Author: Dr Clemens

Uncategorized Published - 23 May, 2018    By - Dr Clemens
Targeted Temperature Management After Cardiac Arrest: Systematic Review and Meta-analyses

AUTHORS: Kalra, Rajat, MBChB et al Anesthesia & Analgesia: March 2018 – Volume 126 – Issue 3 – p 867–875   BACKGROUND: Targeted temperature management (TTM) with therapeutic hypothermia is an integral component of postarrest care for survivors. However, recent randomized controlled trials (RCTs) have failed to demonstrate the benefit of TTM on clinical outcomes. We sought […]

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Uncategorized Published - 22 May, 2018    By - Dr Clemens
Cardiac Output Measurements Based on the Pulse Wave Transit Time and Thoracic Impedance Exhibit Limited Agreement With Thermodilution Method During Orthotopic Liver Transplantation

AUTHORS: Magliocca, Aurora, MD et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 85–92 BACKGROUND: Orthotopic liver transplantation (OLT) is characterized by significant intraoperative hemodynamic variability. Accurate and real-time cardiac output (CO) monitoring aids clinical decision making during OLT. The purpose of this study is to compare accuracy, precision, and trending […]

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Uncategorized Published - 22 May, 2018    By - Dr Clemens
The Effect of Zinc Lozenge on Postoperative Sore Throat: A Prospective Randomized, Double-Blinded, Placebo-Controlled Study

AUTHORS: Farhang, Borzoo, DO et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 78–83   BACKGROUND: Postoperative sore throat (POST) is commonly seen after endotracheal intubation, and oral zinc prevents oral mucositis associated with chemotherapy. This study is designed to evaluate the effects of administration of zinc lozenges on POST. METHODS: Seventy-nine […]

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Uncategorized Published - 22 May, 2018    By - Dr Clemens
U.S. Births Reach 30-Year Record Low

U.S. births dropped 2% from 2016 to 2017, hitting a new 30-year low, according to provisional data from the CDC’s National Center for Health Statistics. Roughly 3.8 million infants were born in 2017. This marks a 3-year decline in U.S. births. Among the other findings in the report: The fertility rate fell 3% from the […]

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Uncategorized Published - 22 May, 2018    By - Dr Clemens
The Impact of Prehospital Tranexamic Acid on Blood Coagulation in Trauma Patients

AUTHORS: Stein, Philipp, MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 522–529 BACKGROUND: There is limited data on prehospital administration of tranexamic acid (TXA) in civilian trauma. The aim of this study was to evaluate changes in coagulation after severe trauma from on-scene to the hospital after TXA application […]

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Uncategorized Published - 22 May, 2018    By - Dr Clemens
Labor Analgesia as a Predictor for Reduced Postpartum Depression Scores: A Retrospective Observational Study

AUTHORS: Lim, Grace, MD, MS et al Anesthesia & Analgesia: May 2018 – Volume 126 – Issue 5 – p 1598–1605   BACKGROUND: Using labor, epidural analgesia has been linked to a reduced risk of postpartum depression, but the role of labor pain relief in this association remains unclear. The goal of this study was to test […]

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Uncategorized Published - 22 May, 2018    By - Dr Clemens
Exercise Therapy Key to Improving At-Risk Frail Patients

Although frailty obviously is an important perioperative risk factor, interventional research on the subject has been sparse. A systematic review from the University of Ottawa found a marked shortage of studies on frailty, but it also found that exercise therapy is consistently associated with improved outcomes in this at-risk patient population. “Frailty is a key […]

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Uncategorized Published - 21 May, 2018    By - Dr Clemens
Visual Test Could Help Predict Dementia Risk in Elders

I thought this was interesting so I wanted to share. A visual test might help clinicians flag patients at higher dementia risk, suggests a study in the Annals of Family Medicine. Researchers followed nearly 2700 patients aged 70 to 78 who didn’t have baseline dementia. At baseline and at 2 years, patients were administered the Mini-Mental […]

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Uncategorized Published - 21 May, 2018    By - Dr Clemens
Retrospective Review of Universal Preoperative Pregnancy Testing: Results and Perspectives

Gong, Xun, MD, PhD*; Poterack, Karl, A., MD† Anesthesia & Analgesia: December 11, 2017 Unrecognized pregnancy in patients presenting for elective surgery is of particular concern due to the potential for significant complications. Accurate and inexpensive urine pregnancy tests are widely available in the developed world. As a result, universal preoperative pregnancy screening is commonly implemented. […]

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Uncategorized Published - 21 May, 2018    By - Dr Clemens
Analysis of Inpatient Falls After Total Knee Arthroplasty in Patients With Continuous Femoral Nerve Block

AUTHORS: Turbitt, Lloyd, R., MBBCh, BAO, FRCA et al Anesthesia & Analgesia: December 11, 2017 Continuous femoral nerve block (cFNB) is thought to increase the risk of falls after total knee arthroplasty (TKA). Previous studies have failed to consider the timing of cFNB removal in relation to inpatient falls. We investigated all inpatient falls after TKA […]

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