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Uncategorized Published - 22 October, 2019    By - Dr Clemens
Concomitant Cardiac Surgery and Radiofrequency Ablation of Atrial Fibrillation

Authors: Khalil Raissouni, M.D. et al Journal of Cardiothoracic and Vascular Anesthesia Objectives Concomitant cardiac surgery and radiofrequency atrial fibrillation (AF) ablation is an established procedure recommended in guidelines. However, the results have not been as good as expected. The authors therefore searched for predictive factors of success of the ablation procedure. Design The authors […]

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Uncategorized Published - 22 October, 2019    By - Dr Clemens
Respiratory Complications after Adenotonsillectomy in High-Risk Children with Obstructive Sleep Apnea

AUTHORS: Ekstein M et al Acta Anaesthesiol Scand. 2019 Oct 6. BACKGROUND: Obstructive sleep apnea occurs in 1-4% of children; adenotonsillectomy is an effective treatment. Mortality/severe brain injury occurs among 0.6/10,000 adenotonsillectomies;in children, 60% are secondary to airway/ respiratory events. Earlier studies identifiedchildren aged< 2 years, extremes of weight, with co-morbidities of craniofacial, neuromuscular, cardiac/ respiratory […]

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Uncategorized Published - 22 October, 2019    By - Dr Clemens
Sedation with Propofol During Catheter-Directed Thrombolysis for Acute Submassive Pulmonary Embolism Is Associated with Increased Mortality

Authors: Arbara Manchec, MD et al Journal of Vascular and Interventional Radiology Purpose To evaluate if sedation with propofol during catheter-directed thrombolysis (CDT) in patients with acute submassive pulmonary embolism (PE) affects survival. Materials and Methods This single-institution, retrospective study identified 136 patients from 2011–2017 who underwent CDT for acute submassive PE. Patients were grouped […]

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Uncategorized Published - 22 October, 2019    By - Dr Clemens
Adrenergic, Not Opioid Pathways, May Mediate Rapid Death From Fentanyl

AUTHORS: Amit Akirov, MD Clinical Pain Advisor Fentanyl and fentanyl analogues-induced mortality is thought to be caused by a syndrome referred to as wooden chest syndrome, in which severe rigidity occurs in the diaphragm, chest wall, and upper airway. Fentanyl and fentanyl analogues (F/FAs) may cause rapid death through airway compromise and severe muscle rigidity, […]

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Uncategorized Published - 21 October, 2019    By - Dr Clemens
Osteogenesis Imperfecta and anesthetic implications

Author: Elizabeth A. M. Frost, MD Anesthesiology News Rarities With Anesthetic Implications Osteogenesis Imperfecta What Is It? Osteogenesis imperfecta (OI), or brittle bone disease, is a group of genetic bone disorders characterized by fragile bones that break easily. Severity of OI ranges from mild to severe. The underlying pathophysiology is a connective tissue disorder caused […]

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