Month: February 2024

Uncategorized Published - 14 February, 2024    By - Dr Clemens
A Pilot Study of Renin-Guided Angiotensin-II Infusion to Reduce Kidney Stress After Cardiac Surgery

AUTHORS: Sadjadi, Mahan MD et al  Anesthesia & Analgesia January 30, 2024. | BACKGROUND: Vasoplegia is common after cardiac surgery, is associated with hyperreninemia, and can lead to acute kidney stress. We aimed to conduct a pilot study to test the hypothesis that, in vasoplegic cardiac surgery patients, angiotensin-II (AT-II) may not increase kidney stress (measured […]

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Uncategorized Published - 14 February, 2024    By - Dr Clemens
What Is the Role of a Periarticular Injection for Knee Arthroplasty Patients Receiving a Multimodal Analgesia Regimen Incorporating Adductor Canal and Infiltration Between the Popliteal Artery and Capsule of the Knee Blocks?

AUTHORS: YaDeau, Jacques T. MD, PhD et a  Anesthesia & Analgesia January 2024. BACKGROUND: Optimal analgesic protocols for total knee arthroplasty (TKA) patients remain controversial. Multimodal analgesia is advocated, often including peripheral nerve blocks and/or periarticular injections (PAIs). If 2 blocks (adductor canal block [ACB] plus infiltration between the popliteal artery and capsule of the […]

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Uncategorized Published - 14 February, 2024    By - Dr Clemens
The anesthesia conundrum

Author: Patsy Newitt Becker’s ASC Review ASCs are facing major obstacles to secure anesthesia as the provider shortage increases and reimbursements decline. “Today’s shortage of anesthesia providers has been compounding for years and has turned into an incredible challenge for all,” Andrew Lovewell, CEO of Columbia (Mo.) Orthopaedic Group, told Becker’s. “Not only is it difficult […]

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Uncategorized Published - 14 February, 2024    By - Dr Clemens
Method of Anesthesia and Perioperative Risk Factors, Maternal Anesthesia Complications, and Neonatal Mortality Following Cesarean Delivery in Africa

AUTHORS: Gerber, Carmen MPH, FCA Anesthesia & Analgesia January 2024. BACKGROUND: The African Surgical Outcomes Study (ASOS) found that maternal mortality following cesarean delivery in Africa is 50 times higher than in high-income countries, and associated with obstetric hemorrhage and anesthesia complications. Mothers who died were more likely to receive general anesthesia (GA). The associations […]

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Uncategorized Published - 13 February, 2024    By - Dr Clemens
Sugammadex Versus Neostigmine for Reversal of Neuromuscular Blockade in Patients With Severe Renal Impairment

AUTHORS: Oh, Matthew W. BS Anesthesia & Analgesia January 08, 2024 BACKGROUND: Sugammadex is not advised for patients with severe renal impairment, but has been shown in a variety of other populations to be superior to neostigmine for reversal of neuromuscular blockade. The objective of this study was to determine if reversal of rocuronium-induced neuromuscular […]

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Uncategorized Published - 13 February, 2024    By - Dr Clemens
Effect of Volatile Anesthesia Versus Intravenous Anesthesia on Postoperative Pulmonary Complications in Patients Undergoing Minimally Invasive Esophagectomy

AUTHORS: Zhang, Yu-Tong MD et al  Anesthesia & Analgesia January 09, 2024. BACKGROUND: The effect of intraoperative anesthetic regimen on pulmonary outcome after minimally invasive esophagectomy for esophageal cancer is yet undetermined. The aim of this study was to determine the effect of volatile anesthesia (sevoflurane or desflurane) compared with propofol-based intravenous anesthesia on pulmonary […]

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Uncategorized Published - 13 February, 2024    By - Dr Clemens
A Cost and Waste-Savings Comparison Between Single-Use and Reusable Pulse Oximetry Sensors Across US Operating Rooms

AUTHORS: Stockert, Emily Walker MD, MBA et al  Anesthesia & Analgesia January 2024. BACKGROUND: Operating room (OR) expenditures and waste generation are a priority, with several professional societies recommending the use of reprocessed or reusable equipment where feasible. The aim of this analysis was to compare single-use pulse oximetry sensor stickers (“single-use stickers”) versus reusable […]

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Uncategorized Published - 13 February, 2024    By - Dr Clemens
The No. 1 problem still keeping hospital CEOs up at night

Author: Kelly Gooch Becker’s Hospital Review Hospital CEOs ranked workforce challenges as their No. 1 concern in 2023. Financial challenges, which held the top spot for 16 consecutive years prior to 2021, were listed the second-most pressing concern in the American College of Healthcare Executives’ annual survey. Behavioral health and addiction issues ranked third. This is the second […]

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Uncategorized Published - 13 February, 2024    By - Dr Clemens
Changes in Intrinsic Connectivity Networks Topology Across Levels of Dexmedetomidine-Induced Alteration of Consciousness

AUTHORS: Staquet, Cecile MD et al Anesthesia & Analgesia January 30, 2024. BACKGROUND: Human consciousness is generally thought to emerge from the activity of intrinsic connectivity networks (resting-state networks [RSNs]) of the brain, which have topological characteristics including, among others, graph strength and efficiency. So far, most functional brain imaging studies in anesthetized subjects have […]

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Uncategorized Published - 12 February, 2024    By - Dr Clemens
Predicting Fluid Responsiveness Using Carotid Ultrasound in Mechanically Ventilated Patients

AUTHORS: Lipszyc, Adam C. MD et al  Anesthesia & Analgesia January 30, 2024. BACKGROUND: A noninvasive and accurate method of determining fluid responsiveness in ventilated patients would help to mitigate unnecessary fluid administration. Although carotid ultrasound has been previously studied for this purpose, several studies have recently been published. We performed an updated systematic review […]

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