Author: Dr Clemens

Uncategorized Published - 10 March, 2020    By - Dr Clemens
Rapid Titration of Intravenous Treprostinil to Treat Severe Pulmonary Arterial Hypertension Postpartum

AUTHORS: Wang, Tengke MD et al Anesthesia & Analgesia: December 2019 – Volume 129 – Issue 6 – p 1607-1612 BACKGROUND:  Pulmonary hypertension during pregnancy carries high mortality rate. The relatively long-acting, specific pulmonary vasodilator treprostinil has been used to improve survival in these parturients. Slow uptitration is performed in most cases, and rapid titration […]

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Uncategorized Published - 10 March, 2020    By - Dr Clemens
Blood Transfusion Volumes Linked to Infection in Cardiac Surgery Patients

Author: Naveed Saleh MD, MS Anesthesiology News Blood transfusion rates remain high, despite higher transfusion volumes being linked to infection in patients undergoing cardiac surgery. In research presented at the 2019 annual meeting of the Society of Cardiovascular Anesthesiologists (SCA), investigators examined blood transfusion rates and other risk factors to assess the correlation between infectious […]

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Uncategorized Published - 10 March, 2020    By - Dr Clemens
Risk score for major complications after total hip arthroplasty: the beneficial effect of neuraxial anesthesia

Authors: Elsharydah, Ahmad MD, MBA et al Current Orthopaedic Practice: March-April 2020 – Volume 31 – Issue 2 – p 156-161 Background:  Total hip arthroplasty (THA) is an effective treatment for symptomatic osteoarthritis after failed nonsurgical therapies. Minimizing perioperative complications is critical for faster recovery and shorter hospital stay. The primary aim of this study was to […]

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Uncategorized Published - 10 March, 2020    By - Dr Clemens
THE FAT AROUND YOUR ARTERIES MAY ACTUALLY KEEP THEM HEALTHY

I thought this was very interesting so I wanted to share it with our readers. Authors: Kim Ward, Stephanie Watts A Michigan State University researcher is adding new evidence to the argument that the fat around our arteries may play an important role in keeping those blood vessels healthy. The finding could affect how researchers test […]

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Uncategorized Published - 9 March, 2020    By - Dr Clemens
CORONAVIRUS AND ICU VENTILATORS

Author: Richard Novak, MD The Anesthesia Consultant The question isn’t how many people in the United States will contract the coronavirus COVID-19. The key question is how many of these coronavirus cases will become extremely ill and wind up in an ICU. Authorities tell us two criteria define the threat of a virus: how quickly […]

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Uncategorized Published - 9 March, 2020    By - Dr Clemens
Distribution of Extreme Vital Signs and Complete Blood Count Values of Healthy Parturients: A Retrospective Database Analysis and Review of the Literature

AUTHORS: Gat, Roi MD et al Anesthesia & Analgesia: December 2019 – Volume 129 – Issue 6 – p 1595-1606 BACKGROUND:  The impact of physiological adjustments throughout pregnancy on maternal vital signs and laboratory values has yet to be fully defined. The present study was designed to determine the normal range of these parameters among […]

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Uncategorized Published - 9 March, 2020    By - Dr Clemens
Do Epidural Catheter Size and Flow Rate Affect Bolus Injection Pressure in Different Programmed Intermittent Epidural Bolus Regimens?

AUTHORS: Krawczyk, Paweł MD, PhD et al    Anesthesia & Analgesia: December 2019 – Volume 129 – Issue 6 – p 1587-1594 BACKGROUND:  The optimal programmed intermittent epidural bolus regimen for labor analgesia remains unknown. Some studies indicate that better drug spread in the epidural space results from greater injection pressure; however, there is a […]

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Uncategorized Published - 9 March, 2020    By - Dr Clemens
Targeted Use of Alcohol-Based Hand Rub on Gloves During Task Dense Periods: One Step Closer to Pathogen Containment by Anesthesia Providers in the Operating Room

AUTHORS: Birnbach, David J. MD, MPH et al Anesthesia & Analgesia: December 2019 – Volume 129 – Issue 6 – p 1557-1560 BACKGROUND:  Anesthesia providers’ hand hygiene practices in the operating room may contribute to the transmission of bacteria. There is a debate, however, over the best approaches for pathogen containment during task dense periods […]

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Uncategorized Published - 9 March, 2020    By - Dr Clemens
Dexmedetomidine Pharmacokinetics and a New Dosing Paradigm in Infants Supported With Cardiopulmonary Bypass

AUTHORS: Zimmerman, Kanecia O. MD, MPH et al Anesthesia & Analgesia: December 2019 – Volume 129 – Issue 6 – p 1519-1528 BACKGROUND:  Dexmedetomidine is increasingly used off-label in infants and children with cardiac disease during cardiopulmonary bypass (CPB) and in the postoperative period. Despite its frequent use, optimal dosing of dexmedetomidine in the setting […]

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Uncategorized Published - 9 March, 2020    By - Dr Clemens
How Going Green Can Save Your Hospital Millions

This doesn’t directly involve anesthesia but I thought this was interesting so I wanted to share with our readers. Author: Victoria Stern Anesthesiology News When Stephanie M. Barman, RN, saw how much waste a single procedure in the OR generated, she knew something needed to be done. “One procedure created an entire case cart of […]

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