Author: Dr Clemens

Uncategorized Published - 9 October, 2020    By - Dr Clemens
Nasal calcium rich salts show reduction of exhaled aerosol particles up to 99%

EurekAlert In a paper published in Molecular Frontiers Journal, researchers from Cambridge, Massachusetts have discovered a more effective way of eliminating airborne particles from airways using nasal calcium-rich salts called FEND, which have potential applications in the fight against Covid-19. Sensory Cloud, creators of FEND and a Boston-based technology startup that designs solutions to problems of human wellbeing […]

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Uncategorized Published - 8 October, 2020    By - Dr Clemens
Pediatric Distraction on Induction of Anesthesia With Virtual Reality and Perioperative Anxiolysis

Authors: Jung, Michael J. MD, MBA Anesthesia & Analgesia: June 30, 2020 BACKGROUND: Perioperative pediatric anxiety is common and can have a negative psychological impact on children undergoing surgery and anesthesia. Studies have shown an incidence of anxiety at induction of up to 50%. Audiovisual distraction, including virtual reality (VR), is a noninvasive, nonpharmacological modality that […]

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Uncategorized Published - 8 October, 2020    By - Dr Clemens
Potential indicators for pulmonary fibrosis in survivors of severe COVID-19

DG Alerts A study published in the Journal of Infection detailed potential indicators for pulmonary fibrosis in survivors of severe coronavirus disease 2019 (COVID-19). Wenhui Huang, The First Affiliated Hospital, Guangdong, China, and colleagues performed an observational cohort study of 81 survivors who recovered from severe COVID-19 pneumonia to investigate the potential indicators for post-fibrosis. The median […]

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Uncategorized Published - 8 October, 2020    By - Dr Clemens
Machine Learning Applied to Registry Data

Authors: Jalali, Ali PhD et al Anesthesia & Analgesia: June 30, 2020 Development of a Patient-Specific Prediction Model for Blood Transfusion Requirements During Craniofacial Surgery Using the Pediatric Craniofacial Perioperative Registry Dataset BACKGROUND: Craniosynostosis is the premature fusion of ≥1 cranial sutures and often requires surgical intervention. Surgery may involve extensive osteotomies, which can lead to […]

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Uncategorized Published - 8 October, 2020    By - Dr Clemens
Cancellation of elective surgery and intensive care unit capacity in New York state

Authors:  Poeran, Jashvant MD, PhD et al Anesthesia & Analgesia: June 23, 2020  Background: In response to the COVID-19 pandemic, New York State ordered the suspension of all elective surgeries to increase intensive care unit (ICU) bed capacity. Yet the potential impact of suspending elective surgery on ICU bed capacity is unclear. Methods: We retrospectively reviewed […]

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Uncategorized Published - 8 October, 2020    By - Dr Clemens
Concerned About Your Rural Hospital’s Sustainability? Uncertain Times Call for Strategic Solutions

This is important because many of our readers practice in rural hospitals. By Jim Kendrick, CHC President & CEO Times were already tough for rural hospitals when the pandemic hit, heightening concerns about sustainability. The financial impact of COVID-19 on U.S. hospitals could end up totaling more than $200 billion, and that’s only accounting for losses […]

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Uncategorized Published - 7 October, 2020    By - Dr Clemens
Anesthesia and Circulating Tumor Cells in Primary Breast Cancer Patients

Authors: Frédérique Hovaguimian, M.D. et al  Anesthesiology September 2020, Vol. 133, 548–558. Background The effect of anesthetic drugs on cancer outcomes remains unclear. This trial aimed to assess postoperative circulating tumor cell counts—an independent prognostic factor for breast cancer—to determine how anesthesia may indirectly affect prognosis. It was hypothesized that patients receiving sevoflurane would have higher […]

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Uncategorized Published - 7 October, 2020    By - Dr Clemens
Preoperative Fluid Fasting Times and Postinduction Low Blood Pressure in Children

Authors: Allan F. Simpao, M.D., M.B.I. et al  Anesthesiology September 2020, Vol. 133, 523–533. Background Children are required to fast before elective general anesthesia. This study hypothesized that prolonged fasting causes volume depletion that manifests as low blood pressure. This study aimed to assess the association between fluid fasting duration and postinduction low blood pressure. Methods […]

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Uncategorized Published - 7 October, 2020    By - Dr Clemens
Airway Rupture Caused by Double-Lumen Tubes

AUTHORS: Liu, Shiqing PhD et al Anesthesia & Analgesia: June 3, 2020 A Review of 187 Cases Abstract The double-lumen tubes (DLTs) are the most widely used devices to provide perioperative lung isolation. Airway rupture is a rare but life-threatening complication of DLTs. The primary aim of this review was to collect all cases reported in […]

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Uncategorized Published - 7 October, 2020    By - Dr Clemens
The Performance of an Artificial Neural Network Model in Predicting the Early Distribution Kinetics of Propofol in Morbidly Obese and Lean Subjects

AUTHORS: Ingrande, Jerry MD, MS et al Anesthesia & Analgesia: May 29, 2020 BACKGROUND: Induction of anesthesia is a phase characterized by rapid changes in both drug concentration and drug effect. Conventional mammillary compartmental models are limited in their ability to accurately describe the early drug distribution kinetics. Recirculatory models have been used to account […]

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