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Uncategorized Published - 24 April, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

Anesthesiology May 2024, Vol. 140, A13–A15. Transcatheter aortic-valve replacement in low-risk patients at five years. N Engl J Med 2023; 389:1949–60. PMID: 37874020. Article Selection: Martin J. London, M.D. Image: Adobe Stock. An industry-sponsored randomized study of outcome of transcatheter aortic valve replacement (TAVR) versus surgical replacement (Edwards Lifesciences PARTNER trial; SAPIEN-3 valve) in patients with severe, symptomatic […]

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Uncategorized Published - 24 April, 2024    By - Dr Clemens
Brain Injury in Postoperative Delirium: Lessons from Neurofilament Light

Authors: Thomas Payne, M.D. et al  Anesthesiology May 2024, Vol. 140, 884–886. “[Is] delirium causative of cognitive impairment, or is it a symptom of a ‘vulnerable’ brain that was already in decline?” Although the earliest descriptions of delirium date back to 500 BC, it was the English doctor Philip Barrough who first reported in 1583 a […]

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Uncategorized Published - 24 April, 2024    By - Dr Clemens
Gastric Volume and Antral Area in the Fasting State: A Meta-analysis of Individual Patient Data

Authors: Anahi Perlas, M.D., F.R.C.P.C. et al  Anesthesiology May 2024, Vol. 140, 991–1001. Background Pulmonary aspiration of gastric content is a serious anesthetic complication. Gastric point-of-care ultrasound can determine the type and volume of gastric content when clinical information is equivocal. However, a cutoff value of either antral cross-sectional area or volume that may be considered […]

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Uncategorized Published - 24 April, 2024    By - Dr Clemens
Chest Wall Hematoma after Continuous Serratus Anterior Plane Block

Authors: Anthony Tucker-Bartley, M.D. et al  Anesthesiology May 2024, Vol. 140, 1018–1019. We demonstrate a large chest wall hematoma involving the serratus anterior muscle with an extension between the pectoralis major and minor muscles. The images (fig. 1, A–D) are noncontrast chest computed tomography scans in the axial and coronal planes, showing the hematoma, noted 1 […]

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Uncategorized Published - 23 April, 2024    By - Dr Clemens
Serum Neurofilament Light and Postoperative Delirium in Cardiac Surgery

Authors: Céline Khalifa, M.D. et al  Anesthesiology May 2024, Vol. 140, 950–962. Background Impaired cognition is a major predisposing factor for postoperative delirium, but it is not systematically assessed. Anesthesia and surgery may cause postoperative delirium by affecting brain integrity. Neurofilament light in serum reflects axonal injury. Studies evaluating the perioperative course of neurofilament light in […]

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