Month: November 2022

Uncategorized Published - 21 November, 2022    By - Dr Clemens
Single-Shot Lumbar Erector Spinae Plane Block in Total Hip Replacement

AUTHORS: Chan, Anyon MBChB et al  Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 – p 829-836 BACKGROUND: Lumbar erector spinae plane block (ESPB) has been proposed to relieve pain after total hip replacement (THR), but high-quality evidence is scarce. METHODS: This double-blinded (patient and assessor) randomized clinical trial, performed in 2 tertiary […]

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Uncategorized Published - 21 November, 2022    By - Dr Clemens
Burnout Syndrome Among Anesthesia Providers Working in Public Hospitals in Rwanda

AUTHORS: Tuyishime, Eugene MBBS, MSc, MMed, FCA (ECSA) et al  Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 – p 820-828 BACKGROUND:  Many studies address anesthesia provider burnout in high-income countries; however, there is a paucity of data on burnout for anesthesia providers in low-income countries (LICs). Our objectives were (1) to evaluate […]

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Uncategorized Published - 21 November, 2022    By - Dr Clemens
Relationship Between Glottic View and Intubation Force During Macintosh and Airtraq Laryngoscopy and Intubation

AUTHORS: Hindman, Bradley J. MD et al  Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 – p 815-819 BACKGROUND: Because intubation-mediated cervical spine and spinal cord injury are likely determined by intubation force magnitude, understanding the determinants of intubation force magnitude is clinically relevant. With direct (Macintosh) laryngoscopy, when glottic view is less […]

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Uncategorized Published - 21 November, 2022    By - Dr Clemens
Characterizing the Heart Rate Effects From Administration of Sugammadex to Reverse Neuromuscular Blockade

AUTHORS: Ebert, Thomas J. MD, PhD et al  Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 – p 807-814 BACKGROUND: Reversal of neuromuscular blockade (NMB) with sugammadex can cause marked bradycardia and asystole. Administration of sugammadex typically occurs in a dynamic period when anesthetic adjuvants and gas concentrations are being titrated to achieve […]

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Uncategorized Published - 21 November, 2022    By - Dr Clemens
Identification of Foramen Ovale With H-Figure Fluoroscopic Landmark Improves Treatment Outcomes in Idiopathic Trigeminal Neuralgia

AUTHORS: He, Liang-Liang MD et al  Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 – p 837-844 BACKGROUND: Because it is traditionally difficult and time-consuming to identify the foramen ovale (FO) with fluoroscopy, we recently developed the H-figure method to acquire fluoroscopic view of FO with shorter procedure time and less radiation. However, […]

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Uncategorized Published - 18 November, 2022    By - Dr Clemens
Comparison of Antinociceptive Properties Between Sevoflurane and Desflurane Using Pupillary Dilation Reflex Under Equivalent Minimum Alveolar Concentration

AUTHORS: Kim, Soo Yeon MD, PhD et al  Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 – p 798-806 BACKGROUND:  The pupillary dilation reflex (PDR), the change in pupil size after a nociceptive stimulus, has been used to assess antinociception during anesthesia. The aim of this study was to compare the antinociceptive properties […]

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Uncategorized Published - 18 November, 2022    By - Dr Clemens
Intraoperative Blood Pressure and Long-Term Neurodevelopmental Function in Children Undergoing Ambulatory Surgery

AUTHORS: Ing, Caleb MD, MS et al Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 – p 787-797 BACKGROUND: Some studies have found surgery and anesthesia in children to be associated with neurodevelopmental deficits, but specific reasons for this association have not been fully explored. This study evaluates intraoperative mean arterial pressure (MAP) […]

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Uncategorized Published - 18 November, 2022    By - Dr Clemens
Pharmacokinetics and Tolerability of Intraperitoneal Chloroprocaine After Fetal Extraction in Women Undergoing Cesarean Delivery

AUTHORS: Togioka, Brandon M. MD et al  Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 – p 777-786 BACKGROUND: Intraperitoneal chloroprocaine has been used during cesarean delivery to supplement suboptimal neuraxial anesthesia for decades. The short in vitro half-life of chloroprocaine (11–21 seconds) has been cited to support the safety of this approach. […]

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Uncategorized Published - 18 November, 2022    By - Dr Clemens
The Influence of Positive End-Expiratory Pressure on Leakage and Oxygenation Using a Laryngeal Mask Airway

AUTHORS: Ullmann, Hannah et al  Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 – p 769-776 BACKGROUND:  The value of positive end-expiratory pressure (PEEP) in maintaining oxygenation during ventilation with a laryngeal mask airway (LMA) mask is unclear. To clarify the potential benefit or harm to PEEP application during positive pressure ventilation with […]

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Uncategorized Published - 18 November, 2022    By - Dr Clemens
A Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial of Preoperative Antithrombin Supplementation in Patients at Risk for Antithrombin Deficiency After Cardiac Surgery

AUTHORS: Moront, Michael George MD et al Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 – p 757-768 BACKGROUND:  Antithrombin (AT) activity is reduced during cardiac operations with cardiopulmonary bypass (CPB), which is associated with adverse outcomes. Preoperative AT supplementation, to achieve >58% and <100% AT activity, may potentially reduce postoperative morbidity and […]

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