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Uncategorized Published - 14 August, 2023    By - Dr Clemens
The Incidence and Predictors of Failed Spinal Anesthesia After Intrathecal Injection of Local Anesthetic for Cesarean Delivery

AUTHORS: Jin, Sherry Y. FRCPC et al  Anesthesia & Analgesia April 03, 2023. BACKGROUND: The incidence of failed spinal anesthesia varies widely in the obstetric literature. Although many risk factors have been suggested, their relative predictive value is unknown. The primary objective of this retrospective cohort study was to determine the incidence of failed spinal […]

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Uncategorized Published - 14 August, 2023    By - Dr Clemens
Restricted Polypharmacy Compared to Usual Care in Mechanically Ventilated Patients

AUTHORS: Bose, Somnath MD, MPH, FASA et al  Anesthesia & Analgesia 136(6):p 1115-1121, June 2023. BACKGROUND: Adverse effects of excessive sedation in critically ill mechanically ventilated patients are well described. Although guidelines strongly recommend minimizing sedative use, additional agents are added as infusions, often empirically. The tradeoffs associated with such decisions remain unclear. METHODS: To test […]

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Uncategorized Published - 11 August, 2023    By - Dr Clemens
Determination of the Optimal Volume of Programmed Intermittent Epidural Bolus When Combined With the Dural Puncture Epidural Technique for Labor Analgesia

AUTHORS: Xiao, Fei MD et al  Anesthesia & Analgesia April 03, 2023. BACKGROUND: The dural puncture epidural (DPE) and the programmed intermittent epidural bolus (PIEB) techniques are recent innovations for labor analgesia. The optimal volume of PIEB during traditional epidural analgesia has been investigated previously but it is unknown whether these findings are applicable to […]

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Uncategorized Published - 11 August, 2023    By - Dr Clemens
Determinants of Professional Fulfillment and Burnout Among Intensivists: A National Survey by the Society of Critical Care Anesthesiologists in 2022

AUTHORS: Siddiqui, Shahla MBBS, MS, FCCM et al  Anesthesia & Analgesia 137(2):p 375-382, August 2023. BACKGROUND: Increased burnout and decreased professional fulfillment among intensive care physicians is partly due to intensive care unit (ICU) workload. Although the SARS-CoV-2 (COVID-19) pandemic increased ICU workload, it also may have increased feelings of personal fulfillment due to positive public […]

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Uncategorized Published - 11 August, 2023    By - Dr Clemens
Modified Manual Chest Compression for Prevention and Treatment of Respiratory Depression in Patients Under Deep Sedation During Upper Gastrointestinal Endoscopy

AUTHORS: Li, Xiaoyun MD et al  Anesthesia & Analgesia April 03, 2023. BACKGROUND: We aimed to determine the preventive and therapeutic efficacy of modified manual chest compression (MMCC), a novel noninvasive and device-independent method, in reducing oxygen desaturation events in patients undergoing upper gastrointestinal endoscopy under deep sedation. METHODS: A total of 584 outpatients who […]

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