Author: Dr Clemens

Uncategorized Published - 23 March, 2023    By - Dr Clemens
Relationships Between Body Mass Index, Allogeneic Transfusion, and Surgical Site Infection After Knee and Hip Arthroplasty Surgery

AUTHORS: Tanaka, Kenichi A. MD, MSc et al  Anesthesia & Analgesia 136(1):p 123-129, January 2023. BACKGROUND: Increased body mass index (BMI) is considered as an important factor that affects the need for total knee and hip arthroplasty (TKA/THA) and the rate of perioperative complications. Previous investigations have not fully established the relationship of BMI and perioperative […]

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Uncategorized Published - 23 March, 2023    By - Dr Clemens
Laboratory Result Reference Ranges Stratified for Patient-Reported Sex and Ethnicity Are More Closely Associated With Postoperative Outcomes Than Currently Used Reference Ranges 2023

AUTHORS: Hofer, Ira S. MD et al  Anesthesia & Analgesia 136(1):p 111-122, January 2023. BACKGROUND: A single laboratory range for all individuals may fail to take into account underlying physiologic differences based on sex and genetic factors. We hypothesized that laboratory distributions differ based on self-reported sex and ethnicity and that ranges stratified by these factors […]

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Uncategorized Published - 23 March, 2023    By - Dr Clemens
Association Between Anesthesia Provider Education and Carbon Footprint Related to the Use of Inhaled Halogenated Anesthetics 2023

AUTHORS: Chambrin, Coralie MD et al  Anesthesia & Analgesia 136(1):p 101-110, January 2023. BACKGROUND: Inhaled halogenated anesthetics are responsible for half of operating room total greenhouse gas emissions. Sustainable anesthesia groups were set up in 4 Lyon, France, university hospitals (Hospices Civils de Lyon) in January 2018 and have supported a specific information campaign about the […]

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Uncategorized Published - 22 March, 2023    By - Dr Clemens
Preventing Spinal Hypotension During Cesarean Birth With Two Initial Boluses of Norepinephrine in Chinese Parturients 2023

AUTHORS: Lyu, Wenyuan MD et al  Anesthesia & Analgesia 136(1):p 94-100, January 2023. BACKGROUND: Norepinephrine is effective in preventing spinal hypotension during cesarean birth; however, an optimal regimen has not been determined. We hypothesized that an initial bolus of norepinephrine improves efficacy of spinal hypotension prophylaxis beyond continuous norepinephrine alone. METHODS: In this double-blind, controlled study, […]

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Uncategorized Published - 22 March, 2023    By - Dr Clemens
Postcesarean Analgesia With Epidural Morphine After Epidural 2-Chloroprocaine 2023

AUTHORS: Lee, Linden O. MD et al  Anesthesia & Analgesia 136(1):p 86-93, January 2023. BACKGROUND: Previous studies have suggested that administration of epidural 3% 2-chloroprocaine (CP) before epidural morphine results in decreased analgesic efficacy of epidural morphine. We sought to determine whether these observations were a result of antagonism or a window period between the conclusion […]

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Uncategorized Published - 22 March, 2023    By - Dr Clemens
Effect of Ice Slush on Reducing the Oculocardiac Reflex During Strabismus Surgery 2023

AUTHORS: Qi, Xin MD et al  Anesthesia & Analgesia 136(1):p 79-85, January 2023. BACKGROUND: The aim of this study was to explore whether ice slush (IS) causing local hypothermia can effectively inhibit the oculocardiac reflex (OCR) during strabismus surgery. METHODS: This prospective, randomized, double-blind study included 58 patients with concomitant strabismus scheduled for lateral rectus (LR) […]

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Uncategorized Published - 22 March, 2023    By - Dr Clemens
Thrombosis-Related Loss of Arterial Lines in the First Wave of COVID-19 and Non–COVID-19 Intensive Care Unit Patients 2023

AUTHORS: Zon, Rebecca L. MD et al  Anesthesia & Analgesia 136(1):p 70-78, January 2023. BACKGROUND: Patients with coronavirus disease 2019 (COVID-19) can present with severe respiratory distress requiring intensive care unit (ICU)–level care. Such care often requires placement of an arterial line for monitoring of pulmonary disease progression, hemodynamics, and laboratory tests. During the first wave […]

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Uncategorized Published - 22 March, 2023    By - Dr Clemens
Volatile Versus Total Intravenous Anesthesia on Postoperative Delirium in Adult Patients Undergoing Cardiac Valve Surgery 2023

AUTHORS: Jiang, Jia-Li MD et al  Anesthesia & Analgesia 136(1):p 60-69, January 2023. BACKGROUND: The effect of anesthesia regimens on postoperative delirium after on-pump cardiac valve surgery is yet undetermined. This study aimed to evaluate the effect of volatile anesthesia compared with propofol-based total intravenous anesthesia (TIVA) on the occurrence of delirium after on-pump cardiac valve […]

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Uncategorized Published - 21 March, 2023    By - Dr Clemens
Anesthetic Preferences for Cardiac Anesthesia 2023

AUTHORS: O’Gara, Brian P. MD, MPH et al  Anesthesia & Analgesia 136(1):p 51-59, January 2023. BACKGROUND: Volatile anesthetics have been historically preferred for cardiac anesthesia, but the evidence for their superiority to intravenous agents is mixed. We conducted a survey to better understand the current state of practice and the rationale behind provider preferences for anesthesia […]

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Uncategorized Published - 21 March, 2023    By - Dr Clemens
Longitudinal Profiling of Plasma Cytokines and Its Association With Postoperative Delirium in Elderly Patients Undergoing Major Lower Limb Surgery 2023

AUTHORS: Zhang, Yu MD et al Anesthesia & Analgesia 136(1):p 34-42, January 2023. BACKGROUND: Surgery is accompanied by a systemic inflammatory response that may presage delirium in susceptible individuals. Little is known about the trajectory of plasma proinflammatory cytokines and their potential associations with postoperative delirium (POD). The current study longitudinally assessed both pro and anti-inflammatory […]

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