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Uncategorized Published - 9 May, 2017    By - Dr Clemens
Management of Severe Bleeding in Patients Treated with Direct Oral Anticoagulants: An Observational Registry Analysis

Authors: Pierre Albaladejo, M.D., Ph.D. et al Anesthesiology published on April 20, 2017. Background: The use of prothrombin complex concentrates and the role of plasma concentration of anticoagulants in the management of bleeding in patients treated with direct oral anticoagulants are still debated. Our aim was to describe management strategies and outcomes of severe bleeding events in […]

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Uncategorized Published - 9 May, 2017    By - Dr Clemens
A Negative High-Sensitivity Troponin and Nonischemic ECG Can Rule Out AMI

Authors: Pickering JW et al., Ann Intern Med 2017 Apr 18; However, samples for the troponin assay should be drawn at least 3 hours after symptom onset, and a positive troponin does not rule in acute myocardial infarction. Several studies have demonstrated the potential utility of high-sensitivity cardiac troponin T (hs-cTnT) assays combined with electrocardiograms (ECGs) in […]

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Uncategorized Published - 9 May, 2017    By - Dr Clemens
A Prospective Study of Chronic Pain after Thoracic Surgery

Authors: Emine Ozgur Bayman, Ph.D. et al Anesthesiology 5 2017, Vol.126, 938-951. Background: The goal of this study was to detect the predictors of chronic pain at 6 months after thoracic surgery from a comprehensive evaluation of demographic, psychosocial, and surgical factors. Methods: Thoracic surgery patients were enrolled 1 week before surgery and followed up 6 months postsurgery […]

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Uncategorized Published - 8 May, 2017    By - Dr Clemens
Ischemic Optic Neuropathy in Cardiac Surgery: Incidence and Risk Factors in the United States from the National Inpatient Sample 1998 to 2013

Authors: Daniel S. Rubin, M.D. et al Anesthesiology 5 2017, Vol.126, 810-821. Background: Ischemic optic neuropathy is the most common form of perioperative visual loss, with highest incidence in cardiac and spinal fusion surgery. To date, potential risk factors have been identified in cardiac surgery by only small, single-institution studies. To determine the preoperative risk factors for […]

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Uncategorized Published - 8 May, 2017    By - Dr Clemens
Nebulization of Antiinfective Agents in Invasively Mechanically Ventilated Adults: A Systematic Review and Meta-analysis

Authors: Candela Solé-Lleonart, M.D. et al Anesthesiology 5 2017, Vol.126, 890-908. Background: Nebulization of antiinfective agents is a common but unstandardized practice in critically ill patients. Methods: A systematic review of 1,435 studies was performed in adults receiving invasive mechanical ventilation. Two different administration strategies (adjunctive and substitute) were considered clinically relevant. Inclusion was restricted to studies using […]

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