Month: February 2024

Uncategorized Published - 16 February, 2024    By - Dr Clemens
Loss-of-Resistance Versus Dynamic Pressure-Sensing Technology for Successful Placement of Thoracic Epidural Catheters

AUTHORS: Ranganath, Yatish S. MD, FASA et al  Anesthesia & Analgesia January 08, 2024. BACKGROUND: The traditional loss-of-resistance (LOR) technique for thoracic epidural catheter placement can be associated with a high primary failure rate. In this study, we compared the traditional LOR technique and dynamic pressure-sensing (DPS) technology for primary success rate and secondary outcomes […]

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Uncategorized Published - 16 February, 2024    By - Dr Clemens
Association of Early Dexmedetomidine Utilization With Clinical Outcomes After Moderate-Severe Traumatic Brain Injury

AUTHORS: Liu, Sunny Yang BA et al Anesthesia & Analgesia February 09, 2024. BACKGROUND: Traumatic brain injury (TBI) is an expensive and common public health problem. Management of TBI oftentimes includes sedation to facilitate mechanical ventilation (MV) for airway protection. Dexmedetomidine has emerged as a potential candidate for improved patient outcomes when used for early […]

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Uncategorized Published - 16 February, 2024    By - Dr Clemens
Thoracic Epidural Analgesia Is Not Associated With Improved Survival After Pancreatic Surgery

AUTHORS: Klotz, Rosa MD et al  Anesthesia & Analgesia February 09, 2024. BACKGROUND: Perioperative thoracic epidural analgesia (EDA) and patient-controlled intravenous analgesia (PCIA) are common forms of analgesia after pancreatic surgery. Current guidelines recommend EDA over PCIA, and evidence suggests that EDA may improve long-term survival after surgery, especially in cancer patients. The aim of […]

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Uncategorized Published - 16 February, 2024    By - Dr Clemens
Gender and Pathways to Leadership in Academic Anesthesiology

AUTHORS: Lane-Fall, Meghan B. MD, MSHP, FCCM et al  Anesthesia & Analgesia January 30, 2024. BACKGROUND: Women are underrepresented in medicine and academic anesthesiology, and especially in leadership positions. We sought to characterize career achievement milestones of female versus male academic anesthesiology chairs to understand possible gender-related differences in pathways to leadership. METHODS: We conducted […]

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Uncategorized Published - 15 February, 2024    By - Dr Clemens
Preoperative Anemia and Postoperative Outcomes in Cardiac Surgery

AUTHORS: Warner, Matthew A. MD et al  Anesthesia & Analgesia February 09, 2024. BACKGROUND: Preoperative anemia is associated with adverse outcomes in cardiac surgery, yet it remains unclear what proportion of this association is mediated through red blood cell (RBC) transfusions. METHODS: This is a historical observational cohort study of adults undergoing coronary artery bypass […]

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Uncategorized Published - 15 February, 2024    By - Dr Clemens
Association of Preoperative Diabetes With Postoperative Delirium in Older Patients Undergoing Major Orthopedic Surgery

AUTHORS: Shang, Zixiang MD et al  Anesthesia & Analgesia ():10.1213/ANE.0000000000006893, February 09, 2024. BACKGROUND: Postoperative delirium (POD) is a common form of postoperative brain dysfunction, especially in the elderly. However, its risk factors remain largely to be determined. This study aimed to investigate whether (1) preoperative diabetes is associated with POD after elective orthopedic surgery and […]

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Uncategorized Published - 15 February, 2024    By - Dr Clemens
First-Attempt Success Between Anatomically and Physiologically Difficult Airways in the National Emergency Airway Registry

AUTHORS: Nikolla, Dhimitri A. DO, MS et al  Anesthesia & Analgesia February 09, 2024. BACKGROUND: In the emergency department (ED), certain anatomical and physiological airway characteristics may predispose patients to tracheal intubation complications and poor outcomes. We hypothesized that both anatomically difficult airways (ADAs) and physiologically difficult airways (PDAs) would have lower first-attempt success than […]

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Uncategorized Published - 15 February, 2024    By - Dr Clemens
Inotropes and Vasopressor Effect on Cerebral Blood Flow

Author: John L. Ard, MD ASA Monitor February 2024, Vol. 88, 28. Anesthesiologists are responsible for managing blood pressure during surgery. This task is particularly important during neurosurgical procedures, as brain cells are uniquely vulnerable to hypoxia, which may occur if hypotension is left untreated. The presence of a brain tumor may increase intracranial pressure and […]

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Uncategorized Published - 15 February, 2024    By - Dr Clemens
Top 15 heart-healthy diets: Experts call Mediterranean, DASH the best of the best

Author: Michael Walter Cardiovascular Business  U.S. News and World Report has shared its annual ranking of the best diets for a person’s health, and the Mediterranean diet came out on top for the seventh year in a row. A team of 43 experts, including nutritionists, doctors and epidemiologists, collaborated on the list. “Choosing a diet […]

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Uncategorized Published - 14 February, 2024    By - Dr Clemens
Association Between Cannabis Use and Opioid Consumption, Pain, and Respiratory Complications After Surgery

AUTHORS: Ekrami, Elyad MD et al Anesthesia & Analgesia January 2024. BACKGROUND: Cannabis is a widely used illicit drug with effects on different pain pathways. However, interactions between cannabis and postoperative pain are unclear. Cannabis smoking also affects the lungs, but the impact of cannabis use on postoperative pulmonary complications is unknown. We hypothesized that […]

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