Author: Dr Clemens

Uncategorized Published - 10 October, 2017    By - Dr Clemens
Frailty Level Accurate Predictor of Post-op Complications

Assessing a patient’s level of frailty before an operation can provide important insight into which individuals might develop postoperative complications. “For a long time, frailty was overlooked,” said Felix Balzer, MD, MSc, PhD, in the Department of Anesthesiology and Intensive Care Medicine at Charite Universitatsmedizin Berlin, in Germany. “Today, we know that frail patients are […]

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Uncategorized Published - 10 October, 2017    By - Dr Clemens
General Anesthesia May Negate Endovascular Benefit in Stroke

He added: “It is hard to know if this will change practice. As a rule, observational data should not drive change.” Dr Goldstein noted that the policy at Duke at present is to use general anesthetic for these procedures. “Having people lie still is not the easiest.” Dr Ovbiagele elaborated: “There are challenges of doing […]

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Uncategorized Published - 10 October, 2017    By - Dr Clemens
Residents Program, Born of Tragedy, Addresses Substance Abuse Risk Factors

Anesthesiology residents, despite having direct access to controlled substances, often are inadequately trained in the symptoms of substance abuse disorder (SUD) and resources for addressing it. A study conducted by Rutgers New Jersey Medical School, in Newark, found that 40% of surveyed residents felt underprepared for managing SUD. The results were presented at the PostGraduate […]

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Uncategorized Published - 10 October, 2017    By - Dr Clemens
Elevated Modified Shock Index Indicates Upped Mortality Risk

Critically ill patients who demonstrate an elevated modified shock index (MSI) within the first 24 hours of ICU admission have a significant risk for death. MSI, which is the ratio of elevated heart rate to mean arterial pressure, may be a better predictor of mortality than shock index (SI) because MSI incorporates both systolic and […]

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Uncategorized Published - 10 October, 2017    By - Dr Clemens
Reliability of Point-of-Care Hematocrit Measurement During Liver Transplantation

AUTHORS: Kim, Won Ho MD, PhD et al Anesthesia & Analgesia: May, 2017 BACKGROUND: Although point-of-care (POC) analyzers are commonly used during liver transplantation (LT), the accuracy of hematocrit measurement using a POC analyzer has not been evaluated. In this retrospective observational study, we aimed to evaluate the accuracy of hematocrit measurement using a POC analyzer […]

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Uncategorized Published - 9 October, 2017    By - Dr Clemens
Interest of Urinary [TIMP-2] × [IGFBP-7] for Predicting the Occurrence of Acute Kidney Injury After Cardiac Surgery: A Gray Zone Approach

AUTHORS: Finge, Toufic MD et al Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 762–769 BACKGROUND: This study assessed the ability of 3-hour postoperative urinary tissue inhibitor of metalloproteinases-2 × insulin-like growth factor binding protein-7 ([TIMP-2] × [IGFBP-7]) to predict postoperative acute kidney injury (AKI) in patients undergoing cardiopulmonary bypass during cardiac […]

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Uncategorized Published - 9 October, 2017    By - Dr Clemens
Reduced Requirement for Prothrombin Complex Concentrate for the Restoration of Thrombin Generation in Plasma From Liver Transplant Recipients

AUTHORS: Abuelkasem, Ezeldeen MBBCh, MSc et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 609–615 BACKGROUND: Plasma transfusion remains the mainstay hemostatic therapy during liver transplantation (LT) in most countries. However, a large volume is required for plasma to achieve clinically relevant factor increases. Prothrombin complex concentrate (PCC) is a low-volume […]

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Uncategorized Published - 9 October, 2017    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: May 2017 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 predicting difficult tracheal intubation (DTI). We hypothesized that […]

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Uncategorized Published - 9 October, 2017    By - Dr Clemens
Postoperative High-Sensitivity Troponin and Its Association With 30-Day and 12-Month, All-Cause Mortality in Patients Undergoing On-Pump Cardiac Surgery

AUTHORS: Mauermann, Eckhard MD, MSc et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1110–1117 BACKGROUND: Troponin T is a predictor of cardiac morbidity and mortality after cardiac surgery with most data examining fourth generational troponin T assays. We hypothesize that postoperative high-sensitivity troponin T (hsTnT) measured in increments of the […]

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Uncategorized Published - 9 October, 2017    By - Dr Clemens
Thoracic Epidural Analgesia With Levobupivacaine Reduces Remifentanil and Propofol Consumption Evaluated by Closed-Loop Titration Guided by the Bispectral Index: A Double-Blind Placebo-Controlled Study

AUTHORS: Dumans-Nizard, Virginie MD et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 635–642 BACKGROUND: Thoracic epidural analgesia (TEA) combined with general anesthesia decreases anesthetic requirements by half when hemodynamic criteria are used for the titration of analgesia. We therefore determined the impact of TEA on anesthetic requirements, when a closed-loop […]

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