Author: Dr Clemens

Uncategorized Published - 14 October, 2022    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

AUTHORS: Lee, Chen-Tse MD et al  Anesthesia & Analgesia: September 22, 2022 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 these […]

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Uncategorized Published - 14 October, 2022    By - Dr Clemens
Machine learning-based prediction of massive perioperative allogeneic blood transfusion in cardiac surgery

AUTHORS: Tschoellitsch, Thomas et al  European Journal of Anaesthesiology: September 2022 – Volume 39 – Issue 9 – p 766-773 BACKGROUND Massive perioperative allogeneic blood transfusion, that is, perioperative transfusion of more than 10 units of packed red blood cells (pRBC), is one of the main contributors to perioperative morbidity and mortality in cardiac surgery. Prediction […]

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Uncategorized Published - 14 October, 2022    By - Dr Clemens
Trends in Cardiac Anesthesiologist Compensation, Work Patterns, and Training From 2010 to 2020

AUTHORS: Dalia, Adam A. MD, MBA, FASE et al  Anesthesia & Analgesia: September 23, 2022 Abstract Increasing cardiac procedural volume, a shortage of practicing cardiac anesthesiologists, and growth in specialist physician compensation would be expected to increase cardiac anesthesiologist compensation and work load. Additionally, more cardiac anesthesiologists are graduating from accredited fellowships and completing echocardiography […]

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Uncategorized Published - 14 October, 2022    By - Dr Clemens
Ventriculo-arterial coupling: from physiological concept to clinical application in peri-operative care and ICUs

AUTHORS: Guinot, Pierre-Grégoire et al  European Journal of Anaesthesiology and Intensive Care: April 2022 – Volume 1 – Issue 2 – p e004 Abstract As an extension of the traditional heart-centred pressure-flow model, the ventriculo-arterial coupling concept is based on the pressure–volume relationship of the left ventricle and the vascular system. Even though ventriculo-arterial coupling has […]

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Uncategorized Published - 13 October, 2022    By - Dr Clemens
A Randomized Pilot Study Assessing if SEDLine Monitoring During Induction of Surgical Patients is Associated With Reduced Dosage of Administered Induction Agents

Authors: Martin Krause Semin Cardiothorac Vasc Anesthesia Oct 5, 2022 Abstract Background. Intubations, especially in emergent settings, carry a high risk of hemodynamic instability with potentially catastrophic outcomes. Weight-based dosing of induction drugs can be inappropriately high for elective or emergent intubations and lead to hemodynamic instability. We hypothesized that monitoring the patient state index […]

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Uncategorized Published - 13 October, 2022    By - Dr Clemens
Hypobaric Unilateral Spinal Anesthesia Versus General Anesthesia for Hip Fracture Surgery in the Elderly

AUTHORS: Simonin, Marine MD et al Anesthesia & Analgesia: September 22, 2022 BACKGROUND: Hypotension during surgery is frequent in the elderly population and is associated with acute kidney and myocardial injury, which are, themselves, associated with increased 30-day mortality. The present study compared the hemodynamic effects of hypobaric unilateral spinal anesthesia (HUSA) to general anesthesia (GA) […]

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Uncategorized Published - 13 October, 2022    By - Dr Clemens
Patient blood management in the ICU

AUTHORS: Neef, Vanessa et al  European Journal of Anaesthesiology and Intensive Care: April 2022 – Volume 1 – Issue 2 – p e002 Abstract The majority of ICU patients are anaemic. Anaemia is associated with worse outcomes and a necessity for red blood cell transfusions. ICU patients are a heterogeneous patient group with a broad spectrum […]

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Uncategorized Published - 13 October, 2022    By - Dr Clemens
Pain management after total knee arthroplasty

AUTHORS: Lavand’homme et al  European Journal of Anaesthesiology: September 2022 – Volume 39 – Issue 9 – p 743-757 BACKGROUND The PROSPECT (PROcedure SPEcific Postoperative Pain ManagemenT) Working Group is a global collaboration of surgeons and anaesthesiologists formulating procedure-specific recommendations for pain management after common operations. Total knee arthroplasty (TKA) is associated with significant postoperative pain […]

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Uncategorized Published - 13 October, 2022    By - Dr Clemens
General anaesthesia for nonobstetric surgery during pregnancy

AUTHORS: Bleeser, Tom et al  European Journal of Anaesthesiology and Intensive Care: April 2022 – Volume 1 – Issue 2 – p e003 Abstract Nonobstetric surgery may be required in up to 1% of pregnancies. Most common procedures are urgent abdominal surgeries requiring general anaesthesia. Maintaining normal maternal physiology during anaesthesia is vital. Left lateral tilt […]

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Uncategorized Published - 13 October, 2022    By - Dr Clemens
1 in 20 hospitalized COVID-19 patients develop new-onset AFib

Author: Michael Walter Cardiovascular Business More than 5% of patients hospitalized with COVID-19 go on to develop new-onset atrial fibrillation (AFib), according to new research published in Circulation: Arrhythmia and Electrophysiology.[1] The study’s authors fear that this is likely to have a significant impact on the cardiovascular health of an entire generation of Americans. The analysis included data […]

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