Author: Dr Clemens

Uncategorized Published - 21 January, 2022    By - Dr Clemens
Impact of Intraoperative Data on Risk Prediction for Mortality After Intra-Abdominal Surgery

AUTHORS: Yan, Xinyu MS et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 102-113 BACKGROUND:  Risk prediction models for postoperative mortality after intra-abdominal surgery have typically been developed using preoperative variables. It is unclear if intraoperative data add significant value to these risk prediction models. METHODS: With IRB approval, an […]

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Uncategorized Published - 21 January, 2022    By - Dr Clemens
Decreased Electroencephalographic Alpha Power During Anesthesia Induction Is Associated With EEG Discontinuity in Human Infants

AUTHORS: Chao, Jerry Y. MD, MS et al Anesthesia & Analgesia: January 2022 BACKGROUND: Electroencephalogram (EEG) discontinuity can occur at high concentrations of anesthetic drugs, reflecting suppression of electrocortical activity. This EEG pattern has been reported in children and reflects a deep state of anesthesia. Isoelectric events on the EEG, a more extreme degree of voltage […]

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Uncategorized Published - 21 January, 2022    By - Dr Clemens
Inflammatory Biomarker Levels After Propofol or Sevoflurane Anesthesia

AUTHORS: O’Bryan, Liam J. MD et al  Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 69-81 BACKGROUND:  The perioperative inflammatory response may be implicated in adverse outcomes including neurocognitive dysfunction and cancer recurrence after oncological surgery. The immunomodulatory role of anesthetic agents has been demonstrated in vitro; however, its clinical relevance […]

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Uncategorized Published - 20 January, 2022    By - Dr Clemens
Leftover Opioid Analgesics and Disposal Following Ambulatory Pediatric Surgeries in the Context of a Restrictive Opioid-Prescribing Policy

AUTHORS: Stone, Amanda L. PhD et al    Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 133-140 BACKGROUND:  Opioid analgesics are commonly prescribed for postoperative analgesia following pediatric surgery and often result in leftover opioid analgesics in the home. To reduce the volume of leftover opioids and overall community opioid burden, […]

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Uncategorized Published - 20 January, 2022    By - Dr Clemens
Interleukin-6 Is an Early Plasma Marker of Severe Postoperative Complications in Thoracic Surgery

AUTHORS: Neff, Thomas A. MD et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 123-132 BACKGROUND:  Postoperative complications in surgery are a significant burden, not only for the patients but also economically. While several predicting factors have already been identified, it is still not well known if increased levels of […]

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Uncategorized Published - 20 January, 2022    By - Dr Clemens
A Simple Risk Scoring System for Predicting the Occurrence of Aspiration Pneumonia After Gastric Endoscopic Submucosal Dissection

AUTHORS: Park, Kyemyung MD, PhD et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 114-122 BACKGROUND:  Aspiration pneumonia after endoscopic submucosal dissection (ESD) is rare, but can be fatal. We aimed to investigate risk factors and develop a simple risk scoring system for aspiration pneumonia. METHODS: We retrospectively reviewed medical […]

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Uncategorized Published - 20 January, 2022    By - Dr Clemens
The Evaluation of a Noninvasive Respiratory Volume Monitor in Mechanically Ventilated Neonates and Infants

AUTHORS: Atkinson, Douglas B. MD et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 141-148 BACKGROUND:  The respiratory volume monitor (RVM) (ExSpiron, Respiratory Motion Inc, Watertown, MA) uses thoracic impedance technology to noninvasively and continuously measure tidal volume (TV), respiratory rate (RR), and minute ventilation (MV). We aimed to validate […]

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Uncategorized Published - 20 January, 2022    By - Dr Clemens
Low-Dose Nebulised Ketamine Offers Comparable Pain Control as Higher Doses in Emergency Department Setting

Author: Louise Gagnon DG News Results of a randomised trial presented at the 2021 Annual Meeting of the American College of Emergency Physicians (ACEP) suggest that of 3 possible doses of nebulised ketamine studied, the lowest dose offered as much short-term pain control as the next highest and the highest dose for painful conditions in […]

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Uncategorized Published - 19 January, 2022    By - Dr Clemens
Multicenter Study Evaluating Nitrous Oxide Use for Labor Analgesia at High- and Low-Altitude Institutions

AUTHORS: Wood, Cristina MD et al Anesthesia & Analgesia: February 2022 – Volume 134 – Issue 2 – p 294-302 Abstract BACKGROUND: Nitrous oxide (N2O) has been used nationally as an analgesic in many clinical settings. While neuraxial analgesia is still the most commonly used labor analgesic in the United States, there is increasing use of […]

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Uncategorized Published - 19 January, 2022    By - Dr Clemens
Postoperative Acute Kidney Injury Is Associated With Progression of Chronic Kidney Disease Independent of Severity

AUTHORS: Privratsky, Jamie R. MD, PhD et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 49-58 Abstract BACKGROUND: Both postoperative acute kidney injury (AKI) and preoperative chronic kidney disease (CKD) are associated with significantly worse outcomes following surgery. The relationship of both of these conditions with each other and with […]

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