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Uncategorized Published - 23 August, 2019    By - Dr Clemens
End-Expiratory Occlusion Test to Predict Fluid Responsiveness Is Not Suitable for Laparotomic Surgery

AUTHORS: Weil, Gregoire MD et al Anesthesia & Analgesia: May 2019 BACKGROUND: The end-expiratory occlusion test predicts fluid responsiveness in ventilated intensive care patients; however, its utility in the operating room is questioned. We assessed end-expiratory occlusion test in laparotomic surgery for predicting volume expansion. METHODS: Forty-six patients were included in this study: stage 1 (n = 26) […]

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Uncategorized Published - 23 August, 2019    By - Dr Clemens
Retrospective Analysis of the Safety and Efficacy of Sugammadex Versus Neostigmine for the Reversal of Neuromuscular Blockade in Children

AUTHORS: Gaver, Renee S. MD et al Anesthesia & Analgesia: May 2019 BACKGROUND: Sugammadex, with its novel mechanism of action of encapsulation and noncompetitive binding of aminosteroid neuromuscular-blocking agents (rocuronium and vecuronium), may offer distinct advantage to pediatric patients where residual neuromuscular blockade may be poorly tolerated. Data describing its use in the pediatric population are limited, […]

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Uncategorized Published - 23 August, 2019    By - Dr Clemens
Epidemiology of Hospital-Onset Versus Community-Onset Sepsis in U.S. Hospitals and Association With Mortality: A Retrospective Analysis Using Electronic Clinical Data

Authors: Rhee, Chanu MD, MPH et al Critical Care Medicine: September 2019 – Volume 47 – Issue 9 – p 1169-1176 Objectives: Prior studies have reported that hospital-onset sepsis is associated with higher mortality rates than community-onset sepsis. Most studies, however, have used inconsistent case-finding methods and applied limited risk-adjustment for potential confounders. We used consistent sepsis criteria and detailed electronic clinical data […]

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Uncategorized Published - 23 August, 2019    By - Dr Clemens
Drug Overdose Death Rates in Cities Surpass Those in Rural Areas

By Kelly Young Rates of drug overdose deaths in cities have overtaken those in rural areas, according to new data from the CDC’s National Center for Health Statistics. From 2007 through 2015, rural areas led urban areas in overdose deaths. But then in 2016 and 2017, the age-adjusted drug rate of drug overdose deaths was […]

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Uncategorized Published - 22 August, 2019    By - Dr Clemens
Preoperative predictors of poor acute postoperative pain control

AUTHORS: Yang M et al BMJ Open 9 (4), e025091 (Apr 2019) OBJECTIVES: Inadequate postoperative pain control is common and is associated with poor clinical outcomes. This study aimed to identify preoperative predictors of poor postoperative pain control in adults undergoing inpatient surgery. RESULTS:  Thirty-three studies representing 53 362 patients were included in this review. Significant […]

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