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Uncategorized Published - 31 May, 2024    By - Dr Clemens
Gastric pressure monitoring unveils abnormal patient-ventilator interaction related to active expiration: a retrospective observational study

Authors: Evangelia Akoumianaki, M.D., Ph.D. et al  Anesthesiology May 2024. Background Patient-ventilator dyssynchrony is frequently observed during assisted mechanical ventilation (MV). However, the effects of expiratory muscle contraction on patient-ventilator interaction are underexplored. We hypothesized that active expiration would affect patient-ventilator interaction and we tested our hypothesis in a mixed cohort of invasively ventilated patients […]

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Uncategorized Published - 31 May, 2024    By - Dr Clemens
Perioperative Acute Renal Injury

Author: Robert N. Sladen, M.B.Ch.B., M.R.C.P.(U.K.), F.R.C.P.C., F.C.C.M. Anesthesiology May 2024. Background Acute renal dysfunction and subsequent acute renal failure after cardiac surgery are associated with high mortality and morbidity. Early therapeutic or preventive intervention is hampered by the lack of an early biomarker for acute renal injury. Recent studies showed that urinary neutrophil gelatinase–associated […]

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Uncategorized Published - 31 May, 2024    By - Dr Clemens
Electrical Impedance Tomography for Assessing the Impact of Inhaled Nitric Oxide on Pulmonary Artery Pressure

Authors: Gamonmas Ekkapat, M.D. et al  Anesthesiology May 2024. A 43-yr-old woman experienced acute respiratory failure with right ventricular dysfunction following a complex left pneumonectomy (fig. 1A) with cardiopulmonary bypass. She was intubated and mechanically ventilated. Fig. 1. (A) Chest x-ray showing patchy opacities at the right middle and lower lung zones along with loculated […]

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Uncategorized Published - 30 May, 2024    By - Dr Clemens
A Practical Dosing Algorithm for Deep Neuromuscular Blockade During Total Intravenous Anesthesia

Authors: Kim I. Albers-Warlé, MD et al Anesthesiology May 2024. Background The number of trials investigating the effects of deep neuromuscular blockade (NMB) on surgical conditions and patient outcomes is steadily increasing. Consensus on which surgical procedures benefit from deep NMB (a post tetanic count of 1-2) and how to implement it has not been […]

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Uncategorized Published - 30 May, 2024    By - Dr Clemens
Accuracy and Precision of Three Acceleromyographs, Three Electromyographs and a Mechanomyograph Measuring the Train-of-Four Ratio in the Absence of Neuromuscular Blocking Drugs

Authors: Zain Wedemeyer, BS et al  Anesthesiology May 2024. Background The accuracy and precision of currently available, widely used acceleromyograph and electromyograph neuromuscular blockade monitors have not been well studied. In addition, the normalization of the train-of-four ratio from acceleromyography (train-of-four ratio [T4/T1] divided by the baseline train-of-four ratio) has not been validated in comparison […]

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