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Uncategorized Published - 22 February, 2018    By - Dr Clemens
Statin Therapy before Cardiac Surgery: Neutral or Detrimental Effects?

Authors: Alessandro Putzu, M.D. et al Anesthesiology 3 2018, Vol.128, 685-686. To the Editor: We read the interesting large retrospective study by Komatsu et al. on preoperative chronic statin use in patients undergoing coronary artery bypass grafting, valve surgery, or combined procedures.1  Chronic statin therapy was associated with no significant difference in prolonged mechanical ventilation, pneumonia, in-hospital mortality, […]

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Uncategorized Published - 22 February, 2018    By - Dr Clemens
Volume Responsiveness Alone Is Not an Indication for Volume Administration!

Authors: Joshua A. Bloomstone, M.D., C.S.S.G.B., C.L.S. et al Anesthesiology 3 2018, Vol.128, 681-682. To the Editor: It is with intrigue that we read Gómez-Izquierdo et al.’s paper demonstrating the lack of effectiveness of goal-directed fluid therapy (GDFT) in reducing ileus after elective laparoscopic colorectal surgery.1  We congratulate the authors for a well-done study and Anesthesiology for publishing an […]

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Uncategorized Published - 22 February, 2018    By - Dr Clemens
Impact of Weaning from Mechanical Ventilation: The Importance of Pleural Effusions and Their Effect on Pulmonary Vascular Resistance

Authors: Eric Jacobsohn, M.B.Ch.B., M.H.P.E., F.R.C.P.C. et al Anesthesiology 3 2018, Vol.128, 677-678. To the Editor: The recent multicenter prospective observational study by Dres et al.1  examining the impact of pleural effusions on liberation from mechanical ventilation showed that 13% of their patients had a pleural effusion at the time of ventilator weaning, but that there was no […]

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Uncategorized Published - 22 February, 2018    By - Dr Clemens
Does the Brachial Artery Lack Effective Collaterals?

Authors: T. Andrew Bowdle, M.D., Ph.D., F.A.S.E. et al Anesthesiology 3 2018, Vol.128, 674-675. To the Editor: We read with interest the recent article by Singh et al.1  We place many brachial artery catheters in our practice and find them useful. It would be interesting to know whether ultrasound guidance was used for some or all of the […]

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Uncategorized Published - 22 February, 2018    By - Dr Clemens
House Committee Advances ASA-Supported Medical Liability Bill

On Wednesday, February 14, the House Energy and Commerce Committee advanced an ASA-supported medical liability reform bill intended to protect medical professionals providing care during natural disasters.  H.R. 1876, the Good Samaritan Health Professionals Act, will shield health care professionals from liability when they volunteer their services during a federally-declared disaster. The bill earned Republican […]

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