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Uncategorized Published - 1 April, 2020    By - Dr Clemens
The Nation’s 5,000 Outpatient Surgery Centers Could Help With The COVID-19 Overflow

Kaiser Health News As the number of COVID-19 cases continues to rise, a group of anesthesiologists wants to convert America’s surgery centers into critical care units for infected patients. Many of the country’s more than 5,000 outpatient surgery centers have closed or sharply cut back on the number of elective procedures they perform, to comply with requests […]

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Uncategorized Published - 1 April, 2020    By - Dr Clemens
Hypoxia During Upper Endoscopy: A Serious Problem and a New Solution

Author: René Miguel Gonzalez, MD Anesthesiology News The Problem In 2017, Goudra and Singh wrote: “The growing popularity of deep sedation for UGI [upper gastrointestinal] endoscopy has created immense challenges to anesthesiologists. Gastroenterologists have clearly benefited from deep sedation. It allows performing complicated procedures with relative ease. However, research suggests that management of the airway […]

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Uncategorized Published - 1 April, 2020    By - Dr Clemens
Preoperative Vitamin D Concentration and Cardiac, Renal, and Infectious Morbidity after Noncardiac Surgery

AUTHORS: Turan A et al Anesthesiology. 2020 Jan;132(1):121-130 BACKGROUND: Low 25-hydroxyvitamin D is associated with cardiovascular, renal, and infectious risks. Postsurgical patients are susceptible to similar complications, but whether vitamin D deficiency contributes to postoperative complications remains unclear. We tested whether low preoperative vitamin D is associated with cardiovascular events within 30 days after noncardiac surgery. […]

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Uncategorized Published - 1 April, 2020    By - Dr Clemens
Comparison of emergence agitation between succinylcholine and rocuronium-sugammadex in adults following closed reduction of a nasal bone fracture

Authors: Seok-Jin Lee et al BMC Anesthesiology volume 19, Article number: 228 (2019) Background Sugammadex allows rapid recovery from rocuronium-induced neuromuscular blockade. Succinylcholine is often used for brief surgeries but is associated with myalgia, headache, histamine release, and increased lactate levels. Thus, we hypothesized that succinylcholine may affect emergence agitation (EA) and compared the effects of succinylcholine and rocuronium-sugammadex on […]

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Uncategorized Published - 1 April, 2020    By - Dr Clemens
Real-Time Intraoperative Determination and Reporting of Cerebral Autoregulation State Using Near-Infrared Spectroscopy

AUTHORS: Montgomery, Dean PhD et al Anesthesia & Analgesia: December 27, 2019 BACKGROUND:  Cerebral blood flow (CBF) is maintained over a range of blood pressures through cerebral autoregulation (CA). Blood pressure outside the range of CA, or impaired autoregulation, is associated with adverse patient outcomes. Regional oxygen saturation (rSO2) derived from near-infrared spectroscopy (NIRS) can […]

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