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Uncategorized Published - 28 August, 2017    By - Dr Clemens
Predictive Modeling of Massive Transfusion Requirements During Liver Transplantation and Its Potential to Reduce Utilization of Blood Bank Resources

AUTHORS: Pustavoitau, Aliaksei MD, MHS et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1644–1652 BACKGROUND: Patients undergoing liver transplantation frequently but inconsistently require massive blood transfusion. The ability to predict massive transfusion (MT) could reduce the impact on blood bank resources through customization of the blood order schedule. […]

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Uncategorized Published - 28 August, 2017    By - Dr Clemens
Patients With Mental Disorders Get Half of All Opioid Prescriptions

The 16% of Americans who have mental health disorders receive over half of all opioids prescribed in the United States. Improving pain management among this population is critical to reduce national dependency on opioids, noted the authors. By Vickie Connor and Kaiser Health News Adults with a mental illness receive more than 50% of the 115 million opioid […]

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Uncategorized Published - 28 August, 2017    By - Dr Clemens
Intravenous Tranexamic Acid Bolus plus Infusion Is Not More Effective than a Single Bolus in Primary Hip Arthroplasty: A Randomized Controlled Trial

Authors: Paul J. Zufferey, M.D., Ph.D. et al Anesthesiology 9 2017, Vol.127, 413-422. Background: Preoperative administration of the antifibrinolytic agent tranexamic acid reduces bleeding in patients undergoing hip arthroplasty. Increased fibrinolytic activity is maintained throughout the first day postoperation. The objective of the study was to determine whether additional perioperative administration of tranexamic acid would further reduce […]

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Uncategorized Published - 28 August, 2017    By - Dr Clemens
Posterior Tibial Artery as an Alternative to the Radial Artery for Arterial Cannulation Site in Small Children: A Randomized Controlled Study

Anesthesiology 9 2017, Vol.127, 423-431. Authors: Eun-Hee Kim, M.D. et al Background: We evaluated the posterior tibial artery as an alternative arterial cannulation site to the radial artery in small children. Methods: A two-stage study was conducted. First, we evaluated the anatomical characteristics of the posterior tibial artery compared with the radial and dorsalis pedis arteries. Next, a […]

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Uncategorized Published - 28 August, 2017    By - Dr Clemens
Apneic Oxygenation Prevents Desaturation During Intubation

Authors: Binks MJ et al. Am J Emerg Med 2017 Jun 24; Two meta-analyses used different methods but have similar findings. Apneic oxygenation is the delivery of high-flow oxygen by nasal cannula during endotracheal intubation. Two separate meta-analyses provide pooled results from trials of apneic oxygenation. The first meta-analysis included 8 studies and 1953 patients in […]

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