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Uncategorized Published - 6 May, 2019    By - Dr Clemens
Fluid Challenge During Anesthesia

AUTHORS: Messina, Antonio, PhD et al Anesthesia & Analgesia: December 2018 – Volume 127 – Issue 6 – p 1353–1364 BACKGROUND: Assessing the volemic status of patients undergoing surgery is part of the routine management for the anesthesiologist. This assessment is commonly performed by means of dynamic indexes based on the cardiopulmonary interaction during mechanical ventilation […]

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Uncategorized Published - 6 May, 2019    By - Dr Clemens
Reversal of Deep Pipecuronium-Induced Neuromuscular Block With Moderate Versus Standard Dose of Sugammadex

AUTHORS: Tassonyi, Edömér, MD, PhD, DSc et al Anesthesia & Analgesia: December 2018 – Volume 127 – Issue 6 – p 1344–1350 BACKGROUND: Certain surgical interventions may require a deep neuromuscular block (NMB). Reversal of such a block before tracheal extubation is challenging. Because anticholinesterases are ineffective in deep block, sugammadex 4 mg/kg has been recommended […]

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Uncategorized Published - 6 May, 2019    By - Dr Clemens
Mild Perioperative Hypothermia and Myocardial Injury

AUTHORS: Schacham, Yehoshua N., MD et al Anesthesia & Analgesia: December 2018 – Volume 127 – Issue 6 – p 1335–1341 BACKGROUND: We tested the primary hypothesis that final intraoperative esophageal temperature is associated with increased odds of a composite of in-hospital all-cause mortality and myocardial injury within 7 days after noncardiac surgery. Secondary exposures were […]

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Uncategorized Published - 6 May, 2019    By - Dr Clemens
Cerebral Small Vessel, But Not Large Vessel Disease, Is Associated With Impaired Cerebral Autoregulation During Cardiopulmonary Bypass

AUTHORS: Nomura, Yohei, MD et al Anesthesia & Analgesia: December 2018 – Volume 127 – Issue 6 – p 1314–1322 BACKGROUND: Impaired cerebral blood flow (CBF) autoregulation during cardiopulmonary bypass (CPB) is associated with stroke and other adverse outcomes. Large and small arterial stenosis is prevalent in patients undergoing cardiac surgery. We hypothesize that large and/or […]

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Uncategorized Published - 6 May, 2019    By - Dr Clemens
A Systematic Review Evaluating Neuraxial Morphine and Diamorphine-Associated Respiratory Depression After Cesarean Delivery

AUTHORS: Sharawi, Nadir, MBBS, FRCA, MSc et al Anesthesia & Analgesia: December 2018 – Volume 127 – Issue 6 – p 1385–1395 The prevalence of neuraxial opioid–induced clinically significant respiratory depression (CSRD) after cesarean delivery is unknown. We sought to review reported cases of author-reported respiratory depression (ARD) to calculate CSRD prevalence. A 6-database literature search […]

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