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Uncategorized Published - 7 December, 2017    By - Dr Clemens
Period-dependent Associations between Hypotension During and for 4 Days after Noncardiac Surgery and a Composite of Myocardial Infarction and Death: A Substudy of the POISE-2 Trial

Authors: Daniel I. Sessler, M.D. et al Anesthesiology published on November 23, 2017. Background: The relative contributions of intraoperative and postoperative hypotension to perioperative morbidity remain unclear. We determined the association between hypotension and a composite of 30-day myocardial infarction and death over three periods: 1) intraoperative; 2) remaining day of surgery; and 3) during the initial […]

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Uncategorized Published - 7 December, 2017    By - Dr Clemens
Effect of Thoracic Epidural Ropivacaine versus Bupivacaine on Lower Urinary Tract Function: A Randomized Clinical Trial

Authors: Stefan A. Girsberger, M.D. et al Anesthesiology published on November 23, 2017. Background: Thoracic epidural analgesia with bupivacaine resulted in clinically relevant postvoid residuals due to detrusor underactivity. This study aimed to compare the risk of bladder dysfunction with ropivacaine versus bupivacaine using postvoid residuals and maximum flow rates. Our hypothesis was that ropivacaine would result in lower […]

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Uncategorized Published - 7 December, 2017    By - Dr Clemens
A Random-allocation Graded Dose–Response Study of Norepinephrine and Phenylephrine for Treating Hypotension during Spinal Anesthesia for Cesarean Delivery

Author: Warwick D. Ngan Kee, M.D., F.A.N.Z.C.A., F.H.K.A.M. Anesthesiology 12 2017, Vol.127, 934-941. Background: Norepinephrine has been investigated as a potential alterative to phenylephrine for maintaining blood pressure during spinal anesthesia for cesarean delivery with the advantage of less depression of maternal heart rate and cardiac output. However, the relative potencies of these two vasopressors have not […]

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Uncategorized Published - 7 December, 2017    By - Dr Clemens
A Retrospective Analysis of the Clinical Effectiveness of Supraclavicular, Ultrasound-guided Brachiocephalic Vein Cannulations in Preterm Infants

Authors: Christian Breschan, M.D., D.E.A.A. et al Anesthesiology 1 2018, Vol.128, 38-43. Background: The aim of this retrospective analysis was to evaluate the clinical effectiveness of the supraclavicular ultrasound-guided cannulation of the brachiocephalic vein in preterm infants. Methods: The ultrasound probe was placed in the supraclavicular region so as to obtain the optimum sonographic long-axis view of the […]

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Uncategorized Published - 7 December, 2017    By - Dr Clemens
Lower Readmissions Linked to Higher Risk of Death

An alarming new study suggests that the emphasis on reducing hospital 30-day readmissions has inadvertently led to increased risk of death for Medicare patients hospitalized with heart failure. Gregg C. Fonarow, MD As many as 10,000 heart failure patients could die prematurely each year because of misguided efforts that keep them out of the hospital […]

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