Author: Dr Clemens

Uncategorized Published - 21 July, 2021    By - Dr Clemens
Blood Conservation and Hemostasis in Cardiac Surgery

AUTHORS: Joshi, Ravi V. MD, FASE et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 104-114 BACKGROUND:  Blood conservation and hemostasis are integral parts of reducing avoidable blood transfusions and the associated morbidity and mortality. Despite the publication of blood conservation guidelines for cardiac surgery, evidence suggests persistent variability in […]

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Uncategorized Published - 21 July, 2021    By - Dr Clemens
Comparative Efficacy of 6 Topical Pharmacological Agents for Preventive Interventions of Postoperative Sore Throat After Tracheal Intubation

AUTHORS: Wang, Ge MScN et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 58-67 BACKGROUND:  Topical pharmacological agents typically used to treat postoperative sore throat (POST) after tracheal intubation include nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, lidocaine, Glycyrrhiza (licorice), and N-methyl-d-aspartate (NMDA) receptor antagonists (including ketamine and magnesium). However, the optimal prophylactic drug remains […]

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Uncategorized Published - 21 July, 2021    By - Dr Clemens
Hemodynamic Changes via the Lung Recruitment Maneuver Can Predict Fluid Responsiveness in Stroke Volume and Arterial Pressure During One-Lung Ventilation

AUTHORS: Kimura, Aya MD et al    Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 44-52 BACKGROUND:  We aimed to evaluate the ability of lung recruitment maneuver–induced hemodynamic changes to predict fluid responsiveness in patients undergoing lung-protective ventilation during one-lung ventilation (OLV). METHODS: Thirty patients undergoing thoracic surgery with OLV (tidal […]

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Uncategorized Published - 21 July, 2021    By - Dr Clemens
Trends in Peripheral Nerve Block Usage in Mastectomy and Lumpectomy

AUTHORS: Lam, Stephanie MS et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 32-40 BACKGROUND:  Compared to general anesthesia, regional anesthesia confers several benefits including improved pain control and decreased postoperative opioid consumption. While the benefits of peripheral nerve blocks (PNB) have been well studied, there are little epidemiological data […]

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Uncategorized Published - 21 July, 2021    By - Dr Clemens
A Bayesian Comparison of Frailty Instruments in Noncardiac Surgery

AUTHORS: McIsaac, Daniel I. MD, MPH, FRCPC et al Anesthesia & Analgesia: August 2021 – Volume 133 – Issue 2 – p 366-373 BACKGROUND:  Frailty—a multidimensional syndrome related to age- and disease-related deficits—is a key risk factor for older surgical patients. However, it is unknown which frailty instrument most accurately predicts postoperative outcomes. Our objectives were […]

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Uncategorized Published - 20 July, 2021    By - Dr Clemens
Intraoperative Hypotension and Myocardial Infarction Development Among High-Risk Patients Undergoing Noncardiac Surgery

AUTHORS: Hallqvist, Linn MD, PhD Student, DESA et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 6-15 BACKGROUND:  Hemodynamic instability during anesthesia and surgery is common and associated with cardiac morbidity and mortality. Information is needed regarding optimal blood pressure (BP) threshold in the perioperative period. Therefore, the effect of […]

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Uncategorized Published - 20 July, 2021    By - Dr Clemens
A Novel Perioperative Multidose Methadone-Based Multimodal Analgesic Strategy in Children Achieved Safe and Low Analgesic Blood Methadone Levels Enabling Opioid-Sparing Sustained Analgesia With Minimal Adverse Effects

AUTHOURS: Sadhasivam, Senthilkumar MD, MPH, MBA, FASA et al    Anesthesia & Analgesia: August 2021 – Volume 133 – Issue 2 – p 327-337 BACKGROUND:  Intraoperative methadone, a long-acting opioid, is increasingly used for postoperative analgesia, although the optimal methadone dosing strategy in children is still unknown. The use of a single large dose of intraoperative […]

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Uncategorized Published - 20 July, 2021    By - Dr Clemens
Practice Considerations for the Anesthesia Professional for Methamphetamine Substance Use Disorder Patients

Authors: Jennifer Krogh, MSN, CRNA; Jennifer Lanzillotta-Rangeley, PhD, CRNA; Elizabeth Paratz, MD; Lynn Reede, DNP, CRNA; Linda Stone, DNP, CRNA; Joseph Szokol, MD; Laura Andrews, PhD; Joan Kearney, PhD, APRN, FAAN Anesthesia Patient Safety Foundation SUMMARY:Methamphetamine Substance Use Disorders (SUD) have been on the rise in the United States. Patients who present with this particular […]

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Uncategorized Published - 20 July, 2021    By - Dr Clemens
The 2014 New York State Medicaid Expansion and Severe Maternal Morbidity During Delivery Hospitalizations

AUTHORS: Guglielminotti, Jean MD, PhD et al  Anesthesia & Analgesia: August 2021 – Volume 133 – Issue 2 – p 340-348 BACKGROUND:  Medicaid expansions under the Affordable Care Act have increased insurance coverage and prenatal care utilization in low-income women. However, it is not clear whether they are associated with any measurable improvement in maternal health […]

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Uncategorized Published - 20 July, 2021    By - Dr Clemens
Inadvertent Unplugging of Rapid Infuser Causing a Large Volume of Cold Fluid to be Infused with Subsequent Cardiac Arrest

Anesthesia Patient Safety Foundatjion Letter to the editor regarding how multiple brands of rapid infusers will continue to infuse at the same rapid rate when unplugged, but unheated. We recommend the introduction of safety mechanisms to prevent dangerous amounts of cold fluid from being infused inadvertently. Dear Rapid Response: Figure 1: Device plugged in, “HEAT […]

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