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Uncategorized Published - 15 September, 2022    By - Dr Clemens
Perioperative Neurofilament Light Plasma Concentrations and Cognition before and after Cardiac Surgery

Authors: Charles H. Brown, IV, M.D., M.H.S. et al  Anesthesiology September 2022, Vol. 137, 303–314. Background Neurofilament light is a marker of neuronal injury and can be measured in blood. Postoperative increases in neurofilament light have been associated with delirium after noncardiac surgery. However, few studies have examined the association of neurofilament light changes with postdischarge […]

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Uncategorized Published - 14 September, 2022    By - Dr Clemens
Anesthetic Considerations of Intraoperative Submissive Pulmonary Embolism with Thrombus Crossing to the Left Heart via a Patent Foramen Ovale

Authors: Vignesh Sankar, BS et al  ASA Monitor October 2021, Vol. 85, 41. Mount Sinai Medical Center-Miami Beach is Florida’s largest private, nonprofit teaching hospital focused on providing high-quality care to the diverse community of South Florida through teaching, research, and community advocacy. Established in 1949, our system includes 4,000 employees across 11 medical campuses, 672 […]

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Uncategorized Published - 14 September, 2022    By - Dr Clemens
Carbon Dioxide, Blood Pressure, and Perioperative Stroke

Authors: Phillip E. Vlisides, MD et al  Anesthesiology August 2022. Background The relationship between intraoperative physiology and postoperative stroke is incompletely understood. Preliminary data suggest that either hypo- or hypercapnia coupled with reduced cerebrovascular inflow (e.g., due to hypotension) can lead to ischemia. This study tested the hypothesis that the combination of intraoperative hypotension and […]

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Uncategorized Published - 14 September, 2022    By - Dr Clemens
Pulmonary Aeration and Posterior Collapse Assessed by Electrical Impedance Tomography in Healthy Children: Contribution of Anesthesia and Controlled Mechanical Ventilation

Authors: Milena Siciliano Nascimento, M.Sc. et al  Anesthesiology August 2022 To the Editor: Anesthesia is associated with the development of atelectasis, which may affect lung ventilation. These changes persist into the postoperative period and are associated with postoperative respiratory complications.  Electrical impedance tomography has been used in the operating room to monitor changes in aeration and […]

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Uncategorized Published - 14 September, 2022    By - Dr Clemens
Intraoperative Management of a Severely Kinked Endotracheal Tube and Difficult Airway

Authors: Piper Nash, M.D. et al  Anesthesiology August 2022. This figure is a lateral cervical radiograph of a nasally intubated 16-yr-old patient with Crouzon syndrome obtained after completion of cranial fossa surgery for Chiari malformation and returning to supine from a prone position. The standard endotracheal tube was severely kinked in the nasopharynx, as shown […]

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