Author: Dr Clemens

Uncategorized Published - 18 October, 2017    By - Dr Clemens
All Handoffs Are Not the Same

What Perioperative Handoffs Do We Participate in and How Are They Different? The Official Journal of the Anesthesia Patient Safety Foundation Oct 2017 By Amanda Lorinc, MD, and Christopher Henson, DO Handoffs Handoffs, in the most concise description, are an exchange of responsibility for one or more patients from one provider to another. Handoffs are […]

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Uncategorized Published - 18 October, 2017    By - Dr Clemens
Tranexamic Acid in Obstetric Hemorrhage

By Barbara M. Scavone, MD, and John T. Sullivan, MD Postpartum Hemorrhage Postpartum hemorrhage complicates approximately 3% of U.S. deliveries and is most often due to uterine atony.1 Hemorrhage is the leading cause of severe maternal morbidity and contributes to 11.4% of U.S. maternal deaths.2,3 Globally, it is the leading cause of maternal death.4 Postpartum hemorrhage is often […]

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Uncategorized Published - 18 October, 2017    By - Dr Clemens
Perioperative Temperature Measurement Considerations Relevant to Reporting Requirements for National Quality Programs Using Data From Anesthesia Information Management Systems

AUTHORS: Epstein, Richard H. MD et al Anesthesia & Analgesia: June 08, 2017 Background: Perioperative hypothermia may increase the incidences of wound infection, blood loss, transfusion, and cardiac morbidity. U.S. national quality programs for perioperative normothermia specify the presence of at least 1 “body temperature” ≥35.5°C during the interval from 30 minutes before to 15 minutes […]

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Uncategorized Published - 17 October, 2017    By - Dr Clemens
Protective Lung Ventilation and Morbidity After Pulmonary Resection: A Propensity Score–Matched Analysis

AUTHORS; Amar, David MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 190–199 BACKGROUND: Protective lung ventilation (PLV) during one-lung ventilation (OLV) for thoracic surgery is frequently recommended to reduce pulmonary complications. However, limited outcome data exist on whether PLV use during OLV is associated with less clinically relevant pulmonary […]

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Uncategorized Published - 17 October, 2017    By - Dr Clemens
Xenon as an Adjuvant to Propofol Anesthesia in Patients Undergoing Off-Pump Coronary Artery Bypass Graft Surgery: A Pragmatic Randomized Controlled Clinical Trial

AUTHORS: Al tmimi, Layth MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1118–1128 BACKGROUND: Xenon was shown to cause less hemodynamic instability and reduce vasopressor needs during off-pump coronary artery bypass (OPCAB) surgery when compared with conventionally used anesthetics. As xenon exerts its organ protective properties even in subanesthetic […]

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Uncategorized Published - 17 October, 2017    By - Dr Clemens
Anesthetic and Obstetric Management of Syringomyelia During Labor and Delivery: A Case Series and Systematic Review

AUTHORS: Garvey, Gráinne Patricia MBChB, FRCA Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 913–924 BACKGROUND: Syringomyelia is a rare, slowly progressive neurological condition characterized by the presence of a syrinx within the spinal cord. Consensus regarding the safest mode of delivery and anesthetic management in patients with syringomyelia remains controversial and […]

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Uncategorized Published - 17 October, 2017    By - Dr Clemens
Intraoperative “Analgesia Nociception Index”–Guided Fentanyl Administration During Sevoflurane Anesthesia in Lumbar Discectomy and Laminectomy: A Randomized Clinical Trial

AUTHORS: Upton, Henry D. MBBS, BMedSc (Hons) et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 81–90 BACKGROUND: The “Analgesia Nociception Index” (ANI; MetroDoloris Medical Systems, Lille, France) is a proposed noninvasive guide to analgesia derived from an electrocardiogram trace. ANI is scaled from 0 to 100; with previous studies suggesting […]

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Uncategorized Published - 17 October, 2017    By - Dr Clemens
Falls From the O.R. or Procedure Table

AUTHORS: Prielipp, Richard C. MD, MBA, FCCM et al Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 846–851 Patient safety secured by constant vigilance remains a primary responsibility of every anesthesia professional. Although significant attention has been focused on patient falls occurring before and after surgery, a potentially catastrophic complication is […]

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Uncategorized Published - 16 October, 2017    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: June 08, 2017 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 ability of CO estimation obtained noninvasively using […]

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Uncategorized Published - 16 October, 2017    By - Dr Clemens
Readmissions to Different Hospitals After Common Surgical Procedures and Consequences for Implementation of Perioperative Surgical Home Programs

AUTHORS: Dexter, Franklin MD, PhD et al Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 943–951 BACKGROUND: We consider whether there should be greater priority of information sharing about postacute surgical resources used: (1) at skilled nursing facilities or inpatient rehabilitation hospitals to which patients are transferred upon discharge (when applicable) versus […]

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