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Uncategorized Published - 17 December, 2021    By - Dr Clemens
Respiratory pre-habilitation in paediatric anaesthesia in Children with Muscular and Neurologic disease

DG Journal Club AUTHORS: Aaron St-Laurent, Zofia Zysman-Colman et al. Paediatr Anaesth. 2021 Dec 5 Children with neruromuscular, chronic neurologic and chest wall diseases are at increased risk of post-operative respiratory complications including atelectasis, pneumonia, respiratory failure with the possible need for reintubation or even tracheostomy. These complications negatively impact patient outcomes, including increased healthcare […]

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Uncategorized Published - 17 December, 2021    By - Dr Clemens
What are the uses of ketamine?

Author: Kathleen davis FNP MedicalNewsToday Ketamine is a medication that doctors use as an anesthetic to induce loss of consciousness. Effects include sedation and reduced sensation of pain. The drug is a Schedule III non-narcotic that the Food and Drug Administration (FDA) has approved for use only as a general anesthetic. However, doctors sometimes prescribe it for “off-label” […]

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Uncategorized Published - 16 December, 2021    By - Dr Clemens
Hydroxyethyl Starch for Fluid Management in Patients Undergoing Major Abdominal Surgery

AUTHORS: Pensier, Joris MD et al Anesthesia & Analgesia: November 2021 Export BACKGROUND: In critically ill patients, warnings about a risk of death and acute kidney injury (AKI) with hydroxyethyl starch (HES) solutions have been raised. However, HES solutions may yet have a role to play in major abdominal surgery. This meta-analysis and trial sequential analysis […]

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Uncategorized Published - 16 December, 2021    By - Dr Clemens
The Relation Between Mean Arterial Pressure and Cardiac Index in Major Abdominal Surgery Patients

AUTHORS: Kouz, Karim MD et al  Anesthesia & Analgesia: December 2021 BACKGROUND: Cardiac output is an important hemodynamic variable and determines oxygen delivery. In contrast to blood pressure, cardiac output is rarely measured even in high-risk surgical patients, suggesting that clinicians consider blood pressure to be a reasonable indicator of systemic blood flow. However, the relationship […]

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Uncategorized Published - 16 December, 2021    By - Dr Clemens
Intraoperative Hypotension and Acute Kidney Injury after Noncardiac Surgery in Infants and Children:

Authors: Nadav Y. Schacham, M.D. et al  Anesthesiology November 2021. Background Age- and sex-specific reference nomograms for intraoperative blood pressure have been published, but they do not identify harm thresholds. The authors therefore assessed the relationship between various absolute and relative characterizations of hypotension and acute kidney injury in children having noncardiac surgery. Methods The […]

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