Author: Dr Clemens

Uncategorized Published - 11 August, 2023    By - Dr Clemens
Innovations in Practices and Technologies That Will Shape Perioperative Medicine

AUTHORS: Mahajan, Aman MD, PhD, MBA et al Anesthesia & Analgesia 136(4):p 623-626, April 2023. Perioperative medicine continues to evolve as a field focused on improving outcomes for patients undergoing surgery. While some progress has recently been made, substantial opportunity still exists in understanding and implementing the changes needed to reduce postoperative morbidity and improve quality […]

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Uncategorized Published - 10 August, 2023    By - Dr Clemens
Perioperative Management and Outcomes in Patients With Autism Spectrum Disorder

AUTHORS: O’Brien, Elizabeth M. MD et al  Anesthesia & Analgesia April 03, 2023. BACKGROUND: Autism spectrum disorder (ASD) is a neurocognitive disorder characterized by impairments in communication and socialization. There are little data comparing the differences in perioperative outcomes in children with and without ASD. We hypothesized that children with ASD would have higher postoperative […]

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Uncategorized Published - 10 August, 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 - 10 August, 2023    By - Dr Clemens
Variability of expert assessments of ECG time domain parameters

AUTHORS: Böck, Carl et al  European Journal of Anaesthesiology and Intensive Care 2(2):p e0020, April 2023. BACKGROUND In anaesthesiology, time domain parameters of the ECG are frequently used for long QT diagnosis, determination of branch blocks and for identifying atrioventricular blocks. However, this analysis depends on several factors and therefore the time domain parameters are prone […]

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Uncategorized Published - 10 August, 2023    By - Dr Clemens
Early Treatment with Pegylated Interferon Lambda for Covid-19

This is for our readers who work in ICUs. AUTHORS: Gilmar Reis, M.D., Ph.D. et al N Engl J Med 2023; 388:518-528 February 9, 2023 BACKGROUND The efficacy of a single dose of pegylated interferon lambda in preventing clinical events among outpatients with acute symptomatic coronavirus disease 2019 (Covid-19) is unclear. METHODS We conducted a […]

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Uncategorized Published - 10 August, 2023    By - Dr Clemens
Entering the new digital era of intensive care medicine

AUTHORS: Old, Oliver et al  European Journal of Anaesthesiology and Intensive Care 2(1):p e0014, February 2023. Abstract The idea of implementing artificial intelligence in medicine is as old as artificial intelligence itself. So far, technical difficulties have prevented the integration of artificial intelligence in day-to-day healthcare. During the coronavirus disease 2019 (COVID-19) pandemic, a substantial amount […]

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Uncategorized Published - 9 August, 2023    By - Dr Clemens
Leveraging artificial intelligence for the management of postoperative delirium following cardiac surgery

AUTHORS: Fliegenschmidt, Janis et al  European Journal of Anaesthesiology and Intensive Care 2(1):p e0010, February 2023. BACKGROUND  Postoperative delirium is a highly relevant complication of cardiac surgery. It is associated with worse outcomes and considerably increased costs of care. A novel approach of monitoring patients with machine learning enabled prediction software could trigger pre-emptive implementation of […]

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Uncategorized Published - 9 August, 2023    By - Dr Clemens
Additive or synergistic analgesic effect of metamizole on standard pain treatment at home after arthroscopic shoulder surgery

AUTHORS: Stessel, Björn et al  European Journal of Anaesthesiology 40(3):p 171-178, March 2023. BACKGROUND There is growing evidence that the analgesic effect of metamizole is mediated at least partly by central mechanisms, including the endocannabinoid/endovanilloid system. Consequently, metamizole may have additive or even synergistic analgesic effects with paracetamol and nonsteroidal anti-inflammatory drugs (NSAID). OBJECTIVE This study […]

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Uncategorized Published - 9 August, 2023    By - Dr Clemens
Pre-operative distraction using electric ride-on cars for children undergoing elective ambulatory surgery

AUTHORS: Pastene, Bruno et al  European Journal of Anaesthesiology 40(3):p 190-197, March 2023. BACKGROUND Pre-operative anxiety occurs in 18 to 60% of children undergoing surgery and results in poor outcomes. Nonpharmacological methods of distraction are effective in alleviating peri-operative anxiety. In our institution, ride-on electric cars (ride-on e-cars) are routinely used by children undergoing ambulatory surgery […]

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Uncategorized Published - 9 August, 2023    By - Dr Clemens
Association of Obstructive Sleep Apnea With Postoperative Delirium in Procedures of Moderate-to-High Complexity

AUTHORS: Wagner, Soeren MD et al  Anesthesia & Analgesia March 30, 2023. BACKGROUND: Patients suffering from obstructive sleep apnea (OSA) experience chronic sleep disturbances and desaturation, factors that have been associated with postoperative delirium and that can be aggravated after anesthesia for complex procedures. We investigated whether OSA is associated with delirium after anesthesia, and […]

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