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Uncategorized Published - 9 July, 2018    By - Dr Clemens
New anesthesia residents start on July 1

To physicians the beginning of July, it means a state of transition and time to reflect. To those in teaching programs, it means graduation of residents, the onboarding of new ones and changing roles for those still in training. Often, for those not in training programs, it means new associates who just finished residency or […]

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Uncategorized Published - 9 July, 2018    By - Dr Clemens
Current Ventilator and Oxygen Management during General Anesthesia: A Multicenter, Cross-sectional Observational Study

Authors: Satoshi Suzuki, M.D., Ph.D. et al    Anesthesiology 7 2018, Vol.129, 67-76. Background: Intraoperative oxygen management is poorly understood. It was hypothesized that potentially preventable hyperoxemia and substantial oxygen exposure would be common during general anesthesia. Methods: A multicenter, cross-sectional study was conducted to describe current ventilator management, particularly oxygen management, during general anesthesia in Japan. All adult […]

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Uncategorized Published - 9 July, 2018    By - Dr Clemens
Comparison of Anterior Suprascapular, Supraclavicular, and Interscalene Nerve Block Approaches for Major Outpatient Arthroscopic Shoulder Surgery: A Randomized, Double-blind, Noninferiority Trial

Authors: David B. Auyong, M.D. et al     Anesthesiology 7 2018, Vol.129, 47-57. Background: The interscalene nerve block provides analgesia for shoulder surgery, but is associated with diaphragm paralysis. One solution may be performing brachial plexus blocks more distally. This noninferiority study evaluated analgesia for blocks at the supraclavicular and anterior suprascapular levels, comparing them individually to the […]

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Uncategorized Published - 9 July, 2018    By - Dr Clemens
Differentiating Drug-related and State-related Effects of Dexmedetomidine and Propofol on the Electroencephalogram

Authors: Annalotta Scheinin, M.D. et al     Anesthesiology 7 2018, Vol.129, 22-36. Background: Differentiating drug-related changes and state-related changes on the electroencephalogram during anesthetic-induced unconsciousness has remained a challenge. To distinguish these, we designed a rigorous experimental protocol with two drugs known to have distinct molecular mechanisms of action. We hypothesized that drug- and state-related changes can be […]

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Uncategorized Published - 9 July, 2018    By - Dr Clemens
Biologic Impact of Mechanical Power at High and Low Tidal Volumes in Experimental Mild Acute Respiratory Distress Syndrome

Authors: Raquel S. Santos, Ph.D. et al   Anesthesiology 6 2018, Vol.128, 1193-1206. Background: The authors hypothesized that low tidal volume (VT) would minimize ventilator-induced lung injury regardless of the degree of mechanical power. The authors investigated the impact of power, obtained by different combinations of VT and respiratory rate (RR), on ventilator-induced lung injury in experimental mild acute […]

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