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Uncategorized Published - 26 July, 2019    By - Dr Clemens
Procedural Challenges During Intubation in Patients With Oropharyngeal Masses

AUTHORS: Bryan, Yvon F. MD et al Anesthesia & Analgesia: June 2019 – Volume 128 – Issue 6 – p 1256-1263 BACKGROUND: In patients who undergo surgery for oropharyngeal masses, intubation is almost always successful. However, technical aspects of airway management, including bag mask ventilation and oxygenation, may still be difficult. Although rates of airway difficulty […]

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Uncategorized Published - 26 July, 2019    By - Dr Clemens
Regional Left Ventricular Myocardial Dysfunction After Cardiac Surgery Characterized by 3-Dimensional Strain

AUTHORS: Howard-Quijano, Kimberly MD, MS et al Anesthesia & Analgesia: May 2019 – Volume 128 – Issue 5 – p 854-864 BACKGROUND: Three-dimensional (3D) strain is an echocardiographic modality that can characterize left ventricular (LV) function with greater accuracy than ejection fraction. While decreases in global strain have been used to predict outcomes after cardiac surgery, […]

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Uncategorized Published - 26 July, 2019    By - Dr Clemens
Ability of an Arterial Waveform Analysis–Derived Hypotension Prediction Index to Predict Future Hypotensive Events in Surgical Patients

AUTHORS: Davies, Simon James MD, PhD et al Anesthesia & Analgesia: March 2019 BACKGROUND: Intraoperative hypotension is associated with worse perioperative outcomes for patients undergoing major noncardiac surgery. The Hypotension Prediction Index is a unitless number that is derived from an arterial pressure waveform trace, and as the number increases, the risk of hypotension occurring in […]

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Uncategorized Published - 25 July, 2019    By - Dr Clemens
Intraoperative Methadone in Same-Day Ambulatory Surgery

AUTHORS: Komen, Helga MD et al Anesthesia & Analgesia: April 2019 – Volume 128 – Issue 4 – p 802-810 BACKGROUND: Approximately 50 million US patients undergo ambulatory surgery annually. Postoperative opioid overprescribing is problematic, yet many patients report inadequate pain relief. In major inpatient surgery, intraoperative single-dose methadone produces better analgesia and reduces opioid use […]

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Uncategorized Published - 25 July, 2019    By - Dr Clemens
Blood Pressure and the Brain: How Low Can You Go?

AUTHOR: Drummond, John C. MD Anesthesia & Analgesia: April 2019 – Volume 128 – Issue 4 – p 759-771 There are occasionally intraoperative circumstances in which reduction of mean arterial pressure (MAP) to levels well below those that occur in nonanesthetized adults is necessary or unavoidable. In these situations, clinicians are inevitably concerned about the limits […]

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