Author: Dr Clemens

Uncategorized Published - 16 April, 2024    By - Dr Clemens
The Hypotension Prediction Index is equally effective in predicting intraoperative hypotension during non-cardiac surgery compared to a mean arterial pressure threshold

Authors: Marijn P. Mulder, M.Sc. et al  Anesthesiology April 2024. Background The Hypotension Prediction Index is designed to timely predict intraoperative hypotension and is based on arterial waveform analysis using machine learning. It has recently been suggested that this algorithm is highly correlated with the mean arterial pressure (MAP) itself. Therefore, the aim of this […]

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Uncategorized Published - 16 April, 2024    By - Dr Clemens
Preoperative Anemia and Postoperative Outcomes in Cardiac Surgery

AUTHORS: Warner, Matthew A. MD et al Anesthesia & Analgesia 138(4):p 728-737, April BACKGROUND: Preoperative anemia is associated with adverse outcomes in cardiac surgery, yet it remains unclear what proportion of this association is mediated through red blood cell (RBC) transfusions. METHODS: This is a historical observational cohort study of adults undergoing coronary artery bypass grafting […]

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Uncategorized Published - 16 April, 2024    By - Dr Clemens
Myocardial Injury as a Harbinger of Multi-organ Failure in Septic Shock

Author: Singam A Cureus 16(2): e55021. doi:10.7759/cureus.55021 Abstract Myocardial injury in the context of septic shock presents a multifaceted challenge in critical care medicine with implications for patient prognosis and therapeutic strategies. This comprehensive review explores the mechanisms, diagnostic approaches, and clinical implications of myocardial injury as a harbinger of multi-organ failure in septic shock. […]

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Uncategorized Published - 16 April, 2024    By - Dr Clemens
Intraoperative Abdominal Aortic Aneurysm Repair and Its Complications From an Anesthesia Perspective

Authors:  Alanzi A K, et al Cureus 15(4): e37351. doi:10.7759/cureus.37351 Abstract An abdominal aortic aneurysm (AAA) is a disease characterized by an abnormal bulge or swelling in the aorta. It could be serious if left unobserved, and with time, it swells and eventually ruptures, resulting in massive bleeding inside, and, more likely, causes death. This […]

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Uncategorized Published - 15 April, 2024    By - Dr Clemens
Evaluate Extubation in Neurosurgical Patients: Comment

Authors: Yukiko Yamazaki, M.D. Koji Hosokawa, M.D., Ph.D. Anesthesiology April 2024. To the Editor: We read with great interest the recent article by Xu et al. that discusses how the Swallowing, Tongue protrusion, Airway protection reflected by spontaneous and suctioning cough, and Glasgow coma scale Evaluation (STAGE) score of neurologic patients may predict the success of extubation. However, […]

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Uncategorized Published - 15 April, 2024    By - Dr Clemens
Evaluate Extubation in Neurosurgical Patients: Reply

Authors: Shan-Shan Xu, M.D.; Linlin Zhang, M.D., Ph.D.; Jian-Xin Zhou, M.D., Ph.D. Anesthesiology April 2024. In Reply: We would like to thank Yamazaki and Hosokawa for their interest in our article.  The authors highlight four concerns about using the Swallowing, Tongue protrusion, Airway protection reflected by spontaneous and suctioning cough, and Glasgow coma scale Evaluation (STAGE) score to […]

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Uncategorized Published - 15 April, 2024    By - Dr Clemens
Influence of Fractional Inspired Oxygen Tension on Lung Perfusion Distribution, Regional Ventilation, and Lung Volume during Mechanical Ventilation of Supine Healthy Swine

Authors: Bruno M. Ribeiro, P.T. et al  Anesthesiology April 2024, Vol. 140, 752–764. Background Lower fractional inspired oxygen tension (Fio2) during general anesthesia can reduce lung atelectasis. The objectives are to evaluate the effect of two Fio2 (0.4 and 1) during low positive end-expiratory pressure (PEEP) ventilation over lung perfusion distribution, volume, and regional ventilation. These variables were […]

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Uncategorized Published - 15 April, 2024    By - Dr Clemens
Comparison of the Efficacy of HSK3486 and Propofol for Induction of General Anesthesia in Adults

Authors:  Tong J. Gan, M.D. et al  Anesthesiology April 2024, Vol. 140, 690–700. Background Propofol is an intravenous anesthetic associated with hypotension, respiratory depression, and injection-site pain. HSK3486 injectable emulsion (ciprofol) is a 2,6-disubstituted phenol derivative with fast onset and quick, stable recovery. Previous studies support HSK3486 as an effective, safe anesthetic with substantially less injection-site […]

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Uncategorized Published - 15 April, 2024    By - Dr Clemens
Pilot Study Exploring if an Augmented Reality NeedleTrainer Device Improves Novice Performance of a Simulated Central Venous Catheter Insertion on a Phantom

Authors: Evans A et al Cureus 15(6): e40197. doi:10.7759/cureus.40197 Introduction Needle insertion and visualisation skills needed for ultrasound (US)-guided procedures can be challenging to acquire. The novel NeedleTrainer device superimposes a digital holographic needle on a real-time US image display without puncturing a surface. The aim of this randomised control study was to compare the […]

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Uncategorized Published - 12 April, 2024    By - Dr Clemens
Using Predictive Models to Improve Outcomes Following Surgery and Critical Illness

Author: Bradley A. Fritz, MD, MSCI ASA Monitor April 2024, Vol. 88, 35–36. Figure: Prototype graphical user interface integrated into the electronic health record. A) Census view with summaries for all operating room patients. B) Patient detail view (two screenshots merged together because this view requires scrolling). Anesth Analg June 2023;doi 10.1213/ANE.0000000000006577 The OR and ICU are two […]

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