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Uncategorized Published - 28 March, 2017    By - Dr Clemens
Adding Examples to the ASA-Physical Status Classification Improves Correct Assignment to Patients

Authors: Erin E. Hurwitz, M.D. et al Anesthesiology 4 2017, Vol.126, 614-622. Background: Despite its widespread use, the American Society of Anesthesiologists (ASA)-Physical Status Classification System has been shown to result in inconsistent assignments among anesthesiologists. The ASA-Physical Status Classification System is also used by nonanesthesia-trained clinicians and others. In 2014, the ASA developed and approved examples […]

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Uncategorized Published - 27 March, 2017    By - Dr Clemens
Association of the Hospital Volume of Frail Surgical Patients Cared for with Outcomes after Elective, Major Noncardiac Surgery: A Retrospective Population-based Cohort Study

Authors: Daniel I. McIsaac, M.D., M.P.H., F.R.C.P.C. et al Anesthesiology 4 2017, Vol.126, 602-613. Background: Frailty is a risk factor for adverse postoperative outcomes. Hospitals that perform higher volumes of surgery have better outcomes than low-volume providers. We hypothesized that frail patients undergoing elective surgery at hospitals that cared for a higher volume of similarly frail patients […]

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Uncategorized Published - 27 March, 2017    By - Dr Clemens
Paradoxical Emergence: Administration of Subanesthetic Ketamine during Isoflurane Anesthesia Induces Burst Suppression but Accelerates Recovery

Authors: Viviane S. Hambrecht-Wiedbusch, Ph.D. et al Anesthesiology 3 2017, Vol.126, 482-494. Background: Promoting arousal by manipulating certain brain regions and/or neurotransmitters has been a recent research focus, with the goal of trying to improve recovery from general anesthesia. The current study tested the hypothesis that a single subanesthetic dose of ketamine during isoflurane anesthesia would increase […]

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Uncategorized Published - 27 March, 2017    By - Dr Clemens
Influence of Ethanol on Oxycodone-induced Respiratory Depression: A Dose-escalating Study in Young and Elderly Individuals

Authors: Rutger van der Schrier, M.D. et al Anesthesiology 3 2017, Vol.126, 534-542. Background: Respiratory depression is a potentially fatal complication of opioid use, which may be exacerbated by simultaneous ethanol intake. In this three-way sequential crossover dose-escalating study, the influence of coadministration of oral oxycodone and intravenous ethanol was assessed on resting ventilation, apneic events and […]

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Uncategorized Published - 27 March, 2017    By - Dr Clemens
ACP Recommendations for Noninvasive Therapies for Acute, Subacute, and Chronic Low Back Pain

Authors: Atlas SJ., Ann Intern Med 2017 Feb 14; The American College of Physicians has evaluated a broad array of treatment options. Sponsoring Organization: American College of Physicians (ACP) Target Audience: All clinicians Target Population: Adults with acute (<4 weeks), subacute (4–12 weeks), or chronic (>12 weeks) back pain in primary care settings Background The ACP has developed a […]

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