Author: Dr Clemens

Uncategorized Published - 19 March, 2021    By - Dr Clemens
Hemodynamic Parameters in the Assessment of Fluid Status in a Porcine Hemorrhage and Resuscitation Model

Authors: Eric S. Wise, M.D. et al Anesthesiology April 2021, Vol. 134, 607–616. Background Measuring fluid status during intraoperative hemorrhage is challenging, but detection and quantification of fluid overload is far more difficult. Using a porcine model of hemorrhage and over-resuscitation, it is hypothesized that centrally obtained hemodynamic parameters will predict volume status more accurately […]

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Uncategorized Published - 18 March, 2021    By - Dr Clemens
A Lower Tidal Volume Regimen during One-lung Ventilation for Lung Resection Surgery Is Not Associated with Reduced Postoperative Pulmonary Complications

Authors: Douglas A. Colquhoun, M.B.Ch.B., M.Sc., M.P.H. et al  Anesthesiology April 2021, Vol. 134, 562–576. Background Protective ventilation may improve outcomes after major surgery. However, in the context of one-lung ventilation, such a strategy is incompletely defined. The authors hypothesized that a putative one-lung protective ventilation regimen would be independently associated with decreased odds of pulmonary […]

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Uncategorized Published - 18 March, 2021    By - Dr Clemens
Trends and Outcomes in Pediatric Patients Undergoing Scoliosis Repair

AUTHORS: DelPizzo, Kathryn MD et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1890-1900 BACKGROUND:  Although surgery represents the only definitive treatment for congenital scoliosis, comprehensive information regarding trends in perioperative complications, particularly in the pediatric setting, is lacking. We sought to identify trends in and factors associated with […]

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Uncategorized Published - 18 March, 2021    By - Dr Clemens
Association of Anesthesiologist Handovers With Short-term Outcomes for Patients Undergoing Cardiac Surgery

AUTHORS: Hannan, Edward L. PhD et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1883-1889 BACKGROUND:  Complete handover of anesthesia care to a second anesthesiologist has been demonstrated to be associated with worse short-term adverse outcomes among cardiac surgery patients, but little information from multi-institutional studies is available. METHODS: […]

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Uncategorized Published - 18 March, 2021    By - Dr Clemens
Transversus Abdominis Plane Block With Liposomal Bupivacaine for Pain After Cesarean Delivery in a Multicenter, Randomized, Double-Blind, Controlled Trial

AUTHORS: Nedeljkovic, Srdjan S. MD et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1830-1839 BACKGROUND:  In women undergoing cesarean delivery under spinal anesthesia with intrathecal morphine, transversus abdominis plane (TAP) block with bupivacaine hydrochloride (HCl) may not improve postsurgical analgesia. This lack of benefit could be related to […]

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Uncategorized Published - 18 March, 2021    By - Dr Clemens
MORE THAN ONE-THIRD OF U.S. ADULTS DELAYED OR SKIPPED MEDICAL CARE BECAUSE OF PANDEMIC

 BY CAROL DAVIS Healthleaders COVID-19 also has caused children, especially in low-income families, to miss out on healthcare needs, report says. KEY TAKEAWAYS Nearly 41% of adults with one or more chronic health conditions reported delaying or forgoing care. Nearly 29% of parents delayed or went without care for their children under age 19. More parents […]

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Uncategorized Published - 17 March, 2021    By - Dr Clemens
Clinical Uses and Impacts of Emergency Manuals During Perioperative Crises

AUTHORS: Goldhaber-Fiebert, Sara N. MD et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1815-1826 BACKGROUND:  Performing key actions efficiently during crises can determine clinical outcomes, yet even expert clinicians omit key actions. Simulation-based studies of crises show that correct performance of key actions dramatically increases when emergency manuals […]

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Uncategorized Published - 17 March, 2021    By - Dr Clemens
Median Effective Volume of 0.5% Ropivacaine for Ultrasound-guided Costoclavicular Block

Authors: Anu Kewlani, M.D.et al Anesthesiology April 2021, Vol. 134, 617–625. Background The median effective dose of ropivacaine required for producing an effective costoclavicular block has not yet been determined. The authors conducted this dose-finding study with the objective of determining the median effective dose of 0.5% ropivacaine required to produce a successful costoclavicular block for […]

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Uncategorized Published - 17 March, 2021    By - Dr Clemens
A Systematic Review and Meta-analysis of Clinical Trials of Neuraxial, Intravenous, and Inhalational Anesthesia for External Cephalic Version

AUTHORS: Hao, Qingzhong MD, PhD et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1800-1811 BACKGROUND:  External cephalic version (ECV) is a frequently performed obstetric procedure for fetal breech presentation to avoid cesarean delivery. Neuraxial, intravenous, and inhalational anesthetic techniques have been studied to reduce maternal discomfort caused by […]

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Uncategorized Published - 17 March, 2021    By - Dr Clemens
Effects of Preoperative Gum Chewing on Sore Throat After General Anesthesia With a Supraglottic Airway Device

AUTHORS: Wang, Tingting MD et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1864-1871 BACKGROUND:  Postoperative sore throat (POST) is not uncommon after general anesthesia with a supraglottic airway (SGA) device. Although it was reported that some pharmacological and nonpharmacological measures can reduce POST, because of limitations and variable […]

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