Author: Dr Clemens

Uncategorized Published - 3 April, 2023    By - Dr Clemens
A randomized comparative evaluation of C-MAC video-laryngoscope with Miller laryngoscope for neonatal endotracheal intubation 2023

Authors: Goel, Sachin et al Journal of Anaesthesiology Clinical Pharmacology 38(3):p 464-468, Jul–Sep 2022. | Background and Aims: An efficient neonatal airway management is peculiarly challenging even in the most experienced hands. Considering the recent interest in assessing the performance of various video-laryngoscopes (VL) in pediatric cohort, the prospective randomized study was contemplated to stage a comparative […]

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Uncategorized Published - 3 April, 2023    By - Dr Clemens
Nationwide Clinical Practice Patterns of Anesthesiology Critical Care Physicians 2023

AUTHORS: Shaefi, Shahzad MD, MPH et al  Anesthesia & Analgesia 136(2):p 295-307, February 2023. BACKGROUND: Despite the growing contributions of critical care anesthesiologists to clinical practice, research, and administrative leadership of intensive care units (ICUs), relatively little is known about the subspecialty-specific clinical practice environment. An understanding of contemporary clinical practice is essential to recognize the […]

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Uncategorized Published - 3 April, 2023    By - Dr Clemens
OCP002, a Mixed Agonist of Opioid and Cannabinoid Receptors, Produces Potent Antinociception With Minimized Side Effects 2023

AUTHORS: Xu, Biao PhD et al  Anesthesia & Analgesia 136(2):p 373-386, February 2023. BACKGROUND: Increasing attention has been attracted to the development of bifunctional compounds to minimize the side effects of opioid analgesics. Pharmacological studies have verified the functional interaction between opioid and cannabinoid systems in pain management, suggesting that coactivation of the opioid and cannabinoid […]

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Uncategorized Published - 31 March, 2023    By - Dr Clemens
Complications and Technical Consideration of Ultrasound-Guided Rectus Sheath Blocks 2023

AUTHORS: Kwon, Hyun-Jung MD et al Anesthesia & Analgesia 136(2):p 365-372, February 2023. BACKGROUND: Although the ultrasound-guided rectus sheath block (RSB) is usually regarded as an easy and safe procedure in clinical settings, there is currently no report on complications incidence. Therefore, the present study investigated complications in a large cohort and described the technical considerations […]

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Uncategorized Published - 31 March, 2023    By - Dr Clemens
Effect of 5% EMLA Cream on Postoperative Sore Throat in Adults Following General Endotracheal Anesthesia 2023

AUTHORS: Murugaiyan, Abishek MD et al  Anesthesia & Analgesia 136(2):p 338-345, February 2023. BACKGROUND: Postoperative sore throat (POST) is a distressing complaint in adults after endotracheal intubation. This study aimed to evaluate the effect of topical application of a eutectic mixture of local anesthetics (EMLA) cream over the endotracheal tube (ETT) cuff on the incidence and […]

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Uncategorized Published - 31 March, 2023    By - Dr Clemens
Effects of Goal-Directed Hemodynamic Therapy Using a Noninvasive Finger-Cuff Monitoring Device on Intraoperative Cerebral Oxygenation and Early Delayed Neurocognitive Recovery in Patients Undergoing Beach Chair Position Shoulder Surgery 2023

AUTHORS: Lee, Chen-Tse MD et al  Anesthesia & Analgesia 136(2):p 355-364, February 2023. BACKGROUND: Perioperative cerebral desaturation events (CDEs) and delayed neurocognitive recovery are common among patients undergoing beach chair position (BCP) shoulder surgery and may be caused by cerebral hypoperfusion. This study tested the hypothesis that the application of goal-directed hemodynamic therapy (GDHT) would attenuate […]

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Uncategorized Published - 31 March, 2023    By - Dr Clemens
Always Assess the Raw Electroencephalogram: Why Automated Burst Suppression Detection May Not Detect All Episodes 2023

AUTHORS: Fleischmann, Antonia MD et al  Anesthesia & Analgesia 136(2):p 346-354, February 2023. BACKGROUND: Electroencephalogram (EEG)-based monitors of anesthesia are used to assess patients’ level of sedation and hypnosis as well as to detect burst suppression during surgery. One of these monitors, the Entropy module, uses an algorithm to calculate the burst suppression ratio (BSR) that […]

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Uncategorized Published - 31 March, 2023    By - Dr Clemens
Health Care Burden Associated With Adolescent Prolonged Opioid Use After Surgery 2023

AUTHORS: Cummings Joyner et al  Anesthesia & Analgesia 136(2):p 317-326, February 2023. BACKGROUND: Prolonged opioid use after surgery (POUS), defined as the filling of at least 1 opioid prescription filled between 90 and 180 days after surgery, has been shown to increase health care costs and utilization in adult populations. However, its economic burden has not […]

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Uncategorized Published - 30 March, 2023    By - Dr Clemens
Prevalence and Outcomes of Opioid Use Disorder in Pediatric Surgical Patients 2023

AUTHORS: Alalade, Emmanuel MD et al  Anesthesia & Analgesia 136(2):p 308-316, February 2023. BACKGROUND: Chronic opioid use among adolescents is a leading preventable public health problem in the United States. Consequently, a sizable proportion of surgical patients in this age group may have a comorbid opioid use disorder (OUD). No previously published study has examined the […]

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Uncategorized Published - 30 March, 2023    By - Dr Clemens
Pulmonary Vasodilator Response of Combined Inhaled Epoprostenol and Inhaled Milrinone in Cardiac Surgical Patients

AUTHORS: Elmi-Sarabi, Mahsa MSc et al  Anesthesia & Analgesia 136(2):p 282-294, February 2023. BACKGROUND: Pulmonary hypertension (PH) and right ventricular (RV) dysfunction are major complications in cardiac surgery. Intraoperative management of patients at high risk of RV failure should aim to reduce RV afterload and optimize RV filling pressures, while avoiding systemic hypotension, to facilitate weaning […]

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