Author: Dr Clemens

Uncategorized Published - 8 May, 2020    By - Dr Clemens
Ultrasound-assisted molecule delivery looks to preserve blood for years

Source: American Institute of Physics. “Ultrasound-assisted molecule delivery looks to preserve blood for years.” Science Daily 21 April 2020. Summary: Blood can typically be stored for only six weeks after donation, but a potential solution attempts to dry blood by using a sugar-based preservative. New work in ultrasound technology looks to provide a path to […]

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Uncategorized Published - 8 May, 2020    By - Dr Clemens
Assessment of Fluid Responsiveness in Prone Neurosurgical Patients Undergoing Protective Ventilation: Role of Dynamic Indices, Tidal Volume Challenge, and End-Expiratory Occlusion Test

AUTHORS: Messina, Antonio MD, PhD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 752-761 BACKGROUND:  In patients in the prone position, the reliability of pulse pressure variation and stroke volume variation (PPV and SVV) and the use of functional hemodynamic tests to predict fluid responsiveness have not previously […]

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Uncategorized Published - 8 May, 2020    By - Dr Clemens
Fibrinogen Concentrate as an Alternative to Cryoprecipitate in a Postcardiopulmonary Transfusion Algorithm in Infants Undergoing Cardiac Surgery

AUTHORS: Downey, Laura A. MD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 740-751 BACKGROUND:  Infants undergoing cardiac surgery are at risk for bleeding and massive transfusion due to an immature coagulation system, complex surgeries, and cardiopulmonary bypass (CPB) effects. Hemodilution from CPB promotes an acquired hypofibrinogenemia that […]

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Uncategorized Published - 8 May, 2020    By - Dr Clemens
Improving Smoking Cessation Outcomes Through Tailored-Risk Patient Messages at a University Hospital Tobacco Cessation Service

Authors: David Gonzales, PhD The Joint Commission VOLUME 46, ISSUE 5, P 250-260, MAY 01, 2020 Background Postdischarge follow-up is a critical step for increasing effectiveness of hospital smoking cessation treatment. A quality improvement project was undertaken at an academic medical center tobacco cessation consult service to evaluate whether a tailored message (TM) linking immediate […]

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Uncategorized Published - 8 May, 2020    By - Dr Clemens
Presence of a lupus anticoagulant may explain prolonged activated partial-thromboplastin time in COVID-19

By Denise Baez DG Alerts A prolonged activated partial-thromboplastin time (aPTT) should not be a barrier to the use of anticoagulation therapies in the prevention and treatment of venous thrombosis in patients with coronavirus disease 2019 (COVID-19), according to a study published in The New England Journal of Medicine. “In our study, most patients with […]

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Uncategorized Published - 7 May, 2020    By - Dr Clemens
Principal Factors Associated With Ketorolac-Refractory Pain Behavior After Pediatric Myringotomy and Pressure Equalization Tube Placement

AUTHORS: Cook-Sather, Scott D. MD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 730-739 BACKGROUND:  Prophylactic analgesic administration reduces pain behavior after pediatric bilateral myringotomy and pressure equalization tube placement (BMT). We hypothesized that postoperative pain in children treated with intraoperative ketorolac would, among several exposures of interest, […]

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Uncategorized Published - 7 May, 2020    By - Dr Clemens
Prospective Investigation of the Operating Room Time-Out Process

AUTHORS: Freundlich, Robert E. MD, MS et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 725-729 BACKGROUND:  Although the surgical pause or time-out is a required part of most hospitals’ standard operating procedures, little is known about the quality of execution of the time-out in routine clinical practice. An […]

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Uncategorized Published - 7 May, 2020    By - Dr Clemens
Effects of Anticholinesterase Reversal Under General Anesthesia on Postoperative Cardiovascular Complications

AUTHORS: Shaydenfish, Denys Cand Med et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 685-695 BACKGROUND:  The anticholinesterase neostigmine and the muscarinic inhibitor glycopyrrolate are frequently coadministered for the reversal of neuromuscular blockade. This practice can precipitate severe bradycardia or tachycardia, but whether it affects the incidence of cardiovascular […]

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Uncategorized Published - 7 May, 2020    By - Dr Clemens
Covid-19 Pandemic – Decontamination of Respirators and Masks for the General Public, Healthcare Workers and Hospital Environments

Authors: Qisheng Ou, Ph.D. et al  Anesthesia Patient Safety Foundation Disclaimer: We aim to present letters from our readership that may generate further discussion on managing patients with COVID-19. Given the novelty of COVID-19, best-available clinical evidence is limited and supported from anecdotal reports from China, South Korea, Italy and other sites, and from studies of […]

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Uncategorized Published - 7 May, 2020    By - Dr Clemens
Treating COVID-19? How to Protect Yourself and Your Family

Author: Marie Rosenthal Anesthesiology News The same rules that apply to everyone else outside a hospital—hand hygiene, not touching the face, wiping surfaces and social distancing—should apply on the wards, but wearing personal protective equipment (PPE) properly is paramount, experts have said. Most health care workers effectively wear goggles, a mask, a gown and gloves […]

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