Author: Dr Clemens

Uncategorized Published - 18 June, 2020    By - Dr Clemens
Predicting Deep Hypnotic State From Sleep Brain Rhythms Using Deep Learning: A Data-Repurposing Approach

AUTHORS: Belur Nagaraj, Sunil PhD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1211-1221 BACKGROUND:  Brain monitors tracking quantitative brain activities from electroencephalogram (EEG) to predict hypnotic levels have been proposed as a labor-saving alternative to behavioral assessments. Expensive clinical trials are required to validate any newly developed […]

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Uncategorized Published - 18 June, 2020    By - Dr Clemens
Forecasting a Crisis: Machine-Learning Models Predict Occurrence of Intraoperative Bradycardia Associated With Hypotension

AUTHORS: Solomon, Stuart C. MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1201-1210 BACKGROUND:  Predictive analytics systems may improve perioperative care by enhancing preparation for, recognition of, and response to high-risk clinical events. Bradycardia is a fairly common and unpredictable clinical event with many causes; it may be […]

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Uncategorized Published - 18 June, 2020    By - Dr Clemens
Guiding Opioid Administration by 3 Different Analgesia Nociception Monitoring Indices During General Anesthesia Alters Intraoperative Sufentanil Consumption and Stress Hormone Release

AUTHORS: Funcke, Sandra MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1264-1273 BACKGROUND:  This pilot study investigated the effect of sufentanil titration by 3 different analgesia monitoring devices or clinical signs during general anesthesia. METHODS: Forty-eight patients undergoing radical retropubic prostatectomy with sevoflurane/sufentanil anesthesia were randomly assigned into […]

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Uncategorized Published - 18 June, 2020    By - Dr Clemens
What to know about diabetes and donating blood

This is important due to our current blood shortage. Medical News Today Diabetes can make it difficult for a person to control their blood sugar levels, which are often too high. People with this condition may need to use external sources of insulin to correct these levels. However, people can donate blood if they have […]

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Uncategorized Published - 17 June, 2020    By - Dr Clemens
Early Detection of Heart Failure With Reduced Ejection Fraction Using Perioperative Data Among Noncardiac Surgical Patients: A Machine-Learning Approach

AUTHORS: Mathis, Michael R. MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1188-1200 BACKGROUND:  Heart failure with reduced ejection fraction (HFrEF) is a condition imposing significant health care burden. Given its syndromic nature and often insidious onset, the diagnosis may not be made until clinical manifestations prompt […]

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Uncategorized Published - 17 June, 2020    By - Dr Clemens
Intraoperative Electronic Alerts Improve Compliance With National Quality Program Measure for Perioperative Temperature Management

AUTHORS: Lakha, Sameer MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1167-1175 BACKGROUND:  Reimbursement for anesthesia services has been shifting from a fee-for-service model to a value-based model that ties payment to quality metrics. The Centers for Medicare & Medicaid Service’s (CMS) value-based payment program includes a […]

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Uncategorized Published - 17 June, 2020    By - Dr Clemens
Prediction of an Acute Hypotensive Episode During an ICU Hospitalization With a Super Learner Machine-Learning Algorithm

AUTHORS: Cherifa, Ményssa MSc et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1157-1166 BACKGROUND:  Acute hypotensive episodes (AHE), defined as a drop in the mean arterial pressure (MAP) <65 mm Hg lasting at least 5 consecutive minutes, are among the most critical events in the intensive care unit […]

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Uncategorized Published - 17 June, 2020    By - Dr Clemens
Convalescent Plasma for COVID-19: More Questions Than Answers

NEJM Journal Watch Carlos del Rio, MD reviewing Li L et al. JAMA 2020 Jun 3 In a multicenter, open-label study in patients with severe or life-threatening COVID-19, convalescent plasma did not provide added clinical benefit to standard treatment. Convalescent plasma has been suggested as a possible treatment option for COVID-19. Now, investigators from China have conducted a multicenter, […]

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Uncategorized Published - 17 June, 2020    By - Dr Clemens
What happens when you mix cocaine and alcohol?

Cocaine and alcohol can produce dangerous side effects when people combine them. In some cases, the effects of cocaine and alcohol can cause life threatening complications. In this article, we look at the effects of combining cocaine and alcohol. We also explain what precautions to take and the treatment options. What is cocaine? Cocaine is a powerful stimulant […]

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Uncategorized Published - 16 June, 2020    By - Dr Clemens
Novel Imaging Revealing Inner Dynamics for Cardiovascular Waveform Analysis via Unsupervised Manifold Learning

AUTHORS: Wang, Shen-Chih MD, PhD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1244-1254 BACKGROUND:  Cardiovascular waveforms contain information for clinical diagnosis. By learning and organizing the subtle change of waveform morphology from large amounts of raw waveform data, unsupervised manifold learning helps delineate a high-dimensional structure and […]

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