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Uncategorized Published - 1 October, 2021    By - Dr Clemens
Activation of Orexinergic Neurons Inhibits the Anesthetic Effect of Desflurane on Consciousness State via Paraventricular Thalamic Nucleus in Rats

AUTHORS: Zhao, Shiyi MD et al  Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 781-793 BACKGROUND:  Orexin, a neuropeptide derived from the perifornical area of the hypothalamus (PeFLH), promotes the recovery of propofol, isoflurane, and sevoflurane anesthesias, without influencing the induction time. However, whether the orexinergic system also plays a similar […]

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Uncategorized Published - 30 September, 2021    By - Dr Clemens
Midazolam Premedication Immediately Before Surgery Is Not Associated With Early Postoperative Delirium

AUTHORS: Wang, Man-Ling MD et al  Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 765-771 BACKGROUND:  Postoperative delirium is common among older surgical patients and may be associated with anesthetic management during the perioperative period. The aim of this study is to assess whether intravenous midazolam, a short-acting benzodiazepine used frequently […]

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Uncategorized Published - 30 September, 2021    By - Dr Clemens
Point-of-Care Lung Ultrasound Pattern in Healthy Parturients: Prevalence of Pulmonary Interstitial Syndrome Following Vaginal Delivery, Elective and Unplanned Intrapartum Cesarean Delivery

AUTHORS: Macias, Paul MD, MS, RD et al Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 739-746 BACKGROUND:  Pregnancy-related cardiovascular physiologic changes increase the likelihood of pulmonary edema, with the risk of fluid extravasating into the pulmonary interstitium being potentially at a maximum during the early postpartum period. Data on the […]

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Uncategorized Published - 30 September, 2021    By - Dr Clemens
Differential Perioperative Outcomes in Patients With Obstructive Sleep Apnea, Obesity, or a Combination of Both Undergoing Open Colectomy

AUTHORS: Stundner, Ottokar MD, MBA et al Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 755-764 BACKGROUND:  An increasing body of evidence demonstrates an association between obstructive sleep apnea (OSA) and adverse perioperative outcomes. However, large-scale data on open colectomies are lacking. Moreover, the interaction of obesity with OSA is unknown. […]

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Uncategorized Published - 30 September, 2021    By - Dr Clemens
Fooled by Thinking: Behavioral Economics and Medical Decision-Making

Author: John E. Fiadjoe, MD ASA Monitor September 2021, Vol. 85, 36. “The fool doth think he is wise, but the wise man knows himself to be a fool.” – William Shakespeare Behavioral economics is a field that studies the effects of environment, heuristics, social contexts, and psychological influences on decision-making. Daniel Kahneman won the […]

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