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Uncategorized Published - 31 August, 2022    By - Dr Clemens
Viscoelastic Testing and Factor Concentrate Therapy to Reduce Bleeding and Transfusions in the Surgical Separation of Ischiophagus Twins

Authors: Sarmiento, Ignacio A. MD et al  A & A Practice: June 2022 – Volume 16 – Issue 6 – p e01594 Abstract The surgical procedure to separate conjoined twins represents a rare and major challenge. One of the most feared perioperative scenarios is the presence of coagulopathy secondary to bleeding. We present a case of […]

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Uncategorized Published - 30 August, 2022    By - Dr Clemens
A Contemporary Analysis of Phlebotomy and Iatrogenic Anemia Development Throughout Hospitalization in Critically Ill Adults

Authors: Matzek, Luke J. MD et al  Anesthesia & Analgesia: September 2022 – Volume 135 – Issue 3 – p 501-510 Abstract BACKGROUND: Anemia is common in critically ill patients and may be exacerbated through phlebotomy-associated iatrogenic blood loss. Differences in phlebotomy practice across patient demographic characteristics, clinical features, and practice environments are unclear. This investigation […]

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Uncategorized Published - 30 August, 2022    By - Dr Clemens
Patient Blood Management Is a New Standard of Care to Optimize Blood Health

Author: Goobie, Susan M. MD, FRCPC Anesthesia & Analgesia: September 2022 – Volume 135 – Issue 3 – p 443-446 Patient blood management (PBM) encompasses all aspects of optimizing a patient’s blood health. Blood is the body’s liquid organ. Responsible for oxygen delivery, blood has many functions, including maintaining the delicate balance between hemostasis and […]

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Uncategorized Published - 30 August, 2022    By - Dr Clemens
Carbon Dioxide, Blood Pressure, and Perioperative Stroke

DG Journal Club AUTHORS: Phillip E Vlisides et al Anesthesiology. 2022 Aug 12 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 […]

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Uncategorized Published - 30 August, 2022    By - Dr Clemens
Perioperative Care of Patients Undergoing Major Complex Spinal Instrumentation Surgery: Clinical Practice Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care

Authors: Blacker, Samuel N. MD, FASA et al  Journal of Neurosurgical Anesthesiology: July 2022 – Volume 34 – Issue 3 – p 257-276 Abstract Evidence-based standardization of the perioperative management of patients undergoing complex spine surgery can improve outcomes such as enhanced patient satisfaction, reduced intensive care and hospital length of stay, and reduced costs. The […]

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