Author: Dr Clemens

Uncategorized Published - 29 April, 2021    By - Dr Clemens
Efficiency Metrics at an Academic Freestanding Ambulatory Surgery Center

AUTHORS: Reeves, J. Jeffery MD et al Anesthesia & Analgesia: November 18, 2020 – Volume – Issue – 10.1213 BACKGROUND: Understanding the impact of key metrics on operating room (OR) efficiency is important to optimize utilization and reduce costs, particularly in freestanding ambulatory surgery centers. The aim of this study was to assess the association between […]

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Uncategorized Published - 29 April, 2021    By - Dr Clemens
Attenuation of Muscle Mass and Density Is Associated With Poor Outcomes Among Patients Undergoing Major Gynecologic Surgery

AUTHORS: Che, Lu MD et al Anesthesia & Analgesia: January 25, 2021 – Volume – Issue – 10.1213 BACKGROUND: The aim of this study was to explore the associations of preoperative sarcopenia (muscle mass depletion) and myosteatosis (muscle quality attenuation) with the incidence of postinduction hypotension (PIH) and postoperative complications among patients undergoing major gynecologic surgery. […]

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Uncategorized Published - 29 April, 2021    By - Dr Clemens
Transforaminal epidural steroid injection combined with radio frequency for the treatment of lumbar disc herniation

AUTHORS: Wen-Bo Wei, Sha-Jie Dang et al. BMC Musculoskelet Disord. 2021 Apr 12; 22(1): 347 BACKGROUND To assess the therapeutic efficacy of transforaminal epidural steroid injection (TFESI) combined with radio frequency (RF) for the treatment of lumbar disc herniation (LDH). METHODS A total of 230 patients participated in the study: TFESI (Group T, n = 110), TFESI […]

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Uncategorized Published - 28 April, 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: January 29, 2021 – Volume – Issue – 10.1213 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 outcomes. In […]

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Uncategorized Published - 28 April, 2021    By - Dr Clemens
Effect of Different Positions During Surgical Preparation With Combined Spinal-Epidural Anesthesia for Elective Cesarean Delivery

AUTHORS: Liu, Tianyu BSc et al Anesthesia & Analgesia: December 21, 2020 – Volume – Issue – 101213 BACKGROUND: The intraoperative 15° left-tilt position during cesarean delivery has more recently been questioned regarding its effect on fetal acid-base balance and is a frequent source of complaints by surgeons. We hypothesized that a 30° left-tilt position during […]

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Uncategorized Published - 28 April, 2021    By - Dr Clemens
Clinical Outcomes of Pregnant and Postpartum Extracorporeal Membrane Oxygenation Patients

AUTHORS: Lankford, Allison S. MD et al Anesthesia & Analgesia: March 2021 – Volume 132 – Issue 3 – p 777-787 BACKGROUND:  The use of extracorporeal membrane oxygenation (ECMO) as a rescue therapy for cardiopulmonary failure is expanding in critical care medicine. In this case series, we describe the clinical outcomes of 21 consecutive pregnant or […]

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Uncategorized Published - 28 April, 2021    By - Dr Clemens
Anatomical In Vitro Investigations of the Pediatric Larynx: A Call for Manufacturer Redesign of Tracheal Tube Cuff Location and Perhaps a Call to Reconsider the Use of Uncuffed Tracheal Tubes

AUTHORS: Isa, Malaak MD et al Anesthesia & Analgesia: April 26, 2021 – Volume – Issue – 10.1213 BACKGROUND: Some in vivo studies question the traditional “funnel-shaped” infant larynx; further anatomic examinations were warranted. Examination of fixative free fresh autopsy laryngeal and upper tracheal specimens and multiple measurements was needed to determine consistency between current tracheal […]

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Uncategorized Published - 28 April, 2021    By - Dr Clemens
Prior use of therapeutic anticoagulation does not protect against COVID-19-related clinical outcomes in hospitalised patients

DG Alerts Use of therapeutic anticoagulation prior to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection was associated with a lower risk for pulmonary embolism, but not a decreased risk for other coronavirus disease 2019 (COVID-19)-related outcomes in hospitalised COVID-19 patients, including in-hospital mortality, according to a study published in the British Journal of Clinical Pharmacology. […]

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Uncategorized Published - 27 April, 2021    By - Dr Clemens
Ultrasound Evaluation of Gastric Emptying Time in Healthy Term Neonates after Formula Feeding

Authors: Jennifer J. Lee, M.D. et al  Anesthesiology April 2021. Background The current American Society of Anesthesiologists fasting guideline for formula-fed infants in the periprocedural setting is 6 h. Prolonged fasting in very young infants is associated with an increased risk for hypoglycemia and dehydration as well as patient discomfort and patient/parental dissatisfaction. This study […]

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Uncategorized Published - 27 April, 2021    By - Dr Clemens
Midazolam and Ketamine Produce Distinct Neural Changes in Memory, Pain, and Fear Networks during Pain

Authors: Keith M. Vogt, M.D., Ph.D. et al  Anesthesiology April 2021. Background Despite the well-known clinical effects of midazolam and ketamine, including sedation and memory impairment, the neural mechanisms of these distinct drugs in humans are incompletely understood. The authors hypothesized that both drugs would decrease recollection memory, task-related brain activity, and long-range connectivity between […]

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