Author: Dr Clemens

Uncategorized Published - 17 March, 2021    By - Dr Clemens
Half of U.S. adults over 75 use aspirin, statins, study finds

By Brian P. Dunleavy  (0) By Brian P. Dunleavy UPI Many older adults may be using aspirin and statin drugs, despite limited benefits and side effects, a new study has found. Roughly half of all adults age 75 and older in the United States take aspirin or a statin to prevent the onset of heart […]

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Uncategorized Published - 16 March, 2021    By - Dr Clemens
Musculoskeletal Trauma in Critically Injured Patients: Factors Leading to Delayed Operative Fixation and Multiple Organ Failure

AUTHORS: Richards, Justin E. MD et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1781-1788 BACKGROUND:  Musculoskeletal injuries are common following trauma and variables that are associated with late femur fracture fixation are important to perioperative management. Furthermore, the association of late fracture fixation and multiple organ failure (MOF) […]

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Uncategorized Published - 16 March, 2021    By - Dr Clemens
Development, Implementation, and Evaluation of a Telemedicine Preoperative Evaluation Initiative at a Major Academic Medical Center

AUTHORS: Kamdar, Nirav V. MD, MPP, MBA et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1647-1656 BACKGROUND:  With health care practice consolidation, the increasing geographic scope of health care systems, and the advancement of mobile telecommunications, there is increasing interest in telemedicine-based health care consultations. Anesthesiology has had […]

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Uncategorized Published - 16 March, 2021    By - Dr Clemens
Opioid-Sparing Cardiac Anesthesia: Secondary Analysis of an Enhanced Recovery Program for Cardiac Surgery

AUTHORS: Grant, Michael C. MD, MSE et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1852-1861 BACKGROUND:  Cardiac anesthetics rely heavily on opioids, with the standard patient receiving between 70 and 105 morphine sulfate equivalents (MSE; 10–15 µg/kg of fentanyl). A central tenet of Enhanced Recovery Programs (ERP) is […]

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Uncategorized Published - 16 March, 2021    By - Dr Clemens
Anesthesiologists’ Role in Value-based Perioperative Care and Healthcare Transformation

Authors: Aman Mahajan, M.D., Ph.D., M.B.A. et al Anesthesiology April 2021, Vol. 134, 526–540. Health care is undergoing major transformation with a shift from fee-for-service care to fee-for-value. The advent of new care delivery and payment models is serving as a driver for value-based care. Hospitals, payors, and patients increasingly expect physicians and healthcare systems to […]

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Uncategorized Published - 16 March, 2021    By - Dr Clemens
Why Are Wait Times for Donor Kidneys Not Improving?

 Author: Denise Mann HealthDay News Despite widespread efforts to increase access and awareness, new research shows there’s been virtually no change in the number of people on waiting lists for potentially lifesaving kidneys over the past two decades. For their study, scientists analyzed information on more than 1.3 million adults with kidney failure listed in […]

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Uncategorized Published - 15 March, 2021    By - Dr Clemens
Balanced Opioid-free Anesthesia with Dexmedetomidine versus Balanced Anesthesia with Remifentanil for Major or Intermediate Noncardiac Surgery

Authors: Helene Beloeil, M.D., Ph.D. et al  Anesthesiology April 2021, Vol. 134, 541–551. Background It is speculated that opioid-free anesthesia may provide adequate pain control while reducing postoperative opioid consumption. However, there is currently no evidence to support the speculation. The authors hypothesized that opioid-free balanced anesthetic with dexmedetomidine reduces postoperative opioid-related adverse events compared […]

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Uncategorized Published - 15 March, 2021    By - Dr Clemens
Intravenous versus Volatile Anesthetic Effects on Postoperative Cognition in Elderly Patients Undergoing Laparoscopic Abdominal Surgery

Authors: Yujuan Li, M.D., Ph.D. et al  Anesthesiology March 2021, Vol. 134, 381–394. Background Delayed neurocognitive recovery after surgery is associated with poor outcome. Most surgeries require general anesthesia, of which sevoflurane and propofol are the most commonly used inhalational and intravenous anesthetics. The authors tested the primary hypothesis that patients with laparoscopic abdominal surgery under […]

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Uncategorized Published - 15 March, 2021    By - Dr Clemens
Restrictive Transfusion Strategy after Cardiac Surgery: Role of Central Venous Oxygen Saturation Trigger

Authors: Norddine Zeroual, M.D. et al Anesthesiology March 2021, Vol. 134, 370–380. Background Recent guidelines on transfusion in cardiac surgery suggest that hemoglobin might not be the only criterion to trigger transfusion. Central venous oxygen saturation (Svo2), which is related to the balance between tissue oxygen delivery and consumption, may help the decision process of transfusion. […]

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Uncategorized Published - 15 March, 2021    By - Dr Clemens
Researchers uncover altered brain connectivity after prolonged anesthesia

Science Daily Source: Columbia University Summary: A body of evidence supports the association between prolonged anesthesia and cognitive impairment, but a new study is among the first to address the effect of the procedure on neural connections. Prolonged anesthesia, also known as medically induced coma, is a life-saving procedure carried out across the globe on millions […]

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