Month: July 2024

Uncategorized Published - 26 July, 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 139(2):p 366-374, August 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 - 26 July, 2024    By - Dr Clemens
A Spicy New Treatment for Postoperative Pain

Author: J. David Clark, M.D., Ph.D. Anesthesiology August 2024, Vol. 141, 201–203. “[T]his new [capsaicin] prodrug formulation may provide a novel approach to postoperative analgesia resulting from a single local injection that lasts for days.” Image: A. Johnson, Vivo Visuals Studio. Fundamental advancements in our field do not occur every day, so it is particularly exciting […]

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Uncategorized Published - 25 July, 2024    By - Dr Clemens
Should Obesity Be an Exclusion Criterion for Extracorporeal Membrane Oxygenation Support?

Authors: Ripoll, Juan G. MD et al  Anesthesia & Analgesia 139(2):p 300-312, August 2024 Abstract Obesity is often considered a contraindication to extracorporeal membrane oxygenation (ECMO) candidacy due to technical challenges with vascular access, higher cardiac output requirements, and known associations between obesity and overall increased morbidity and mortality due to chronic health conditions. However, a […]

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Uncategorized Published - 25 July, 2024    By - Dr Clemens
The Cost-Effectiveness of Early High-Acuity Postoperative Care for Medium-Risk Surgical Patients

AUTHORS: Leaman, Esrom E. MBBS et al  Anesthesia & Analgesia 139(2):p 323-331, August 2024. BACKGROUND: Initiatives in perioperative care warrant robust cost-effectiveness analysis in a cost-constrained era when high-value care is a priority. A model of anesthesia-led early high-acuity postoperative care, advanced recovery room care (ARRC), has shown benefit in terms of hospital and patient outcomes, […]

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Uncategorized Published - 25 July, 2024    By - Dr Clemens
Development of an Artificial Intelligence–Based Image Recognition System for Time-Sequence Analysis of Tracheal Intubation

AUTHORS: Wu, Yu-Hwa MD et al  Anesthesia & Analgesia 139(2):p 357-365, August 2024. BACKGROUND: Total intubation time (TIT) is an objective indicator of tracheal intubation (TI) difficulties. However, large variations in TIT because of diverse initial and end targets make it difficult to compare studies. A video laryngoscope (VLS) can capture images during the TI process. […]

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Uncategorized Published - 25 July, 2024    By - Dr Clemens
Perioperative Primary Care Utilization and Postoperative Readmission, Emergency Department Use, and Mortality in Older Surgical Patients

AUTHORS: Ron, Donna MD et al   Anesthesia & Analgesia 139(2):p 291-299, August 2024. BACKGROUND: Postdischarge primary care follow-up is associated with lower readmission rates after medical hospitalizations. However, the effect of primary care utilization on readmission has not been studied in surgical patients. METHODS: Retrospective cohort study of Medicare beneficiaries aged 65 and older undergoing major […]

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Uncategorized Published - 25 July, 2024    By - Dr Clemens
Women Anesthesiologists in Sub-Saharan Africa in the Pre-COVID Era: A Multinational Demographic Study

AUTHORS: Ki, Bertille K. MD Anesthesia & Analgesia 139(1):p 4-14, July 2024 BACKGROUND: Gender imbalance and poor representation of women complicate the anesthesiology workforce crisis in sub-Saharan Africa (SSA). This study was performed to obtain a better understanding of gender disparity among medical graduates and anesthesiologists in SSA. METHODS: Using a quantitative, participatory, insider research study, […]

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Uncategorized Published - 24 July, 2024    By - Dr Clemens
High-Sensitivity Cardiac Troponin T and Frailty Predict Short-Term Mortality in Patients ≥75 Years Undergoing Emergency Abdominal Surgery

AUTHORS: Aakre, Elin Kismul MD et al  Anesthesia & Analgesia 139(2):p 313-322, August 2024. BACKGROUND: An elevated cardiac troponin concentration is a prognostic factor for perioperative cardiac morbidity and mortality. In elderly patients undergoing emergency abdominal surgery, frailty is a recognized risk factor, but little is known about the prognostic value of cardiac troponin in these […]

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Uncategorized Published - 24 July, 2024    By - Dr Clemens
The Accuracy of the Learning-Curve Cumulative Sum Method in Assessing Brachial Plexus Block Competency

AUTHORS: de Oliveira Filho et al Anesthesia & Analgesia 139(2):p 281-290, August 2024. BACKGROUND: The learning-curve cumulative sum method (LC-CUSUM) and its risk-adjusted form (RA-LC-CUSUM) have been proposed as performance-monitoring methods to assess competency during the learning phase of procedural skills. However, scarce data exist about the method’s accuracy. This study aimed to compare the […]

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Uncategorized Published - 24 July, 2024    By - Dr Clemens
The Effects of Intraoperative Methadone on Postoperative Pain Control in Pediatric Patients

Authors: Azamfirei, Razvan MS et al  Anesthesia & Analgesia 139(2):p 263-271, August 2024. Inadequate perioperative pain control has deleterious effects on children’s development and can lead to heightened pain experiences and the avoidance of future medical procedures. Reports of perioperative use of methadone in children are increasing, as it has a favorable pharmacodynamic profile; however, the […]

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