Author: Dr Clemens

Uncategorized Published - 6 June, 2018    By - Dr Clemens
Preoperative Warming Versus no Preoperative Warming for Maintenance of Normothermia in Women Receiving Intrathecal Morphine for Cesarean Delivery: A Single-Blinded, Randomized Controlled Trial

AUTHORS: Munday, Judy, PhD et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 183–189 BACKGROUND: Rates of hypothermia for women undergoing spinal anesthesia for cesarean delivery are high and prevention is desirable. This trial compared the effectiveness of preoperative warming versus usual care among women receiving intrathecal morphine, which is thought […]

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Uncategorized Published - 6 June, 2018    By - Dr Clemens
Maternal Death Due to Amniotic Fluid Embolism: A National Study in France

AUTHORS: Bonnet, Marie-Pierre, MD, PhD et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 175–182 BACKGROUND: A structured definition of amniotic fluid embolism (AFE) based on 4 criteria was recently proposed for use in research by the Society for Maternal-Fetal Medicine (SMFM) and the Amniotic Fluid Embolism Foundation. The main objective […]

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Uncategorized Published - 6 June, 2018    By - Dr Clemens
Comparison of the Mallampati Classification in Sitting and Supine Position to Predict Difficult Tracheal Intubation: A Prospective Observational Cohort Study

AUTHORS: Hanouz, Jean-Luc, MD, PhD et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 161–169 BACKGROUND: The Mallampati classification (MLPT) is normally evaluated in the sitting position. However, many patients cannot be evaluated in the sitting position for medical reasons. Thus, we compared the MLPT in sitting and supine positions in […]

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Uncategorized Published - 6 June, 2018    By - Dr Clemens
Perioperative Outcomes of Robotic-Assisted Hysterectomy Compared With Open Hysterectomy

AUTHORS: Gali, Bhargavi, MD et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 127–133 BACKGROUND: Increasing numbers of robotic hysterectomies (RH) are being performed. To provide ventilation (with pneumoperitoneum and steep Trendelenburg position) for these procedures, utilization of lung protective strategies with limiting airway pressures and tidal volumes is difficult. Little […]

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Uncategorized Published - 5 June, 2018    By - Dr Clemens
Sewage Is Helping Cities Flush Out the Opioid Crisis

By Keridwen Cornelius on May 25, 2018 Poop studies are helping communities make intervention decision The two-liter bottle of sewage sitting in a lab at Arizona State University is the yellow-brown color of smog. It was shipped overnight from one of a half dozen cities that have recently asked A.S.U. to begin studying their waste for chemical signatures […]

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Uncategorized Published - 5 June, 2018    By - Dr Clemens
Respiratory System Mechanics During Low Versus High Positive End-Expiratory Pressure in Open Abdominal Surgery: A Substudy of PROVHILO Randomized Controlled Trial

AUTHORS: D’Antini, Davide, MD et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 143–149 BACKGROUND: In the 2014 PROtective Ventilation using HIgh versus LOw positive end-expiratory pressure (PROVHILO) trial, intraoperative low tidal volume ventilation with high positive end-expiratory pressure (PEEP = 12 cm H2O) and lung recruitment maneuvers did not decrease […]

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Uncategorized Published - 5 June, 2018    By - Dr Clemens
Ultrasound-Guided Dynamic Needle Tip Positioning Technique Versus Palpation Technique for Radial Arterial Cannulation in Adult Surgical Patients: A Randomized Controlled Trial

AUTHORS: Kiberenge, Roy, K., MD et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 120–126 BACKGROUND: Radial arterial cannulation is most commonly done using palpation, but the use of ultrasound has increased the cannulation success rate. This improvement, albeit significant, has not led to a very high success rate especially in […]

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Uncategorized Published - 5 June, 2018    By - Dr Clemens
Estimation of Stroke Volume and Stroke Volume Changes by Electrical Impedance Tomography

AUTHORS: da Silva Ramos, et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 102–110 BACKGROUND: Electrical impedance tomography (EIT) is a noninvasive imaging method that identifies changes in air and blood volume based on thoracic impedance changes. Recently, there has been growing interest in EIT to measure stroke volume (SV). The […]

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Uncategorized Published - 5 June, 2018    By - Dr Clemens
A Comparison of Three Frailty Indices in Predicting Morbidity and Mortality After On-Pump Aortic Valve Replacement

AUTHORS: Esses, Gary, MD et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 39–45 BACKGROUND: Aortic valve replacement is a high-risk surgery (3%–5%, 30-day mortality) performed on approximately 30,000 elderly patients a year in the United States. Currently, preoperative risk assessment is based on a composite of medical examination and a […]

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Uncategorized Published - 5 June, 2018    By - Dr Clemens
My Love Affair with the Venous System

Author: Simon Gelman, M.D., Ph.D., F.A.N.Z.C.A. Anesthesiology published on May 30, 2018. Aortic cross-clamping (AoX) and unclamping are associated with severe hemodynamic disturbances in virtually all organs and systems. The main hemodynamic changes induced by AoX result from an increase in impedance to aortic flow, an increase in systemic vascular resistance and afterload, blood volume redistribution […]

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