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Uncategorized Published - 6 May, 2020    By - Dr Clemens
Continuous Noninvasive Hemoglobin Monitoring Reflects the Development of Acute Hemodilution After Consecutive Fluid Challenges

AUTHORS: Bubenek-Turconi, Şerban Ion MD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 696-703 BACKGROUND:  Consecutive fluid challenges (FCs) are frequently administered to maximize the stroke volume (SV) as part of a goal-directed therapy (GDT) strategy. However, fluid administration may also cause acute hemodilution that might lead to an […]

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Uncategorized Published - 6 May, 2020    By - Dr Clemens
Timing and Risk Factors Associated With Postoperative Stroke in Vascular Surgery Patients Using Time-Varying Coefficients From a Cox Model

AUTHORS: Moore, Laurel E. MD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 673-684 BACKGROUND:  Mechanisms of postoperative stroke are poorly understood, particularly for strokes occurring after uneventful emergence from anesthesia. We sought to create a model to study retrospectively the timing and associations for stroke in a […]

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Uncategorized Published - 6 May, 2020    By - Dr Clemens
A Population-Based Analysis of Intraoperative Cardiac Arrest in the United States

AUTHORS: Fielding-Singh, Vikram MD, JD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 627-634 BACKGROUND:  A new billable code for intraoperative cardiac arrest was introduced with the International Classification of Diseases, Tenth Revision, classification system. Using a national administrative database, we performed a retrospective analysis of intraoperative cardiac arrest in […]

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Uncategorized Published - 6 May, 2020    By - Dr Clemens
ASHP Survey: Mechanical Ventilation Rx Shortages Remain a Challenge

Author: Bruce Buckley Anesthesiology News Five medications used to sedate or immobilize intubated COVID-19 patients on mechanical ventilation were cited most often by U.S. hospital pharmacy leaders as being in critically short supply, according to ASHP’s latest survey on the status of hospital and health-system pharmacy resources during the pandemic. The five IV drugs—cisatracurium, fentanyl, […]

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Uncategorized Published - 5 May, 2020    By - Dr Clemens
The ASA and APSF Joint Statement on Perioperative Testing for the COVID-19 Virus

Patients who are infected with SARS-CoV-2, the virus responsible for the COVID-19 disease, have higher perioperative morbidity and mortality.(1-3)  Unexpected progression to acute respiratory distress syndrome, cardiac injury, kidney failure and even deaths has been observed in patients infected with SARS-CoV-2 who have undergone surgical procedures.(1,4)  Additionally, aerosolizing procedures place operating room staff at greater risk of […]

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