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Uncategorized Published - 3 October, 2023    By - Dr Clemens
ACE Question

ASA Monitor October 2023, Vol. 87, 7. Which of the following train-of-four (TOF) patterns shown on the right is MOST consistent with partial recovery from a phase II block following neuromuscular blockade using a succinylcholine infusion? Succinylcholine is among the oldest anesthesia medications still in common use. An intubating dose of succinylcholine produces complete neuromuscular blockade […]

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Uncategorized Published - 3 October, 2023    By - Dr Clemens
Trends

ASA Monitor October 2023, Vol. 87, 12–13. A new study funded by the National Heart, Blood, and Lung Institute (NHLBI) provides strong evidence for omega-3 fatty acids’ power to maintain lung health. Researchers interested in nutritional interventions that could prevent lung disease have long suspected that omega-3s could aid lung disease prevention due to their anti-inflammatory […]

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Uncategorized Published - 2 October, 2023    By - Dr Clemens
Predicting Death or Disability after Surgery in the Older Adult

Authors: Mark A. Shulman, Ph.D. et al  Anesthesiology October 2023, Vol. 139, 420–431. Background Older patients are vulnerable to developing new or worsening disability after surgery. Despite this, patient or surgical characteristics predisposing to postoperative disability are poorly defined. The aim of the study was to develop and validate a model, subsequently transformed to point-score form, […]

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Uncategorized Published - 2 October, 2023    By - Dr Clemens
Intraoperative use of phenylephrine versus ephedrine and postoperative delirium

Authors: Haobo Ma, MD, MSc et al  Anesthesiology September 2023. Background The treatment of intraoperative hypotension with phenylephrine may impair cerebral perfusion through vasoconstriction, which has been linked to postoperative delirium. We hypothesized that intraoperative administration of phenylephrine, compared to ephedrine, is associated with higher odds of postoperative delirium. Methods 103,094 hospitalized adults undergoing general […]

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Uncategorized Published - 2 October, 2023    By - Dr Clemens
One-year outcomes after discharge from noncardiac surgery and association between pre-discharge complications and death after discharge

Authors: Pavel S. Roshanov et al  Anesthesiology September 2023. Background In prior analyses, myocardial injury after noncardiac surgery, major bleeding, and sepsis were independently associated with most deaths in the 30 days after noncardiac surgery, but most of these deaths occurred during the index hospitalization for surgery. We set out to describe outcomes after discharge […]

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