Author: Dr Clemens

Uncategorized Published - 1 September, 2022    By - Dr Clemens
Variation in Use of Preoperative Dual Antiplatelet Therapy and Platelet Function Testing at the Time of Coronary Artery Bypass Grafting in Maryland

AUTHORS: Hensley, Nadia B. MD et al  Anesthesia & Analgesia: September 2022 – Volume 135 – Issue 3 – p 567-575 BACKGROUND:  Patients presenting with acute coronary syndrome are administered a P2Y12 inhibitor and aspirin before coronary catheterization to prevent further myocardial injury from thrombosis. Guidelines recommend a standard waiting period between the time patients are administered […]

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Uncategorized Published - 1 September, 2022    By - Dr Clemens
Patients’ Choice, Consent, and Ethics in Patient Blood Management

Authors: Isbister, James P. MB et al Anesthesia & Analgesia: September 2022 – Volume 135 – Issue 3 – p 489-500 Abstract The goal of patient blood management (PBM) is to optimize clinical outcomes for individual patients by managing their blood as a precious and unique resource to be safeguarded and managed judiciously. A corollary to […]

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Uncategorized Published - 1 September, 2022    By - Dr Clemens
The impact of alfentanil supplementation on the sedation of bronchoscopy

DG Journal Club AUTHORS: Yan Ou et al Medicine (Baltimore). 2022 Aug 5; 101(31): e27401 BACKGROUND The efficacy of alfentanil supplementation for the sedation of bronchoscopy remains controversial. We conduct a systematic review and meta-analysis to explore the influence of alfentanil supplementation on the sedation during bronchoscopy. METHODS We search PubMed, EMbase, Web of science, […]

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Uncategorized Published - 31 August, 2022    By - Dr Clemens
Hospital-Acquired Infection, Length of Stay, and Readmission in Elective Surgery Patients Transfused 1 Unit of Red Blood Cells

AUTHORS: Trentino, Kevin M. PhD Anesthesia & Analgesia: September 2022 – Volume 135 – Issue 3 – p 586-591 BACKGROUND: Most patients transfused red blood cells in elective surgery receive small volumes of blood, which is likely to be discretionary and avoidable. We investigated the outcomes of patients who received a single unit of packed red […]

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Uncategorized Published - 31 August, 2022    By - Dr Clemens
Red Blood Cell Transfusion and Postoperative Infection in Patients Having Coronary Artery Bypass Grafting Surgery

AUTHORS: Mazzeffi, Michael A. MD, MPH, MSc, FASA et al  Anesthesia & Analgesia: September 2022 – Volume 135 – Issue 3 – p 558-566 BACKGROUND:  Coronary artery bypass grafting (CABG) is the most common cardiac surgical procedure in the world and up to one-third of patients are transfused red blood cells (RBCs). RBC transfusion may increase […]

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Uncategorized Published - 31 August, 2022    By - Dr Clemens
Effect of Etomidate vs Propofol for Total Intravenous Anesthesia on Major Postoperative Complications in Older Patients

DG Journal Club AUTHORS: Zhihong Lu et al JAMA Surg. 2022 Aug 10 Importance Older patients may benefit from the hemodynamic stability of etomidate for general anesthesia. However, it remains uncertain whether the potential for adrenocortical suppression with etomidate may increase morbidity. Objective To test the primary hypothesis that etomidate vs propofol for anesthesia does […]

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Uncategorized Published - 31 August, 2022    By - Dr Clemens
Anesthetic Management of a Patient With Arterial Tortuosity Syndrome Undergoing Cerebral Revascularization Surgery—A Case Report

Authors: Ajayan, Neeraja MD, DM A & A Practice: June 2022 – Volume 16 – Issue 6 Abstract Arterial tortuosity syndrome is a rare hereditary autosomal recessive connective tissue disorder characterized by elongation and tortuosity of the large- and medium-sized arteries. We present the case of a 13-year old child with arterial tortuosity syndrome who underwent […]

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Uncategorized Published - 31 August, 2022    By - Dr Clemens
Viscoelastic Testing and Factor Concentrate Therapy to Reduce Bleeding and Transfusions in the Surgical Separation of Ischiophagus Twins

Authors: Sarmiento, Ignacio A. MD et al  A & A Practice: June 2022 – Volume 16 – Issue 6 – p e01594 Abstract The surgical procedure to separate conjoined twins represents a rare and major challenge. One of the most feared perioperative scenarios is the presence of coagulopathy secondary to bleeding. We present a case of […]

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Uncategorized Published - 30 August, 2022    By - Dr Clemens
A Contemporary Analysis of Phlebotomy and Iatrogenic Anemia Development Throughout Hospitalization in Critically Ill Adults

Authors: Matzek, Luke J. MD et al  Anesthesia & Analgesia: September 2022 – Volume 135 – Issue 3 – p 501-510 Abstract BACKGROUND: Anemia is common in critically ill patients and may be exacerbated through phlebotomy-associated iatrogenic blood loss. Differences in phlebotomy practice across patient demographic characteristics, clinical features, and practice environments are unclear. This investigation […]

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Uncategorized Published - 30 August, 2022    By - Dr Clemens
Patient Blood Management Is a New Standard of Care to Optimize Blood Health

Author: Goobie, Susan M. MD, FRCPC Anesthesia & Analgesia: September 2022 – Volume 135 – Issue 3 – p 443-446 Patient blood management (PBM) encompasses all aspects of optimizing a patient’s blood health. Blood is the body’s liquid organ. Responsible for oxygen delivery, blood has many functions, including maintaining the delicate balance between hemostasis and […]

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