Author: Dr Clemens

Uncategorized Published - 3 March, 2020    By - Dr Clemens
Why US hospitals are closing

CNBC In rural towns across the U.S., hospitals are in crisis. Since 2010, 121 rural hospitals have closed. The National Rural Health Association says more than one-third of all rural U.S. hospitals are at serious risk of shutting down. The decision by some states not to expand Medicaid as part of the Affordable Care Act […]

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Uncategorized Published - 2 March, 2020    By - Dr Clemens
The effect of intraoperative lidocaine versus esmolol infusion on postoperative analgesia in laparoscopic cholecystectomy

Authors: Joshan Lal Bajracharya et al BMC Anesthesiology volume 19, Article number: 198 (2019) Background As a part of multimodal analgesia for laparoscopic cholecystectomy, both intraoperative lidocaine and esmolol facilitate postoperative analgesia. Our objective was to compare these two emerging strategies that challenge the use of intraoperative opioids. We aimed to assess if intraoperative esmolol infusion is not inferior to […]

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Uncategorized Published - 2 March, 2020    By - Dr Clemens
Spinal anesthesia allows babies to stay awake during surgery

Author: MARIA CASTELLUCCI   Modern Healthcare General anesthesia is typically what babies receive when they need surgery, but a New Hampshire hospital is finding spinal anesthesia is a far better alternative and uses it routinely for certain complex procedures. Although commonly used, there is debate about how safe general anesthesia is for babies. The Food […]

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Uncategorized Published - 2 March, 2020    By - Dr Clemens
Ultrasound-Guided Internal Jugular Catheter Insertion in Prone Position

Authors: Dimitrios Anagnostopoulos, MD et al Journal of Cardiothoracic and Vascular Anesthesia Nov 2019 To the Editor: OBTAINING vascular access is a vital component of patient care both in anesthesia and intensive care practice. Ultrasound-assisted vascular access can provide a safer and more efficient means of obtaining both peripheral and central venous access by reducing […]

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Uncategorized Published - 2 March, 2020    By - Dr Clemens
Risk Factors for Intraoperative Hypoglycemia in Children

Canadian Journal of Anesthesia “Identification of factors associated with intraoperative hypoglycemia may prevent potentially devastating neurologic effects in a child whose symptoms may be masked under anesthesia”

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Uncategorized Published - 2 March, 2020    By - Dr Clemens
Intraoperative Oxidative Damage and Delirium after Cardiac Surgery

Authors: Marcos G. Lopez, M.D., M.S. et al Anesthesiology 3 2020, Vol.132, 551-561. Background: Mechanisms of postoperative delirium remain poorly understood, limiting development of effective treatments. We tested the hypothesis that intraoperative oxidative damage is associated with delirium and neuronal injury and that disruption of the blood–brain barrier modifies these associations. Methods: In a prespecified cohort study of […]

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Uncategorized Published - 28 February, 2020    By - Dr Clemens
The midline approach for endotracheal intubation using GlideScope video laryngoscopy could provide better glottis exposure in adults

AUTHORS: Lianxiang Jiang et al BMC Anesthesiology volume 19, Article number: 200 (2019) Background Previous studies have demonstrated that the common laryngoscopic approach (right-sided) and midline approach are both used for endotracheal intubation by direct laryngoscopy. Although the midline approach is commonly recommended for video laryngoscopy (VL) in the clinic, there is a lack of published evidences to support this […]

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Uncategorized Published - 28 February, 2020    By - Dr Clemens
Intraoperative Ketamine for Analgesia Post-Coronary Artery Bypass Surgery

AUTHORS: Cameron M et al J Cardiothorac Vasc Anesth. 2020 Mar;34(3):586-591. OBJECTIVES: To determine whether the administration of ketamine during coronary artery bypass grafting (CABG) surgery leads to a reduction in the quantity of opioids required over the first 48 hours after surgery. DESIGN: Randomized, controlled, double-blind clinical trial. SETTING: Single university academic center. PARTICIPANTS: Patients […]

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Uncategorized Published - 28 February, 2020    By - Dr Clemens
Predictors Listed of Prolonged Extubation After General Anesthesia

Author: Michael Vlessides Anesthesiology News Researchers have confirmed a series of independent patient-, procedure- and anesthesia-related predictors of prolonged extubation after general anesthesia. The study also showed that patients who experience prolonged extubation are at significantly greater risk for immediate reintubation. Andrea Vannucci, MD, and his colleagues at the University of Mississippi Medical Center and […]

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Uncategorized Published - 28 February, 2020    By - Dr Clemens
Aviation Management Tool Identifies Hazardous Perioperative Attitudes

Author: Michael Vlessides Anesthesiology News Anesthesiology has long valued the aviation industry’s adherence to strict safety protocols. Now, researchers have employed a modified crew resource management tool to help residents identify hazardous attitudes and their potentially negative effects during perioperative crises. “Crew resource management is a systemization of crisis management,” said Adam Schiavi, PhD, MD, […]

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