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Uncategorized Published - 23 July, 2025    By - Dr Clemens
Positioning a Patient with a Broken Bone for Spinal Anesthesia

Radius Anesthesia Patients with a fracture may require surgery to reposition or restructure their bones, and spinal anesthesia is an excellent tool for pain management in many orthopedic surgeries. However, positioning these patients for the administration of spinal anesthesia presents unique clinical challenges due to the pain and physical limitations resulting from their broken bone(s). […]

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Uncategorized Published - 23 July, 2025    By - Dr Clemens
Incidence of delirium post cardiac surgery: Discrepancy between clinical observation, DOS scores, and single‑lead EEG

Adelaars S, et al. Journal of Clinical Anesthesia. 2025. https://doi.org/10.1016/j.jclinane.2025.111896 This prospective cohort study investigated how different methods—clinical observation, the Delirium Observation Screening (DOS) scale, and single-lead EEG (sl-EEG)—compare in detecting postoperative delirium (POD) in 50 elderly patients undergoing aortic valve replacement (AVR) surgery. Delirium was assessed preoperatively and on postoperative days 1, 3, and […]

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Uncategorized Published - 23 July, 2025    By - Dr Clemens
Outcomes of Nasotracheal Versus Orotracheal Intubation in Neonates After Cardiopulmonary Bypass Surgery

Vogt P, et al. Paediatric Anaesthesia. 2025. https://doi.org/10.1111/pan.70010 This single-center, retrospective study compared nasal intubation (NI) versus oral intubation (OI) in neonates undergoing cardiopulmonary bypass surgery. Among 179 neonates, no significant differences were found in unplanned extubation, intubation duration, hospital stay, induction complications, or exclusive oral feeding at discharge. However, skin breakdown occurred significantly more […]

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Uncategorized Published - 23 July, 2025    By - Dr Clemens
Diagnostic Accuracy of Vascular Ultrasonography for Postanesthesia Induction Hypotension

Raoul Schorer et al. Anesthesia & Analgesia, July 2025 In this systematic review and Bayesian network meta-analysis, 32 studies involving 2631 adult surgical patients were analyzed to evaluate the effectiveness of point-of-care ultrasound (POCUS) in predicting postinduction hypotension (PIH). Of the 26 studies included in the meta-analysis, the most frequently studied test—the inferior vena cava […]

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Uncategorized Published - 23 July, 2025    By - Dr Clemens
Exploring The Potential of The Intensive Care Infection Score in Antimicrobial Stewardship: A Case Report

Authors: Nacke N, et al. A&A Practice. 2025;19(7):e02004. This case report investigates the utility of the Intensive Care Infection Score (ICIS) as a novel decision-support tool in antimicrobial stewardship (AMS). ICIS measures early innate immune response to infection, using hematologic markers beyond traditional indicators like CRP, procalcitonin (PCT), and WBC counts, which often reflect inflammation […]

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