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Uncategorized Published - 21 August, 2017    By - Dr Clemens
A High Preoperative Pain and Symptom Profile Predicts Worse Pain Outcomes for Children After Spine Fusion Surgery

AUTHORS: Voepel-Lewis, Terri PhD, RN et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1594–1602 BACKGROUND: Preoperative pain predicts persistent pain after spine fusion, yet little is understood about the nature of that pain, related symptoms, and how these symptoms relate to postoperative pain outcomes. This prospective study examined […]

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Uncategorized Published - 21 August, 2017    By - Dr Clemens
Blood Bupivacaine Concentrations After a Combined Single-Shot Sciatic Block and a Continuous Femoral Nerve Block in Pediatric Patients: A Prospective Observational Study

AUTHORS: Suresh, Santhanam MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1591–1593 We evaluated blood bupivacaine concentrations in children having a single-shot sciatic and continuous femoral blocks after anterior cruciate ligament repair. Dried blood spot samples were analyzed for bupivacaine levels at 0, 5, 15, 30, 60, […]

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Uncategorized Published - 21 August, 2017    By - Dr Clemens
Posttransfusion Increase of Hematocrit per se Does Not Improve Circulatory Oxygen Delivery due to Increased Blood Viscosity

AUTHORS: Zimmerman, Robert MS et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1547–1554 BACKGROUND: Blood transfusion is used to treat acute anemia with the goal of increasing blood oxygen-carrying capacity as determined by hematocrit (Hct) and oxygen delivery (DO2). However, increasing Hct also increases blood viscosity, which may […]

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Uncategorized Published - 18 August, 2017    By - Dr Clemens
Development of a Pediatric Risk Assessment Score to Predict Perioperative Mortality in Children Undergoing Noncardiac Surgery

AUTHORS: Nasr, Viviane G. MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1514–1519 BACKGROUND: Although there have been numerous attempts to predict perioperative mortality in adults, an objective model to predict mortality in children has not been developed. In this study, we aimed to develop a Pediatric […]

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Uncategorized Published - 18 August, 2017    By - Dr Clemens
Higher Fresh Gas Flow Rates Decrease Tidal Volume During Pressure Control Ventilation

AUTHORS: Mohammad, Shazia MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1506–1511 BACKGROUND: We observed that increasing fresh gas flow (FGF) decreased exhaled tidal volume (VT) during pressure control ventilation (PCV). A literature search produced no such description whereby unintended VT changes occur with FGF changes during PCV. METHODS: […]

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