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Uncategorized Published - 7 November, 2017    By - Dr Clemens
Nuss procedure poses potential for complications

How to Get an A for a Nuss Procedure: Management of Arrhythmias, Arrests, Allergies and Analgesia! By Lauren M. Lobaugh, M.D. A Nuss procedure is a surgical correction of a pectus excavatum chest wall deformity. It is not a common procedure, so many anesthesiologists are not familiar with it and its possible complications. A Problem-Based […]

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Uncategorized Published - 7 November, 2017    By - Dr Clemens
Preventing Retained Central Venous Catheter Guidewires: A Randomized Controlled Simulation Study Using a Human Factors Approach

Authors: Maryanne Z. A. Mariyaselvam, M.B.B.S. et al Anesthesiology 10 2017, Vol.127, 658-665 Background: Retained central venous catheter guidewires are never events. Currently, preventative techniques rely on clinicians remembering to remove the guidewire. However, solutions solely relying upon humans to prevent error inevitably fail. A novel locked procedure pack was designed to contain the equipment required for […]

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Uncategorized Published - 6 November, 2017    By - Dr Clemens
Prevalence of Potentially Distracting Noncare Activities and Their Effects on Vigilance, Workload, and Nonroutine Events during Anesthesia Care

Authors: Jason M. Slagle, Ph.D. et al Anesthesiology published on October 19, 2017. Background: When workload is low, anesthesia providers may perform non–patient care activities of a clinical, educational, or personal nature. Data are limited on the incidence or impact of distractions on actual care. We examined the prevalence of self-initiated nonclinical distractions and their effects on […]

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Uncategorized Published - 6 November, 2017    By - Dr Clemens
An International, Multicenter, Observational Study of Cerebral Oxygenation during Infant and Neonatal Anesthesia

Authors: Vanessa A. Olbrecht, M.D., M.B.A. et al Anesthesiology published on October 19, 2017. Background: General anesthesia during infancy is associated with neurocognitive abnormalities. Potential mechanisms include anesthetic neurotoxicity, surgical disease, and cerebral hypoxia–ischemia. This study aimed to determine the incidence of low cerebral oxygenation and associated factors during general anesthesia in infants. Methods: This multicenter study enrolled […]

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Uncategorized Published - 6 November, 2017    By - Dr Clemens
Lying Down in Second Stage of Labor After Low-Dose Epidural Tied to Higher Odds of Spontaneous Delivery

Having women lie down during the second stage of labor after an epidural is associated with increased rates of spontaneous vaginal birth without an increase in complications, according to a randomized trial in The BMJ. Roughly 3200 nulliparous U.K. women who received low-dose epidurals were assigned to undergo the second stage of labor (after the cervix […]

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