocardial injury, which are, themselves, associated with increased 30-day mortality. The present study compared the hemodynamic effects of hypobaric unilateral spinal anesthesia (HUSA) to general anesthesia (GA) […]

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Uncategorized Published - 13 October, 2022    By - Dr Clemens
Patient blood management in the ICU

AUTHORS: Neef, Vanessa et al  European Journal of Anaesthesiology and Intensive Care: April 2022 – Volume 1 – Issue 2 – p e002 Abstract The majority of ICU patients are anaemic. Anaemia is associated with worse outcomes and a necessity for red blood cell transfusions. ICU patients are a heterogeneous patient group with a broad spectrum […]

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Uncategorized Published - 13 October, 2022    By - Dr Clemens
Pain management after total knee arthroplasty

AUTHORS: Lavand’homme et al  European Journal of Anaesthesiology: September 2022 – Volume 39 – Issue 9 – p 743-757 BACKGROUND The PROSPECT (PROcedure SPEcific Postoperative Pain ManagemenT) Working Group is a global collaboration of surgeons and anaesthesiologists formulating procedure-specific recommendations for pain management after common operations. Total knee arthroplasty (TKA) is associated with significant postoperative pain […]

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Uncategorized Published - 13 October, 2022    By - Dr Clemens
General anaesthesia for nonobstetric surgery during pregnancy

AUTHORS: Bleeser, Tom et al  European Journal of Anaesthesiology and Intensive Care: April 2022 – Volume 1 – Issue 2 – p e003 Abstract Nonobstetric surgery may be required in up to 1% of pregnancies. Most common procedures are urgent abdominal surgeries requiring general anaesthesia. Maintaining normal maternal physiology during anaesthesia is vital. Left lateral tilt […]

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Uncategorized Published - 13 October, 2022    By - Dr Clemens
1 in 20 hospitalized COVID-19 patients develop new-onset AFib

Author: Michael Walter Cardiovascular Business More than 5% of patients hospitalized with COVID-19 go on to develop new-onset atrial fibrillation (AFib), according to new research published in Circulation: Arrhythmia and Electrophysiology.[1] The study’s authors fear that this is likely to have a significant impact on the cardiovascular health of an entire generation of Americans. The analysis included data […]

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Uncategorized Published - 12 October, 2022    By - Dr Clemens
Randomized Assessment of the Optimal Time Interval Between Programmed Intermittent Epidural Boluses When Combined With the Dural Puncture Epidural Technique for Labor Analgesia

AUTHORS: Yao, Han-Qing MD et al  Anesthesia & Analgesia: September 15, 2022 BACKGROUND: The dural puncture epidural (DPE) and programmed intermittent epidural bolus (PIEB) techniques are recent advances in neuraxial labor analgesia. Previous studies have investigated the PIEB optimal interval for effective analgesia when a standard epidural technique is used to initiate labor analgesia. However, it […]

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Uncategorized Published - 12 October, 2022    By - Dr Clemens
Effect of intravenous lidocaine on pain after head and neck cancer surgery (ELICO trial)

AUTHORS: Wallon, Grégoire et al  European Journal of Anaesthesiology: September 2022 – Volume 39 – Issue 9 – p 735-742 BACKGROUND Treatment of postoperative pain after ear, nose and throat (ENT) cancer surgery is mainly morphine administration. Additional systemic lidocaine has shown promising results in some surgical procedures. OBJECTIVE The main objective was to evaluate morphine […]

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Uncategorized Published - 12 October, 2022    By - Dr Clemens
Comparison of rectus sheath block and local anesthetic for analgesia in pediatric umbilical hernia repair

AUTHORS: Lun-Hui Zhen et al Medicine (Baltimore). 2022 Sep 9; 101(36): e30391 BACKGROUND Pediatric umbilical hernia repair could cause considerable postoperative discomfort. This study aimed to compare the analgesia between rectus sheath block and local anesthetic infiltration in child pediatric umbilical hernia repair. METHODS The relevant randomized controlled trials were searched from PubMed, Embase, Web […]

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Uncategorized Published - 12 October, 2022    By - Dr Clemens
Association between post-operative delirium and use of volatile anesthetics in the elderly

AUTHORS: Thomas Saller et al J Clin Anesth. 2022 Sep 6; 83 110957 STUDY OBJECTIVE Early post-operative delirium is a common perioperative complication in the post anesthesia care unit. To date it is unknown if a specific anesthetic regime can affect the incidence of delirium after surgery. Our objective was to examine the effect of […]

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