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Uncategorized Published - 12 March, 2018    By - Dr Clemens
Anesthetic Management and Procedural Outcomes of Patients Undergoing Off-Pump Transapical Implantation of Artificial Chordae to Correct Mitral Regurgitation: Case Series of 76 Patients

AUTHORS: Samalavicius, Robertas Stasys MD, PhD et al Anesthesia & Analgesia: March 2018 – Volume 126 – Issue 3 – p 776–784 doi: 10.1213/ANE.0000000000002767 BACKGROUND: Transapical implantation of artificial chordae using the NeoChord system (NeoChord Inc, Minneapolis, MN) is an emerging beating-heart technique for correction of mitral regurgitation (MR) through a minimally invasive left minithoracotomy. The purpose […]

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Uncategorized Published - 12 March, 2018    By - Dr Clemens
Systemic Hypotension Following Intravenous Administration of Nonionic Contrast Medium During Computed Tomography: Iopromide Versus Iodixanol

AUTHORS: Widmann, Gerlig MD et al Anesthesia & Analgesia: March 2018 – Volume 126 – Issue 3 – p 769–775 BACKGROUND: In light of the increasing number of radiologic interventions performed under general anesthesia, the effects of contrast media (CM) on circulation and organ perfusion are of paramount importance. The objectives of this study were to systematically […]

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Uncategorized Published - 9 March, 2018    By - Dr Clemens
Liposomal Bupivacaine Nerve Block Possible ‘Game Changer’ in Shoulder Surgery, Pending FDA Ruling

Researchers seeking to reduce the duration of postoperative pain and opioid consumption in patients undergoing orthopedic surgery recently reported some promising findings: In a phase 3 trial designed to meet FDA standards for approval, investigators demonstrated that liposomal bupivacaine (Exparel, Pacira) administered as a single-injection nerve block significantly reduced pain and decreased or eliminated opioid […]

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Uncategorized Published - 9 March, 2018    By - Dr Clemens
Hypotensive Epidural Anesthesia Well Tolerated in Total Hip Patients

Anesthesiology News · September 18, 2017 In a selected cohort of patients undergoing total hip arthroplasty, the use of hypotensive epidural anesthesia led to very low rates of transfusion and few cerebral oxygen desaturation events, according to a recent study. When used in healthy patients, this technique could lower intraoperative blood loss without compromising patient safety, the […]

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Uncategorized Published - 9 March, 2018    By - Dr Clemens
Clinical Utility of Intraoperative Motor-Evoked Potential Monitoring to Prevent Postoperative Spinal Cord Injury in Thoracic and Thoracoabdominal Aneurysm Repair: An Audit of the Japanese Association of Spinal Cord Protection in Aortic Surgery Database

AUTHORS: Yoshitani, Kenji MD et al Anesthesia & Analgesia: March 2018 – Volume 126 – Issue 3 – p 763–768 BACKGROUND: Spinal cord ischemic injury is the most devastating sequela of descending and thoracoabdominal aortic surgery. Motor-evoked potentials (MEPs) have been used to intraoperatively assess motor tract function, but it remains unclear whether MEP monitoring can decrease […]

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