Author: Dr Clemens

Uncategorized Published - 29 December, 2020    By - Dr Clemens
The Effectiveness of High-Flow Nasal Oxygen During the Intraoperative Period

AUTHORS: Spence, Emily A. BM BCh et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1102-1110 BACKGROUND:  High-flow nasal oxygen (HFNO) is increasingly being used in intensive care units for management of hypoxemia and respiratory failure. However, the effectiveness of HFNO for preventing hypoxemia in the intraoperative period is […]

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Uncategorized Published - 29 December, 2020    By - Dr Clemens
Surgeon general urges vaccine education among communities of color

Author: Marty Johnson The Hill  Surgeon General Jerome Adams on Monday stressed the need for education about the COVID-19 vaccine in communities of color, specifically in Black communities, which have justifiably low levels of trust in health care institutions. “Having a vaccine is only the first step. We must now move from vaccines to vaccinations. And it would be […]

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Uncategorized Published - 29 December, 2020    By - Dr Clemens
Integration of the Intrinsic Surgical Risk With Patient Comorbidities and Severity of Congenital Cardiac Disease Does Not Improve Risk Stratification in Children Undergoing Noncardiac Surgery

AUTHORS: Faraoni, David MD, PhD, FAHA et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1083-1089 BACKGROUND:  The objective of this study is to estimate the surgical risk of noncardiac procedures on the incidence of 30-day mortality in children with congenital heart disease. METHODS: Children with congenital heart disease […]

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Uncategorized Published - 29 December, 2020    By - Dr Clemens
Cross-Holes on a Plastic Bag Can Prevent Droplet Spread During Extubation

AUTHORS: Sakai, Wataru MD et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p e189-e191 To the Editor We read with great interest the article on endotracheal intubation for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) patients by Orser1 and would like to add some comments related to their excellent study. […]

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Uncategorized Published - 29 December, 2020    By - Dr Clemens
Perioperative Prescribing Practices of Extended-Release Opioids in Noncancer Surgical Patients

AUTHORS: Rodriguez-Monguio, Rosa PhD, MS et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1249-1259 BACKGROUND:  Extended-release (ER) opioids are indicated for the management of persistent moderate to severe pain in patients requiring around-the-clock opioid analgesics for an extended period of time. Concerns have been raised regarding safety of […]

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Uncategorized Published - 29 December, 2020    By - Dr Clemens
A Single Prophylactic Dose of Ondansetron Given at Cessation of Postoperative Propofol Sedation Decreases Postoperative Nausea and Vomiting in Cardiac Surgery Patients

AUTHORS: Wang, Erica H. Z. PharmD et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1164-1172 BACKGROUND:  Postoperative nausea and vomiting (PONV) is a common occurrence after cardiac surgery. However, in contrast to other surgical populations, routine PONV prophylaxis is not a standard of care in cardiac surgery. We […]

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Uncategorized Published - 28 December, 2020    By - Dr Clemens
Comparison of Supraglottic Airway Devices With Endotracheal Intubation in Low-Risk Patients for Cesarean Delivery

AUTHORS: White, Leigh D. MBBS et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1092-1101 BACKGROUND:  The safety and adverse event rate of supraglottic airway (SGA) devices for cesarean delivery (CD) is poorly characterized. The primary aims of this review were to determine whether the first-pass success was higher […]

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Uncategorized Published - 28 December, 2020    By - Dr Clemens
Risk of Major Complications After Perioperative Norepinephrine Infusion Through Peripheral Intravenous Lines

AUTHORS: Pancaro, Carlo MD et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1060-1065 BACKGROUND:  Continuous infusions of norepinephrine to treat perioperative hypotension are typically administered through a central venous line rather than a peripheral venous catheter to avoid the risk of localized tissue necrosis in case of drug extravasation. […]

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Uncategorized Published - 28 December, 2020    By - Dr Clemens
Preoperative Screening for Obstructive Sleep Apnea Using Alternative Scoring Models of the Sleep Tiredness Observed Pressure-Body Mass Index Age Neck Circumference Gender Questionnaire

AUTHORS: Seguin, Ludovic MD et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1025-1031 BACKGROUND:  The Sleep Tiredness Observed Pressure-Body mass index Age Neck circumference Gender (STOP-Bang) questionnaire is a validated preoperative screening tool for identifying patients with obstructive sleep apnea (OSA). Although it has a high sensitivity at […]

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Uncategorized Published - 28 December, 2020    By - Dr Clemens
The Effects of a Shoulder Roll During Laryngoscopy in Infants

AUTHORS: Alfahel, Waseem MD et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1210-1216 BACKGROUND:  The use of a shoulder roll to view the glottic opening during direct laryngoscopy in infants has been recommended but is not evidence based. METHODS: Twenty infants with normal airways, <6 months of age […]

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