Author: Dr Clemens

Uncategorized Published - 30 March, 2023    By - Dr Clemens
Pro-Con Debate: Are Patients With Coronary Stents Suitable for Free-Standing Ambulatory Surgery Centers? 2023

AUTHORS: Rosero, Eric B. MD, MSc et al  Anesthesia & Analgesia 136(2):p 218-226, February 2023. Abstract With increasing implantation of coronary artery stents over the past 2 decades, it is inevitable that anesthesiologists practicing in the outpatient setting will need to determine whether these patients are suitable for procedures at a free-standing ambulatory surgery center (ASC). […]

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Uncategorized Published - 30 March, 2023    By - Dr Clemens
Reducing Volatile Anesthetic Waste Using a Commercial Electronic Health Record Clinical Decision Support Tool to Lower Fresh Gas Flows 2023

AUTHORS: Olmos, Andrea V. MD et al  Anesthesia & Analgesia 136(2):p 327-337, February 2023. BACKGROUND: Volatile anesthetic consumption can be reduced by minimizing excessive fresh gas flows (FGFs). Currently, it is unknown whether decision support tools embedded within commercial electronic health record systems can be successfully adopted to achieve long-term reductions in FGF rates. The authors […]

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Uncategorized Published - 30 March, 2023    By - Dr Clemens
The Anesthesia Workforce Crisis Revisited 2023

AUTHORS: Morriss, Wayne W. MBChB, FANZCA et al  Anesthesia & Analgesia 136(2):p 227-229, February 2023. The coronavirus disease 2019 (COVID-19) pandemic has focused attention on the anesthesia workforce around the world. In many countries, anesthesiologists have had to work in critical care units as well as the operating room, and deficiencies in the number of anesthesiologists […]

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Uncategorized Published - 29 March, 2023    By - Dr Clemens
Association Between the FRAIL Scale and Postoperative Complications in Older Surgical Patients 2023

AUTHORS: Gong, Selena BhSc et al  Anesthesia & Analgesia 136(2):p 251-261, February 2023. Abstract BACKGROUND: Several frailty screening tools have been shown to predict mortality and complications after surgery. However, these tools were developed for in-person evaluation and cannot be used during virtual assessments before surgery. The FRAIL (fatigue, resistance, ambulation, illness, and loss of weight) […]

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Uncategorized Published - 29 March, 2023    By - Dr Clemens
Consequences of General Anesthesia in Infancy on Behavior and Brain Structure 2023

AUTHORS: Salaün, Jean-Philippe MD, PhD et al  Anesthesia & Analgesia 136(2):p 240-250, February 2023. BACKGROUND: One in 7 children will need general anesthesia (GA) before the age of 3. Brain toxicity of anesthetics is controversial. Our objective was to clarify whether exposure of GA to the developing brain could lead to lasting behavioral and structural brain […]

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Uncategorized Published - 29 March, 2023    By - Dr Clemens
The Specialist Anesthesiology Workforce in East, Central, and Southern Africa 2023

AUTHORS: Asingei, Juventine MPH et al  Anesthesia & Analgesia 136(2):p 230-237, February 2023. BACKGROUND: The populations of the East, Central, and Southern African regions receive only a fraction of the surgical procedures they require, and patients are more likely to die after surgery than the global average. An insufficient anesthetic workforce is a key barrier to […]

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Uncategorized Published - 29 March, 2023    By - Dr Clemens
Obstructive Sleep Apnea Among Gravidas With Chronic Hypertension Compared to Matched Controls 2023

AITHORS: Dominguez, Jennifer E. MD, MHS et al  Anesthesia & Analgesia 136(2):p 205-214, February 2023. BACKGROUND: Previous studies of obstructive sleep apnea (OSA) risk in gravidas with chronic hypertension (cHTN) did not control for obesity as a risk factor for OSA. We therefore performed this study to evaluate whether OSA is more prevalent among gravidas with […]

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Uncategorized Published - 29 March, 2023    By - Dr Clemens
Preoperative Identification of Patient-Dependent Blood Pressure Targets Associated With Low Risk of Intraoperative Hypotension During Noncardiac Surgery 2023

AUTHORS: Schnetz, Michael P. MD, PhD et al   Anesthesia & Analgesia 136(2):p 194-203, February 2023. BACKGROUND: Intraoperative hypotension (IOH) is strongly linked to organ system injuries and postoperative death. Blood pressure itself is a powerful predictor of IOH; however, it is unclear which pressures carry the lowest risk and may be leveraged to prevent subsequent hypotension. […]

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Uncategorized Published - 28 March, 2023    By - Dr Clemens
Postoperative Outcomes in Elderly Patients Undergoing Cardiac Surgery With Preoperative Cognitive Impairment 2023

AUTHORS: Au, Emily BSc et al  Anesthesia & Analgesia January 11, 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 - 28 March, 2023    By - Dr Clemens
Ultrasound Assessment of Gastric Volume in Parturients After High-Flow Nasal Oxygen Therapy 2023

AUTHORS: Zhou, Shuangqiong MD et al Anesthesia & Analgesia January 11, 2023. BACKGROUND: High-flow nasal oxygen (HFNO) therapy is widely used in critical care obstetrics to improve oxygenation. Much of the benefit of HFNO is linked to the creation of modest levels of positive airway pressure. Pregnant women are generally considered to be at high […]

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