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Uncategorized Published - 7 February, 2023    By - Dr Clemens
What Anesthesiologists Should Know About Treating Transgender Patients

Author: Pamela Schumacher, MSC, CCMP ASA Monitor February 2023, Vol. 87, 27. According to a recent study, about 1.6 million adults (ages 18 and older) and youth (ages 13-17) identify as transgender in the United States, or 0.6% of those age 13 and older (asamonitor.pub/3Vz9zGO). These numbers make it likely that anesthesiologists will care for transgender […]

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Uncategorized Published - 7 February, 2023    By - Dr Clemens
Obstructive Sleep Apnea Among Gravidas With Chronic Hypertension Compared to Matched Controls

Authors: Dominguez, Jennifer E. MD, MHS et al  Anesthesia & Analgesia 136(2):p 205-214, February 2023 BACKGROUND: Previous studies of obstructive sleep apnea (OSA) risk in gravidas with chronic hypertension (cHTN) did not control for obesity as a risk factor for OSA. We therefore performed this study to evaluate whether OSA is more prevalent among gravidas with […]

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Uncategorized Published - 7 February, 2023    By - Dr Clemens
Preoperative Identification of Patient-Dependent Blood Pressure Targets Associated With Low Risk of Intraoperative Hypotension During Noncardiac Surgery

Authors: Schnetz, Michael P. MD, PhD*; Danks, David J. PhD†; Mahajan, Aman MD, PhD, MBA Anesthesia & Analgesia 136(2):p 194-203, February 2023. BACKGROUND: Intraoperative hypotension (IOH) is strongly linked to organ system injuries and postoperative death. Blood pressure itself is a powerful predictor of IOH; however, it is unclear which pressures carry the lowest risk and […]

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Uncategorized Published - 7 February, 2023    By - Dr Clemens
2023 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting: Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Pediatric Fasting Duration—A Modular Update of the 2017 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting

Authors: Girish P. Joshi, M.B.B.S., M.D. et al  Anesthesiology February 2023, Vol. 138, 132–151. These practice guidelines are a modular update of the “Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: Application to healthy patients undergoing elective procedures.” The guidance focuses on topics not addressed in […]

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Uncategorized Published - 6 February, 2023    By - Dr Clemens
Postoperative Delirium after Dexmedetomidine versus Propofol Sedation in Healthy Older Adults Undergoing Orthopedic Lower Limb Surgery with Spinal Anesthesia

Authors: Hyun-Jung Shin, M.D., Ph.D. et al  Anesthesiology February 2023, Vol. 138, 164–171. Background Delirium is a critical postoperative complication in older patients. Based on the hypothesis that intraoperative dexmedetomidine sedation would lower postoperative delirium than propofol sedation would, the authors compared the incidence of postoperative delirium in older adults, using the mentioned sedatives. Methods This […]

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