Author: Dr Clemens

Uncategorized Published - 27 November, 2023    By - Dr Clemens
Alfaxalone Alleviates Neurotoxicity and Cognitive Impairment Induced by Isoflurane Anesthesia in Offspring Rats

AUTHORS: Zhao, Xingkai MS et al  Anesthesia & Analgesia 136(6):p 1206-1216, June 2023. BACKGROUND: The anesthetic isoflurane can cause neurotoxicity in fetuses and offspring of rats, affecting their neurodevelopment. However, the underlying mechanisms and therapeutic targets of isoflurane-induced neurotoxicity remain to be identified. Alfaxalone (ALF) is a steroid anesthetic. Steroids have been reported to have neuroprotective […]

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Uncategorized Published - 24 November, 2023    By - Dr Clemens
Anesthetic Management and Deep Sedation After Emergence From General Anesthesia

AUTHORS: Deljou, Atousa MD et al  Anesthesia & Analgesia 136(6):p 1154-1163, June 2023. BACKGROUND: Residual deep sedation during anesthesia recovery may predict postoperative complications. We examined the incidence and risk factors for deep sedation after general anesthesia. METHODS: We retrospectively reviewed health records of adults who underwent procedures with general anesthesia and were admitted to the […]

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Uncategorized Published - 24 November, 2023    By - Dr Clemens
Postoperative Outcomes in Elderly Patients Undergoing Cardiac Surgery With Preoperative Cognitive Impairment

AUTHORS: Au, Emily BSc et al  Anesthesia & Analgesia 136(6):p 1016-1028, June 2023. BACKGROUND: Older patients with preoperative cognitive impairment are at risk for increased postoperative complications after noncardiac surgery. This systematic review and meta-analysis aimed to determine the association between preoperative cognitive impairment and dementia and postoperative outcomes in older surgical patients after cardiac surgery. […]

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Uncategorized Published - 24 November, 2023    By - Dr Clemens
Transnasal Humidified Rapid Insufflation Ventilatory Exchange Augments Oxygenation in Children With Juvenile Onset Recurrent Respiratory Papillomatosis During Surgery

AUTHORS: Lei, Guiyu MD et al  Anesthesia & Analgesia 137(3):p 578-586, September 2023. BACKGROUND: Evidence is lacking regarding the efficacy of transnasal humidified rapid insufflation ventilatory exchange (THRIVE) in tubeless anesthesia, especially in pediatric patients. This study aimed to evaluate the use of THRIVE for juvenile onset recurrent respiratory papillomatosis (JORRP) patients. METHODS: Twenty-eight children aged […]

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Uncategorized Published - 24 November, 2023    By - Dr Clemens
Examining Subjective Psychological Experiences of Postoperative Delirium in Older Cardiac Surgery Patients

AUTHORS: Cohen, Caitlin L. BPsych (Hons) et al  Anesthesia & Analgesia 136(6):p 1174-1181, June 2023. BACKGROUND: Postoperative delirium (POD) is an acute syndrome including inattention and impaired cognition that affects approximately 42% of older cardiac surgical patients. POD is linked to adverse outcomes including morbidity, mortality, and further cognitive decline. Less is known about the subjective […]

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Uncategorized Published - 24 November, 2023    By - Dr Clemens
SPECIAL ANNOUNCEMENT: New ABN Form

The Office of Management and Budget approved the Advance Beneficiary Notice of Noncoverage (Form CMS-R-131) for renewal. This renewed form expires January 31, 2026.  The expiration date is the only change to the form. You may use the renewed form now, but you must use it beginning June 30, 2023, when the previous version expires.

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Uncategorized Published - 23 November, 2023    By - Dr Clemens
HAPPY THANKSGIVING TO ALL OF OUR READERS

Anesthesia Experts wants to wish all of our readers and their families a Happy Thanksgiving.  We are so blessed to live in the greatest country ever.

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Uncategorized Published - 22 November, 2023    By - Dr Clemens
Updates for Pain Management

Author: Rita Astani President—Anesthesia Coronis Health Anesthesia According to a source on the history of idioms, there was a custom in ancient times of pouring a cauldron of boiling water onto unwelcome intruders or enemy soldiers from an upper window or castle wall to encourage their retreat. From at least the 1600s, to be “in […]

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Uncategorized Published - 22 November, 2023    By - Dr Clemens
Effect of Tulobuterol Patch Versus Placebo on the Occurrence of Respiratory Adverse Events in Children Undergoing Tonsillectomies

AUTHORS: Kim, Eun-Hee MD, PhD et al  Anesthesia & Analgesia 136(6):p 1067-1074, June 2023. BACKGROUND: Perioperative respiratory adverse events are common in children. We aimed to evaluate the effect of the transdermal β-2 agonist, tulobuterol, compared with that of placebo on the incidence of perioperative respiratory adverse events in pediatric patients undergoing tonsillectomy. METHODS: In this […]

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Uncategorized Published - 22 November, 2023    By - Dr Clemens
Sociodemographic Disparities in Postoperative Nausea and Vomiting

AUTHORS: Lee, Donaldson C. MD et al  Anesthesia & Analgesia 137(3):p 665-675, September 2023. BACKGROUND: Postoperative nausea and vomiting (PONV) prophylaxis is consistently considered a key indicator of anesthesia care quality. PONV may disproportionately impact disadvantaged patients. The primary objectives of this study were to examine the associations between sociodemographic factors and the incidence of PONV […]

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