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Uncategorized Published - 16 December, 2019    By - Dr Clemens
Elevated Troponin May Not Be Useful for Post–Cardiac Arrest Decision Making

Authors: Agusala V et al. Resuscitation 2019 Aug Even at very high levels, neither initial nor peak troponin predicted left ventricular dysfunction, ischemic etiology of cardiac arrest, or survival. Guidelines recommend early coronary angiography for survivors of cardiac arrest, but identifying the patients who may benefit most, or not at all, is challenging. Although troponin is […]

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Uncategorized Published - 16 December, 2019    By - Dr Clemens
Homing in on Optimal Compression Rate and Depth for CPR

Authors: Duval S et al. JAMA Cardiol 2019 Aug 14 Compression at a rate of 86 to 129 per minute and depth of 3.8 to 5.6 cm was associated with higher survival to discharge. Adult cardiac arrest guidelines recommend delivery of chest compressions at a rate of 100 to 120 per minute and a depth of […]

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Uncategorized Published - 13 December, 2019    By - Dr Clemens
How Do Common Comorbidities Modify the Association of Frailty With Survival After Elective Noncardiac Surgery?

AUTHORS: Hui, Yin MD et al Anesthesia & Analgesia: December 2019 – Volume 129 – Issue 6 – p 1699-1706 BACKGROUND: Older people with frailty have decreased postoperative survival. Understanding how comorbidities modify the association between frailty and survival could improve risk stratification and guide development of interventions. Therefore, we evaluated whether the concurrent presence of […]

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Uncategorized Published - 13 December, 2019    By - Dr Clemens
Intraoperative Awareness With Recall

AUTHORS: Bombardieri, Anna Maria MD, PhD et al Anesthesia & Analgesia: November 2019 – Volume 129 – Issue 5 – p 1291-1297 BACKGROUND: Unintended intraoperative awareness with recall (AWR) is a potential complication of general anesthesia. Patients typically report recollections of (1) hearing sounds or conversations, (2) being unable to breathe or move, (3), feeling pain, […]

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Uncategorized Published - 13 December, 2019    By - Dr Clemens
A Novel 3-Dimensional Approach for the Echocardiographic Evaluation of Mitral Valve Area After Repair for Degenerative Disease

AUTHORS: Karamnov, Sergey MD et al Anesthesia & Analgesia: August 2019 BACKGROUND: Currently available 2-dimensional (2D) echocardiographic methods for accurately assessing the mitral valve orifice area (MVA) after mitral valve repair (MVr) are limited due to its complex 3-dimensional (3D) geometry. We compared repaired MVAs obtained with commonly used 2D and 3D echocardiographic methods to a 3D […]

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