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Uncategorized Published - 5 April, 2016    By - Dr Clemens
More Than Anyone Else: Preemies Need Good Analgesia

Author: Laszlo Vutskits, M.D., Ph.D. Anesthesiology 4 2016, Vol.124, 758-760. ADVERSE experiences during the perinatal period are associated with altered pain sensitivity and long-term behavioral sequels, including significant emotional problems during childhood and major psychotic episodes, anxiety, depression, and suicides in adolescence or adulthood.1  Exposure to painful stimuli is one major cause of these harmful incidents, especially […]

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Uncategorized Published - 5 April, 2016    By - Dr Clemens
When Seconds Count, Buy More Time: The Oxygen Reserve Index and Its Promising Role in Patient Monitoring and Safety

Authors: Allan F. Simpao, M.D., M.B.I.; Jorge A. Gálvez, M.D. Anesthesiology 4 2016, Vol.124, 750-751. THE pulse oximeter has become a virtually indispensable monitor for measuring a patient’s peripheral capillary oxygen saturation (Spo2) accurately and reliably in a continuous, noninvasive fashion.1 Despite its ubiquitous use as a detector of hypoxemia, pulse oximetry has limited utility to herald an […]

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Uncategorized Published - 4 April, 2016    By - Dr Clemens
Preoperative Laboratory Investigations: Rates and Variability Prior to Low-risk Surgical Procedures

Anesthesiology 4 2016, Vol.124, 804-814. Authors: Kyle R. Kirkham, M.D. et al Background: Increasing attention has been focused on low-value healthcare services. Through Choosing Wisely campaigns, routine laboratory testing before low-risk surgery has been discouraged in the absence of clinical indications. The authors investigated rates, determinants, and institutional variation in laboratory testing before low-risk procedures. Methods: Patients who […]

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Uncategorized Published - 4 April, 2016    By - Dr Clemens
Cerebral Oximetry Monitoring to Maintain Normal Cerebral Oxygen Saturation during High-risk Cardiac Surgery: A Randomized Controlled Feasibility Trial

Anesthesiology 4 2016, Vol.124, 826-836. Authors: Alain Deschamps, Ph.D., M.D. et al  Background: Cerebral oxygen desaturation during cardiac surgery has been associated with adverse perioperative outcomes. Before a large multicenter randomized controlled trial (RCT) on the impact of preventing desaturations on perioperative outcomes, the authors undertook a randomized prospective, parallel-arm, multicenter feasibility RCT to determine whether an […]

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Uncategorized Published - 4 April, 2016    By - Dr Clemens
Use of Intensive Care Services for Medicare Beneficiaries Undergoing Major Surgical Procedures

Anesthesiology 4 2016, Vol.124, 899-907. Authors: Hannah Wunsch, M.D., M.Sc. et al     Background: Use of intensive care after major surgical procedures and whether routinely admitting patients to intensive care units (ICUs) improve outcomes or increase costs is unknown. Methods: The authors examined frequency of admission to an ICU during the hospital stay for Medicare beneficiaries undergoing selected […]

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