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Uncategorized Published - 18 August, 2021    By - Dr Clemens
Individualized positive end-expiratory pressure (PEEP) during one-lung ventilation for prevention of postoperative pulmonary complications in patients undergoing thoracic surgery

DG Journal Club AUTHORS Pule Li, Xia Kang et al. Medicine (Baltimore). 2021 Jul 16 BACKGROUND Positive end-expiratory pressure (PEEP) is an important part of the lung protection strategies for one-lung ventilation (OLV). However, a fixed PEEP value is not suitable for all patients. Our objective was to determine the prevention of individualized PEEP on […]

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Uncategorized Published - 18 August, 2021    By - Dr Clemens
FAILED INTUBATION

Author: George Kovacs Cardiac Anesthesiologist Continue BMV between attempts, call for help and remember each attempt mandates a different approach. 1. If SpO2 permits allow a maximum of 3 attempts. 2. For direct or Macintosh videolaryngoscopy optimize technique, ELM, head position and consider using adjuncts. 3. If there is hold up at the glottic inlet when using a bougie, rotate […]

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Uncategorized Published - 17 August, 2021    By - Dr Clemens
Postdischarge Nonsteroidal Anti-Inflammatory Drugs Are not Associated with Risk of Hematoma after Lumpectomy and Sentinel Lymph Node Biopsy with Multimodal Analgesia

DG Journal Club AUTHORS: Kate R Pawloski, Regina Matar et al. Ann Surg Oncol. 2021 Jul 10 BACKGROUND Nonsteroidal anti-inflammatory drugs (NSAIDs) are increasingly used in ambulatory breast surgery. The risk of hematoma associated with intraoperative ketorolac is low, but whether concomitant routine discharge with NSAIDs increases the risk of hematoma is unclear. METHODS We […]

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Uncategorized Published - 17 August, 2021    By - Dr Clemens
Using Midazolam for Sedation and Premedication

Author: J. LANCE LICHTOR  and PETER MANCINI Cardiac Anesthesiologist Midazolam, a benzodiazepine, is currently the drug most commonly used to  reduce preoperative anxiety and induce sedation. It can be administered intravenously and orally. In adults, it can be used to control preoperative anxiety and, during a procedure alone or in combination with other drugs, for […]

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Uncategorized Published - 17 August, 2021    By - Dr Clemens
History of CABG associated with a higher risk of death from COVID-19

Author: Anthony Vecchione Cardiovascular Busienss Patients with a history of coronary bypass grafting (CABG) face an elevated risk of COVID-19-related mortality, according to new data published in the American Journal of Cardiology. “Over the latest months, several analyses have demonstrated that cardiovascular (CV) comorbidities are common in patients with COVID-19 infection, increasing their morbidity and mortality risk,” wrote […]

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