Author: Dr Clemens

Uncategorized Published - 15 February, 2024    By - Dr Clemens
First-Attempt Success Between Anatomically and Physiologically Difficult Airways in the National Emergency Airway Registry

AUTHORS: Nikolla, Dhimitri A. DO, MS et al  Anesthesia & Analgesia February 09, 2024. BACKGROUND: In the emergency department (ED), certain anatomical and physiological airway characteristics may predispose patients to tracheal intubation complications and poor outcomes. We hypothesized that both anatomically difficult airways (ADAs) and physiologically difficult airways (PDAs) would have lower first-attempt success than […]

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Uncategorized Published - 15 February, 2024    By - Dr Clemens
Inotropes and Vasopressor Effect on Cerebral Blood Flow

Author: John L. Ard, MD ASA Monitor February 2024, Vol. 88, 28. Anesthesiologists are responsible for managing blood pressure during surgery. This task is particularly important during neurosurgical procedures, as brain cells are uniquely vulnerable to hypoxia, which may occur if hypotension is left untreated. The presence of a brain tumor may increase intracranial pressure and […]

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Uncategorized Published - 15 February, 2024    By - Dr Clemens
Top 15 heart-healthy diets: Experts call Mediterranean, DASH the best of the best

Author: Michael Walter Cardiovascular Business  U.S. News and World Report has shared its annual ranking of the best diets for a person’s health, and the Mediterranean diet came out on top for the seventh year in a row. A team of 43 experts, including nutritionists, doctors and epidemiologists, collaborated on the list. “Choosing a diet […]

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Uncategorized Published - 14 February, 2024    By - Dr Clemens
Association Between Cannabis Use and Opioid Consumption, Pain, and Respiratory Complications After Surgery

AUTHORS: Ekrami, Elyad MD et al Anesthesia & Analgesia January 2024. BACKGROUND: Cannabis is a widely used illicit drug with effects on different pain pathways. However, interactions between cannabis and postoperative pain are unclear. Cannabis smoking also affects the lungs, but the impact of cannabis use on postoperative pulmonary complications is unknown. We hypothesized that […]

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Uncategorized Published - 14 February, 2024    By - Dr Clemens
A Pilot Study of Renin-Guided Angiotensin-II Infusion to Reduce Kidney Stress After Cardiac Surgery

AUTHORS: Sadjadi, Mahan MD et al  Anesthesia & Analgesia January 30, 2024. | BACKGROUND: Vasoplegia is common after cardiac surgery, is associated with hyperreninemia, and can lead to acute kidney stress. We aimed to conduct a pilot study to test the hypothesis that, in vasoplegic cardiac surgery patients, angiotensin-II (AT-II) may not increase kidney stress (measured […]

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Uncategorized Published - 14 February, 2024    By - Dr Clemens
What Is the Role of a Periarticular Injection for Knee Arthroplasty Patients Receiving a Multimodal Analgesia Regimen Incorporating Adductor Canal and Infiltration Between the Popliteal Artery and Capsule of the Knee Blocks?

AUTHORS: YaDeau, Jacques T. MD, PhD et a  Anesthesia & Analgesia January 2024. BACKGROUND: Optimal analgesic protocols for total knee arthroplasty (TKA) patients remain controversial. Multimodal analgesia is advocated, often including peripheral nerve blocks and/or periarticular injections (PAIs). If 2 blocks (adductor canal block [ACB] plus infiltration between the popliteal artery and capsule of the […]

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Uncategorized Published - 14 February, 2024    By - Dr Clemens
The anesthesia conundrum

Author: Patsy Newitt Becker’s ASC Review ASCs are facing major obstacles to secure anesthesia as the provider shortage increases and reimbursements decline. “Today’s shortage of anesthesia providers has been compounding for years and has turned into an incredible challenge for all,” Andrew Lovewell, CEO of Columbia (Mo.) Orthopaedic Group, told Becker’s. “Not only is it difficult […]

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Uncategorized Published - 14 February, 2024    By - Dr Clemens
Method of Anesthesia and Perioperative Risk Factors, Maternal Anesthesia Complications, and Neonatal Mortality Following Cesarean Delivery in Africa

AUTHORS: Gerber, Carmen MPH, FCA Anesthesia & Analgesia January 2024. BACKGROUND: The African Surgical Outcomes Study (ASOS) found that maternal mortality following cesarean delivery in Africa is 50 times higher than in high-income countries, and associated with obstetric hemorrhage and anesthesia complications. Mothers who died were more likely to receive general anesthesia (GA). The associations […]

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Uncategorized Published - 13 February, 2024    By - Dr Clemens
Sugammadex Versus Neostigmine for Reversal of Neuromuscular Blockade in Patients With Severe Renal Impairment

AUTHORS: Oh, Matthew W. BS Anesthesia & Analgesia January 08, 2024 BACKGROUND: Sugammadex is not advised for patients with severe renal impairment, but has been shown in a variety of other populations to be superior to neostigmine for reversal of neuromuscular blockade. The objective of this study was to determine if reversal of rocuronium-induced neuromuscular […]

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Uncategorized Published - 13 February, 2024    By - Dr Clemens
Effect of Volatile Anesthesia Versus Intravenous Anesthesia on Postoperative Pulmonary Complications in Patients Undergoing Minimally Invasive Esophagectomy

AUTHORS: Zhang, Yu-Tong MD et al  Anesthesia & Analgesia January 09, 2024. BACKGROUND: The effect of intraoperative anesthetic regimen on pulmonary outcome after minimally invasive esophagectomy for esophageal cancer is yet undetermined. The aim of this study was to determine the effect of volatile anesthesia (sevoflurane or desflurane) compared with propofol-based intravenous anesthesia on pulmonary […]

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