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Uncategorized Published - 27 December, 2023    By - Dr Clemens
Postoperative Outcomes in Elderly Patients Undergoing Cardiac Surgery With Preoperative Cognitive Impairment

AUTHORS: Au, Emily BSc et al  Anesthesia & Analgesia 136(6):p 1016-1028, June 2023. BACKGROUND: Older patients with preoperative cognitive impairment are at risk for increased postoperative complications after noncardiac surgery. This systematic review and meta-analysis aimed to determine the association between preoperative cognitive impairment and dementia and postoperative outcomes in older surgical patients after cardiac surgery. […]

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Uncategorized Published - 27 December, 2023    By - Dr Clemens
The Association of Guideline-Directed Prophylaxis with Postoperative Nausea and Vomiting in Pediatric Patients

AUTHORS: Andrew, Benjamin Y. MD, MHS et al  Anesthesia & Analgesia May 2023. BACKGROUND: Guidelines for postoperative nausea and vomiting (PONV) prophylaxis in pediatric patients recommend escalation of the number of antiemetics based on a preoperative estimate of PONV risk. These recommendations have been translated into performance metrics, most notably by the Multicenter Perioperative Outcomes […]

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Uncategorized Published - 27 December, 2023    By - Dr Clemens
Ketamine is comparable to ECT for patients with treatment-resistant depression, study shows

Author: Olivia Goldhill STAT Health When seriously depressed patients don’t respond to antidepressants, the alternatives are limited. Now a new study has found that ketamine performs at least as well as the current gold standard for such patients, electroconvulsive therapy (ECT), suggesting it deserves consideration as a frontline response for people with treatment-resistant depression. But […]

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Uncategorized Published - 27 December, 2023    By - Dr Clemens
Failure to Rescue and Mortality Differences After Appendectomy in a Low-Middle-Income Country and the United States

AUTHORS: Rosero, Eric B. MD, MSc et al  Anesthesia & Analgesia 136(6):p 1030-1038, June 2023. BACKGROUND: Major disparities in complications and mortality after appendectomy between countries with different income levels have not been well characterized, as comparative studies at patient level between countries are scant. This study aimed to investigate variations in postoperative complications, mortality, and […]

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Uncategorized Published - 26 December, 2023    By - Dr Clemens
Thoracic Epidural Anesthesia in Cardiac Surgery

AUTHORS: Chiew, John Keong MBBS et al  Anesthesia & Analgesia 137(3):p 587-600, September 2023. BACKGROUND: Research on fast-track recovery protocols postulates that thoracic epidural anesthesia (TEA) in cardiac surgery contributes to improved postoperative outcomes. However, concerns about TEA’s safety hinder its widespread usage. We conducted a systematic review and meta-analysis to assess the benefits and risks […]

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