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Uncategorized Published - 22 August, 2022    By - Dr Clemens
Surgical Site Infections – Prevention Is Better Than Treatment!

Authors: Kumar G. Belani, MBBS, MS, FACA, FAAP, SAMBA-F ASA Monitor August 2022, Vol. 86, 18. To minimize catheter-related bloodstream infection, one must observe maximal sterile barrier precautions, including the use of a cap, mask, sterile gown, sterile gloves, and a sterile full body drape as shown in the photo taken approximately three decades ago during […]

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Uncategorized Published - 22 August, 2022    By - Dr Clemens
Expert Consensus Regarding Core Outcomes for Enhanced Recovery after Cesarean Delivery Studies

Authors: Pervez Sultan, M.B.Ch.B. et al  Anesthesiology August 2022, Vol. 137, 201–211. Background Heterogeneity among reported outcomes from enhanced recovery after cesarean delivery impact studies is high. This study aimed to develop a standardized enhanced recovery core outcome set for use in future enhanced recovery after cesarean delivery studies. Methods An international consensus study involving physicians, […]

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Uncategorized Published - 19 August, 2022    By - Dr Clemens
Gas Phase Diffusion Does Not Limit Lung Volatile Anesthetic Uptake Rate

Author: Philip J. Peyton, M.D., Ph.D., M.B.B.S., F.A.N.Z.C.A. Anesthesiology August 2022, Vol. 137, 176–186. Background Inefficiency of lung gas exchange during general anesthesia is reflected in alveolar (end-tidal) to arterial (end-tidal–arterial) partial pressure gradients for inhaled gases, resulting in an increase in alveolar deadspace. Ventilation–perfusion mismatch is the main contributor to this, but it is unclear […]

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Uncategorized Published - 19 August, 2022    By - Dr Clemens
Coagulopathy Underlying Rotational Thromboelastometry Derangements in Trauma Patients

Authors: Romein W. G. Dujardin, M.D. et al  Anesthesiology August 2022, Vol. 137, 232–242. Background Viscoelastic hemostatic assays such as rotational thromboelastometry (ROTEM) are used to guide treatment of trauma induced coagulopathy. The authors hypothesized that ROTEM derangements reflect specific coagulation factor deficiencies after trauma. Methods This was a secondary analysis of a prospective cohort study […]

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Uncategorized Published - 19 August, 2022    By - Dr Clemens
Reducing Postoperative Delirium with Intraoperative Processed EEG

Authors: Jacqueline M. Leung, MD, MPH et al  ASA Monitor March 2021, Vol. 85, 1–12. Postoperative delirium is a geriatric syndrome associated with prolonged hospital length of stay and worsened functional and cognitive status after hospital discharge. Despite its prevalence, its pathophysiology is incompletely understood. Delirium is a complex interplay between patient vulnerability and precipitating factors. […]

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