Author: Dr Clemens

Uncategorized Published - 2 March, 2021    By - Dr Clemens
Logistical Considerations and Clinical Outcomes Associated with Converting Operating Rooms into an Intensive Care Unit during the Covid-19 Pandemic in a New York City Hospital

AUTHORS: Mittel, Aaron M. MD et al Anesthesia & Analgesia: October 2020 Background: Covid-19 emerged as a public health crisis that disrupted normal patterns of health care in the New York City metropolitan area. In preparation for a large influx of critically ill patients, operating rooms (ORs) at NewYork-Presbyterian Hospital/Columbia University Irving Medical Center (NYP-Columbia) […]

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Uncategorized Published - 1 March, 2021    By - Dr Clemens
Preoperative Point-of-Care Assessment of Left Ventricular Systolic Dysfunction With Transthoracic Echocardiography

AUTHORS: Stenberg, Ylva MD et al Anesthesia & Analgesia: March 2021 – Volume 132 – Issue 3 – p 717-725 BACKGROUND:  Left ventricular (LV) systolic dysfunction is an acknowledged perioperative risk factor and should be identified before surgery. Conventional echocardiographic assessment of LV ejection fraction (LVEF) obtained by biplane LV volumes is the gold standard […]

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Uncategorized Published - 1 March, 2021    By - Dr Clemens
Postoperative Neurocognitive Disorders After Closed-Loop Versus Manual Target Controlled-Infusion of Propofol and Remifentanil in Patients Undergoing Elective Major Noncardiac Surgery

AUTHORS: Mahr, Nicolas MD et al * Anesthesia & Analgesia: November 2020 BACKGROUND: The aim of the study was to investigate whether closed-loop compared to manual bispectral index (BIS)–guided target-controlled infusion of propofol and remifentanil could decrease the incidence of postoperative neurocognitive disorders after elective major noncardiac surgery. METHODS: Patients aged >50 admitted for elective […]

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Uncategorized Published - 1 March, 2021    By - Dr Clemens
Recommendations for Endotracheal Intubation of COVID-19 Patients

Author: Orser, Beverley A. MD, PhD Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1109-1110 Health care workers are committed to learning from each other to optimize the management of coronavirus disease 2019 (COVID-19) patients. The World Health Organization (WHO) and the International Committee on Taxonomy of Viruses recently called […]

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Uncategorized Published - 1 March, 2021    By - Dr Clemens
Effect of high-risk obstructive sleep apnea on clinical outcomes in adults with COVID-19

DG Alerts Coronavirus disease 2019 (COVID-19) patients with modified high-risk obstructive sleep apnea (mHR-OSA) had poorer clinical outcomes than those with modified low-risk obstructive sleep apnea (mLR-OSA) independent of age, sex and comorbidities, according to a study published in Annals of the American Thoracic Society. “To our best knowledge, there were no prospective reports published about […]

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Uncategorized Published - 1 March, 2021    By - Dr Clemens
Association Between Lower Preoperative Cognition With Intraoperative Electroencephalographic Features Consistent With Deep States of Anesthesia in Older Patients

AUTHORS: Gutiérrez, Rodrigo G. MD, PhD et al Anesthesia & Analgesia: November 2020 BACKGROUND: Patients with low cognitive performance are thought to have a higher risk of postoperative neurocognitive disorders. Here we analyzed the relationship between preoperative cognition and anesthesia-induced brain dynamics. We hypothesized that patients with low cognitive performance would be more sensitive to […]

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Uncategorized Published - 1 March, 2021    By - Dr Clemens
Tobacco Exposure Linked to Elevated Blood Pressure in Childhood

NEJM Journal Watch By Joe Elia Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM Childhood exposure to tobacco, whether directly through smoking or at second hand, is associated with elevated blood pressure, reports a study in JAMA Network Open. Researchers examined data from the National Health and Nutrition Examination Surveys conducted from […]

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Uncategorized Published - 26 February, 2021    By - Dr Clemens
Predicting Unacceptable Pain in Cardiac Surgery Patients Receiving Morphine Maintenance and Rescue Doses

AUTHORS: Goulooze, Sebastiaan C. MSc et al Anesthesia & Analgesia: March 2021 – Volume 132 – Issue 3 – p 726-734 BACKGROUND:  Optimal analgesic treatment following cardiac surgery is crucial for both patient comfort and successful postoperative recovery. While knowledge of both the pharmacokinetics and pharmacodynamics of analgesics is required to predict optimal drug dosing, […]

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Uncategorized Published - 26 February, 2021    By - Dr Clemens
6 Simple Steps Physician Anesthesiologists Can Lead on to Reduce Older Adults’ Risk of Surgery-related Delirium

Author: Carol J. Peden, M.D ASA A new paper defines the key practical steps that can be taken before, during, and after surgery to reduce patients’ risk of developing delirium and related problems that have long-term implications for brain health. Due to their unique role in perioperative care, physician anesthesiologists are ideally suited to lead […]

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Uncategorized Published - 26 February, 2021    By - Dr Clemens
Evaluating the association of preoperative parecoxib with acute pain trajectories after video-assisted thoracoscopic surgery

DG Journal Club AUTHORS: Yu-Hsiang Ling, Ying-Hsuan Tai et al. BMJ Open. 2021 Feb OBJECTIVE The efficacy of parecoxib as pre-emptive analgesia still remains controversial. This study aimed to investigate how pre-emptive analgesia with parecoxib affected postoperative pain trajectories over time in patients undergoing thoracic surgery. DESIGN Retrospective cohort study. SETTING A single medical centre […]

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