Author: Dr Clemens

Uncategorized Published - 13 November, 2020    By - Dr Clemens
Routine Intraoperative Inhaled Milrinone and Iloprost Reduces Inotrope Use in Patients Undergoing Cardiac Surgery

AUTHORS: Hu, Xiaobo MD et al Anesthesia & Analgesia: August 2020 – Volume 131 – Issue 2 – p 527-536 BACKGROUND:  Catecholamine inotropes are frequently used after cardiopulmonary bypass (CPB) but may have undesirable effects. The aim was to identify whether the routine use of inhaled pulmonary vasodilators might reduce the requirement for inotrope drugs […]

Read More
Uncategorized Published - 13 November, 2020    By - Dr Clemens
New Imaging Method Accurately Identifies Surgical Margin Status in Radical Prostatectomy

Author: Rebecca Araujo docwirenews Cerenkov luminescence imaging (CLI), a novel intraoperative imaging method, can precisely assess surgical margins during radical prostatectomy, according to findings from a first-in-human trial published in the Journal of Nuclear Medicine. Radical prostatectomy, the removal of the prostate gland and surrounding tissues, is a primary treatment option for localized prostate cancer. […]

Read More
Uncategorized Published - 12 November, 2020    By - Dr Clemens
Clinical Uses and Impacts of Emergency Manuals During Perioperative Crises

AUTHORS: Goldhaber-Fiebert, Sara N. MD et al Anesthesia & Analgesia: August 2020 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 (EMs) are used. Despite widespread dissemination of EMs, there […]

Read More
Uncategorized Published - 12 November, 2020    By - Dr Clemens
HIV-positive status associated with increased mortality risk among patients hospitalised for COVID-19

DG Alerts A study published in Clinical Infectious Diseases showed that HIV-positive people hospitalised with coronavirus disease 2019 (COVID-19) had an age-adjusted 47% higher risk of day-28 mortality compared with HIV-negative individuals. In addition, among people aged <60 years, HIV-positive status more than doubled the risk of mortality after adjusting for sex, ethnicity, age, baseline date, comorbidities, […]

Read More
Uncategorized Published - 12 November, 2020    By - Dr Clemens
Emergence From the COVID-19 Pandemic and the Care of Chronic Pain

AUTHORS: Deer, Timothy R. MD et al Anesthesia & Analgesia: August 2020 – Volume 131 – Issue 2 – p 387-394 BACKGROUND:  The current coronavirus disease 2019 (COVID-19) pandemic led to a significant disruption in the care of pain from chronic and subacute conditions. The impact of this cessation of pain treatment may have unintended […]

Read More
Uncategorized Published - 12 November, 2020    By - Dr Clemens
The Current State of Combined Pediatric Anesthesiology–Critical Care Practice

AUTHORS: Welch, Timothy P. MD, MSPH et al Anesthesia & Analgesia: July 2020 BACKGROUND: Combined practice in pediatric anesthesiology (PA) and pediatric critical care medicine (PCCM) was historically common but has declined markedly with time. The reasons for this temporal shift are unclear, but existing evidence suggests that length of training is a barrier to […]

Read More
Uncategorized Published - 12 November, 2020    By - Dr Clemens
Study finds more than 80% of hospitalised patients with COVID-19 are vitamin D deficient

Author: Denise Baez DG Alerts Vitamin D deficiency was found in 82.2% of patients admitted to 1 hospital with coronavirus disease 2019 (COVID-19), according to a study published in The Journal of Clinical Endocrinology & Metabolism. “We have found that serum 25OHD [25-hydroxyvitamin D] levels are significantly lower in hospitalised patients with COVID-19 compared with […]

Read More
Uncategorized Published - 11 November, 2020    By - Dr Clemens
Intraoperative Data Enhance the Detection of High-Risk Acute Kidney Injury Patients When Added to a Baseline Prediction Model

AUTHORS: Kim, Minjae MD, MS et al Anesthesia & Analgesia: August 2020 BACKGROUND: Aspects of intraoperative management (eg, hypotension) are associated with acute kidney injury (AKI) in noncardiac surgery patients. However, it is unclear if and how the addition of intraoperative data affects a baseline risk prediction model for postoperative AKI. METHODS: With institutional review […]

Read More
Uncategorized Published - 11 November, 2020    By - Dr Clemens
What can cause heart palpitations and headaches to occur together?

Author: Aaron Kandola Medical News Today Several things can cause heart palpitations and headaches to occur together, including low blood pressure, dehydration, and diet. Some conditions may require treatment, but the symptoms can pass on their own. Heart palpitations are heartbeats that are more noticeable. For example, they can cause a pounding or fluttering feeling. […]

Read More
Uncategorized Published - 11 November, 2020    By - Dr Clemens
Financial and Clinical Ramifications of Introducing a Novel Pediatric Enhanced Recovery After Surgery Pathway for Pediatric Complex Hip Reconstructive Surgery

AUTHORS: Franklin, Andrew D. MD et al Anesthesia & Analgesia: July 2020 BACKGROUND: Enhanced recovery after surgery pathways confer significant perioperative benefits to patients and are currently well described for adult patients undergoing a variety of surgical procedures. Robust data to support enhanced recovery pathway use in children are relatively lacking in the medical literature, […]

Read More