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Uncategorized Published - 2 September, 2016    By - Dr Clemens
Good News: But Why Is the Incidence of Postoperative Ischemic Optic Neuropathy Falling?

Author: Michael M. Todd, M.D. Commentary: Perioperative Visual Loss in Spine Fusion Surgery: Ischemic Optic Neuropathy in the United States from 1998 to 2012 in the Nationwide Inpatient Sample Anesthesiology 9 2016, Vol.125, 445-448. THE first description of postoperative visual loss (POVL) in Medline is from 1950. Cases appeared sporadically over the next 30 to 40 yr, mostly […]

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Uncategorized Published - 2 September, 2016    By - Dr Clemens
Oxygen Therapy: When Is Too Much Too Much?

Commentary: A Multicenter, Randomized, Controlled Phase IIb Trial of Avoidance of Hyperoxemia during Cardiopulmonary Bypass Authors: Shahzad Shaefi, M.D. et al Anesthesiology 9 2016, Vol.125, 449-450. THERE are approximately 300,000 cardiac surgical procedures annually utilizing cardiopulmonary bypass (CPB) in the United States.  The delivery of oxygen has been a cornerstone of anesthesia practice, with titration of oxygen therapy to […]

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Uncategorized Published - 1 September, 2016    By - Dr Clemens
Which Anesthesia Regimen Is Best to Reduce Morbidity and Mortality in Lung Surgery?: A Multicenter Randomized Controlled Trial

Authors: Beatrice Beck-Schimmer, M.D. et al Anesthesiology 8 2016, Vol.125, 313-321. Background: One-lung ventilation during thoracic surgery is associated with hypoxia–reoxygenation injury in the deflated and subsequently reventilated lung. Numerous studies have reported volatile anesthesia–induced attenuation of inflammatory responses in such scenarios. If the effect also extends to clinical outcome is yet undetermined. We hypothesized that volatile […]

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Uncategorized Published - 1 September, 2016    By - Dr Clemens
Changes in Brain Resting-state Functional Connectivity Associated with Peripheral Nerve Block: A Pilot Study

Authors: M. Stephen Melton, M.D. et al Anesthesiology 8 2016, Vol.125, 368-377 Background: Limited information exists on the effects of temporary functional deafferentation (TFD) on brain activity after peripheral nerve block (PNB) in healthy humans. Increasingly, resting-state functional connectivity (RSFC) is being used to study brain activity and organization. The purpose of this study was to test […]

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Uncategorized Published - 1 September, 2016    By - Dr Clemens
Reduced Cancer Risk, Improved Survival With Neuraxial Anesthesia

Neuraxial anesthesia (NA) appears to be associated with improved overall survival (OS) in patients undergoing surgery for tumor resection, particularly in those with colorectal cancer. According to a recent meta-analysis published in Oncotarget(2016;7:15262-15273), the authors identified a correlation between the use of NA and reduced risk for cancer recurrence. The authors found significantly improved OS and […]

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