Author: Dr Clemens

Uncategorized Published - 12 December, 2018    By - Dr Clemens
Emergency Intubation Outside the Operating Room

Feasibility of Topical Local Anesthesia Preparation For Video–Assisted Laryngoscopy Author Thomas C. Mort, MD Anesthesiology News Emergent tracheal intubation outside the operating room (OR) is challenging in terms of complications and patient safety concerns. The acute and critical nature of the patient’s need for airway control escalates the dangers with both recognized and unrecognized difficult […]

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Uncategorized Published - 12 December, 2018    By - Dr Clemens
Prolonged Opioid Use Before Knee, Hip Replacement Surgery Increases Risk of Poor Outcomes

Patients who take prescription opioids for more than 60 days before total knee or hip replacement surgery are at significantly higher risk of being readmitted to the hospital and of undergoing repeat joint-replacement surgery, compared with patients with no preoperative opioid use, according to a study published in The Journal of Bone & Joint Surgery. “Opioid […]

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Uncategorized Published - 11 December, 2018    By - Dr Clemens
Artificial Intelligence for Anesthesia: What the Practicing Clinician Needs to Know: More than Black Magic for the Art of the Dark

Authors: Michael R. Mathis, M.D. et al  Anesthesiology 10 2018, Vol.129, 619-622. “…machine-learning properties include an ability to capture…variables…[called] model features…[too numerous for humans] to perceive or simultaneously consider…[and] the ability…to model complex relationships between model features which otherwise eclipse human understanding.” MACHINE learning, the quintessential tool currently driving forward the development of artificial intelligence, was […]

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Uncategorized Published - 11 December, 2018    By - Dr Clemens
Study Determines Risk Factors for Opioid Misuse Following Surgery, Trauma

Certain prescribing patterns, surgical procedures, and patient characteristics increase patients’ risk of long-term opioid use following surgery or trauma, according to a study published in the Journal of Bone and Joint Surgery. “Approximately 4% of the general population will use prescribed opioids for an extended time after surgery, but, among patients with a history of prescription […]

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Uncategorized Published - 11 December, 2018    By - Dr Clemens
High-Frequency Jet Ventilation Safe, Effective in Cardiac Cath Lab

Author: Chase Doyle Anesthesiology News A retrospective chart review has found high-frequency jet ventilation (HFJV) to be a safe and effective means of ventilating patients in the cardiac catheterization lab. In the new study, only two of 123 patients had to convert to traditional methods of ventilation over a 13-month implementation period. The transition to the […]

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Uncategorized Published - 11 December, 2018    By - Dr Clemens
The Current State of Airway Management: Are We Doing Better?

Author: Lauren Berkow, MD President-Elect, Society for Airway Management Professor of Neuroanesthesiology University of Florida College of Medicine Gainesville, Florida Anesthesiology News Welcome to the special annual Airway Management issue from Anesthesiology News! Included in this issue are a variety of important airway topics and an airway management roundtable discussion of current airway-related controversies. As patients become older, […]

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Uncategorized Published - 11 December, 2018    By - Dr Clemens
Three Diseases Linked To Opioid-Induced Respiratory Depression

Author: Michael Vlessides Anesthesiology News Existing cardiac disease, pulmonary disease and obstructive sleep apnea are all significantly associated with an increased risk for postoperative opioid-induced respiratory depression. The findings, from a recent systematic review and meta-analysis, may help in the development of strategies to mitigate the risk for this complication. “Postoperative opioid-induced respiratory depression is associated […]

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Uncategorized Published - 10 December, 2018    By - Dr Clemens
Effect of Equipotent Doses of Propofol versus Sevoflurane Anesthesia on Regulatory T Cells after Breast Cancer Surgery

Authors: Chung-Sik Oh, M.D., Ph.D. et al   Anesthesiology 11 2018, Vol.129, 921-931. What We Already Know about This Topic: Cluster of differentiation enzymes on regulatory T cells are immunosuppressive and promote cancer recurrence The investigators tested the hypothesis that cluster of differentiation 39 and 73 expression is increased less with propofol than sevoflurane What This […]

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Uncategorized Published - 10 December, 2018    By - Dr Clemens
Preoperative Epoetin-α with Intravenous or Oral Iron for Major Orthopedic Surgery: A Randomized Controlled Trial

Authors: Philippe Biboulet, M.D. et al  Anesthesiology 10 2018, Vol.129, 710-720. What We Already Know about This Topic: Epoetin-α is often given to patients scheduled for major orthopedic surgery It remains unknown whether it is best to accompany epoetin-α with oral or intravenous iron What This Article Tells Us That Is New: Hemoglobin level the day […]

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Uncategorized Published - 10 December, 2018    By - Dr Clemens
Supervised Machine-learning Predictive Analytics for Prediction of Postinduction Hypotension

Authors: Samir Kendale, M.D. et al  Anesthesiology 10 2018, Vol.129, 675-688. What We Already Know about This Topic: The ability to predict postinduction hypotension remains limited and challenging due to the multitude of data elements that may be considered Novel machine-learning algorithms may offer a systematic approach to predict postinduction hypotension, but are understudied What This […]

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