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Uncategorized Published - 9 August, 2017    By - Dr Clemens
Validation of Innovative Techniques for Monitoring Nociception during General Anesthesia: A Clinical Study Using Tetanic and Intracutaneous Electrical Stimulation

Authors: Sandra Funcke, M.D. et al Anesthesiology 8 2017, Vol.127, 272-283. Background: This study compares the analgesic indices Analgesia Nociception Index (heart rate variability), Surgical Pleth Index (photoplethysmography), and pupillary dilatation, to heart rate, mean arterial pressure, and bispectral index, with regard to diagnostic accuracy and prediction probability for nociceptive response. The primary endpoint was the correlation […]

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Uncategorized Published - 9 August, 2017    By - Dr Clemens
Association between Exposure of Young Children to Procedures Requiring General Anesthesia and Learning and Behavioral Outcomes in a Population-based Birth Cohort

Authors: Danqing Hu, M.D. et al Anesthesiology 8 2017, Vol.127, 227-240. Background: Exposure of young animals to general anesthesia causes neurodegeneration and lasting behavioral abnormalities; whether these findings translate to children remains unclear. This study used a population-based birth cohort to test the hypothesis that multiple, but not single, exposures to procedures requiring general anesthesia before age […]

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Uncategorized Published - 9 August, 2017    By - Dr Clemens
Decision to Extubate Brain-injured Patients: Limiting Uncertainty in Neurocritical Care

Authors: Thomas Godet, M.D., Ph.D. et al Anesthesiology 8 2017, Vol.127, 217-219. WHATEVER the field of critical care medicine, timely decision to extubate, to both prevent complications associated with extubation failure and undue ventilatory support, remains challenging. Finding reliable clinical predictors of extubation success still appears as a holy grail.1  In this issue of Anesthesiology, Asehnoune et al. […]

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Uncategorized Published - 9 August, 2017    By - Dr Clemens
Phenylephrine Infusion: Driving a Wedge in Our Practice of Left Uterine Displacement?

AUTHORS: Michaela K. Farber, M.D. et al Anesthesiology 8 2017, Vol.127, 212-214. “It is clearly important to critically evaluate aspects of our practice that may be perpetuated based on tradition more than a firm evidence base.” THE avoidance of maternal hypotension during spinal anesthesia for cesarean delivery is of paramount importance to maintain placental blood flow […]

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Uncategorized Published - 9 August, 2017    By - Dr Clemens
Shingles Tied to Higher Risk for CV Events

Herpes zoster infection is associated with increased risk for cardiovascular events, suggests a study in the Journal of the American College of Cardiology. Researchers in South Korea examined the medical records of 520,000 people from 2003 to 2013. During this time, 4% were diagnosed with herpes zoster. These patients were matched with control participants who didn’t […]

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