Author: Dr Clemens

Uncategorized Published - 21 August, 2017    By - Dr Clemens
Posttransfusion Increase of Hematocrit per se Does Not Improve Circulatory Oxygen Delivery due to Increased Blood Viscosity

AUTHORS: Zimmerman, Robert MS et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1547–1554 BACKGROUND: Blood transfusion is used to treat acute anemia with the goal of increasing blood oxygen-carrying capacity as determined by hematocrit (Hct) and oxygen delivery (DO2). However, increasing Hct also increases blood viscosity, which may […]

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Uncategorized Published - 18 August, 2017    By - Dr Clemens
Development of a Pediatric Risk Assessment Score to Predict Perioperative Mortality in Children Undergoing Noncardiac Surgery

AUTHORS: Nasr, Viviane G. MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1514–1519 BACKGROUND: Although there have been numerous attempts to predict perioperative mortality in adults, an objective model to predict mortality in children has not been developed. In this study, we aimed to develop a Pediatric […]

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Uncategorized Published - 18 August, 2017    By - Dr Clemens
Higher Fresh Gas Flow Rates Decrease Tidal Volume During Pressure Control Ventilation

AUTHORS: Mohammad, Shazia MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1506–1511 BACKGROUND: We observed that increasing fresh gas flow (FGF) decreased exhaled tidal volume (VT) during pressure control ventilation (PCV). A literature search produced no such description whereby unintended VT changes occur with FGF changes during PCV. METHODS: […]

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Uncategorized Published - 18 August, 2017    By - Dr Clemens
Online Cognitive Behavioral Pain Management Course May Benefit Fibromyalgia

Even minor improvements in fibromyalgia symptoms, depression, anxiety, and pain can have a significant impact on the quality of life in patients with fibromyalgia. Research published in the journal PAIN shows that an internet-delivered cognitive behavioral pain management course significantly improves depression, pain, and fear of pain in patients with fibromyalgia.1 Blake F. Dear, PhD, from Macquarie […]

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Uncategorized Published - 18 August, 2017    By - Dr Clemens
Study Supports Comprehensive Plan for Managing Difficult Airways in Children

A consultation service to plan management of pediatric patients with difficult airways before problems arise is an effective use of resources, according to a recent study. The study described findings from the Pediatric Difficult Airway Program, implemented in two stages in the Department of Anesthesiology and Critical Care Medicine at the Johns Hopkins University School […]

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Uncategorized Published - 18 August, 2017    By - Dr Clemens
The Effect of Deep Versus Moderate Neuromuscular Block on Surgical Conditions and Postoperative Respiratory Function in Bariatric Laparoscopic Surgery: A Randomized, Double Blind Clinical Trial

AUTHORS: Baete, Sam MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1469–1475 BACKGROUND: In recent literature, it has been suggested that deep neuromuscular block (NMB) improves surgical conditions during laparoscopy; however, the evidence supporting this statement is limited, and this was not investigated in laparoscopic bariatric surgery. Moreover, […]

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Uncategorized Published - 17 August, 2017    By - Dr Clemens
The Effect of Implementation of Preoperative and Postoperative Care Elements of a Perioperative Surgical Home Model on Outcomes in Patients Undergoing Hip Arthroplasty or Knee Arthroplasty

AUTHORS: Vetter, Thomas R. MD, MPH et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1450–1458 BACKGROUND: The Perioperative Surgical Home (PSH) seeks to remedy the currently highly fragmented and expensive perioperative care in the United States. The 2 specific aims of this health services research study were to assess […]

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Uncategorized Published - 17 August, 2017    By - Dr Clemens
Intermediate-Acting Nondepolarizing Neuromuscular Blocking Agents and Risk of Postoperative 30-Day Morbidity and Mortality, and Long-term Survival

AUTHORS: Bronsert, Michael R. PhD, MS et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1476–1483 BACKGROUND: Nondepolarizing neuromuscular blocking drugs (NNMBDs) are commonly used as an adjunct to general anesthesia. Residual blockade is common, but its potential adverse effects are incompletely known. This study was designed to assess the […]

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Uncategorized Published - 17 August, 2017    By - Dr Clemens
Topical Ropivacaine in Prevention of Post-Tonsillectomy Pain in Adults

AUTHORS; Tolska, Hanna Kaisa MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1459–1466 BACKGROUND: Post-tonsillectomy pain is 1 of the most intense postoperative pain conditions. However, optimal and sufficient postoperative analgesic treatment remains unclear. We investigated the effect of topical ropivacaine for post-tonsillectomy pain in 160 adult outpatient […]

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Uncategorized Published - 17 August, 2017    By - Dr Clemens
Recombinant Factor VIIa Is Associated With Increased Thrombotic Complications in Pediatric Cardiac Surgery Patients

AUTHORS: Downey, Laura MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1431–1436 BACKGROUND: Recombinant factor VIIa (rFVIIa) is routinely used as an off-label hemostatic agent in children undergoing cardiac surgery. Despite evidence that rFVIIa use is associated with an increased incidence of thrombotic complications in adult cardiac surgery, […]

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