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Uncategorized Published - 16 November, 2016    By - Dr Clemens
Relationship between Intraoperative Hypotension, Defined by Either Reduction from Baseline or Absolute Thresholds, and Acute Kidney and Myocardial Injury after Noncardiac Surgery: A Retrospective Cohort Analysis

Authors: Vafi Salmasi, M.D. et al    Anesthesiology published on November 3, 2016. Background: How best to characterize intraoperative hypotension remains unclear. Thus, the authors assessed the relationship between myocardial and kidney injury and intraoperative absolute (intraoperative mean arterial pressure [MAP]) and relative (reduction from preoperative pressure) MAP thresholds. Methods: The authors characterized hypotension by the lowest MAP […]

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Uncategorized Published - 16 November, 2016    By - Dr Clemens
A Case Report From the Anesthesia Incident Reporting System

ASA Monitor 11 2016, Vol.80, 50-51. Review of unusual patient care experiences is a cornerstone of medical education. Each month, the AQI-AIRS Steering Committee abstracts a patient history submitted to the Anesthesia Incident Reporting System (AIRS) and authors a discussion of the safety and human factors challenges involved. Real-life case histories often include multiple clinical decisions, […]

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Uncategorized Published - 16 November, 2016    By - Dr Clemens
Opioid Use in Pediatric Patients – Time to Reassess

Authors: Joseph P. Cravero, M.D., FAAP et al ASA Monitor 11 2016, Vol.80, 28-30. Opioids represent one of the time-honored tools for pediatric anesthesiologists in treating the most significant pain and suffering that confront our patients. While we continue to seek adequate pain treatment and avoid the consequences of inadequately treated pain, the reality of the ongoing […]

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Uncategorized Published - 16 November, 2016    By - Dr Clemens
Anesthetic-Related Neurotoxicity – Current State of the Art

Authors: Caleb H. Ing, M.D., M.S. et al ASA Monitor 11 2016, Vol.80, 16-18. The possibility of anesthetic neurotoxicity was first suggested more than 15 years ago with findings of apoptosis in the brains of rodents after ethanol exposure during critical periods of neurodevelopment. A similar neuroapoptotic effect was soon identified in anesthetic agents and linked to […]

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Uncategorized Published - 15 November, 2016    By - Dr Clemens
Selecting the Level of Positive End-expiratory Pressure for One-lung Ventilation: “By Formula” or “By Feel”?

Author: John Pfitzner, M.B.B.S., F.R.C.A. Anesthesiology 12 2016, Vol.125, 1254-1255. Blank et al  confirm that one-lung ventilation (OLV) is not without risk, but I have grave doubts about whether it is reasonable to conclude that “advances in our understanding of protective ventilation during OLV are likely to derive from well-designed randomized trials controlling for variables of inherent pathophysiologic […]

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