Author: Dr Clemens

Uncategorized Published - 9 January, 2020    By - Dr Clemens
Effects of Dexmedetomidine on Blood Glucose and Serum Potassium Levels in Children Undergoing General Anesthesia: A Secondary Analysis of Safety Endpoints During a Randomized Controlled Trial

AUTHORS: Görges, Matthias PhD et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 1093-1099 BACKGROUND:  Dexmedetomidine is a highly selective α2-adrenergic agonist, which is increasingly used in pediatric anesthesia and intensive care. Potential adverse effects that have not been rigorously evaluated in children include its effects on blood glucose and […]

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Uncategorized Published - 9 January, 2020    By - Dr Clemens
A Study of Practice Behavior for Endotracheal Intubation Site for Children With Congenital Heart Disease Undergoing Surgery: Impact of Endotracheal Intubation Site on Perioperative Outcomes—An Analysis of the Society of Thoracic Surgeons Congenital Cardiac Anesthesia Society Database

AUTHORS: Greene, Nathaniel H. MD, MHS et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 1061-1068 BACKGROUND:  In adults undergoing cardiopulmonary bypass surgery, oral intubation is typically preferred over nasal intubation due to reduced risk of sinusitis and infection. In children, nasal intubation is more common and sometimes preferred […]

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Uncategorized Published - 9 January, 2020    By - Dr Clemens
Assessing Rapidity of Recovery After Cancer Surgeries in a Single Overnight Short-Stay Setting

AUTHORS: Assel, Melissa J. MS et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 1007-1013 BACKGROUND:  In the short-stay surgery setting, where patients remain in hospital for a single overnight at most, it is unclear as to whether postoperative length of stay is a good surrogate for assessing rapidity […]

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Uncategorized Published - 9 January, 2020    By - Dr Clemens
A Third of U.S. High Schoolers Use Tobacco

This has nothing to do with anesthesia however I wanted to share with our readers. By Kelly Young Edited by André Sofair, MD, MPH, and William E. Chavey, MD, MS One in three U.S. high schoolers and one in eight middle schoolers currently use tobacco, according to new CDC data in MMWR. Among the other findings from the […]

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Uncategorized Published - 8 January, 2020    By - Dr Clemens
Retrospective Cohort Study on the Optimal Timing of Orogastric Tube/Nasogastric Tube Insertion in Infants With Pyloric Stenosis

AUTHORS: Lee, Lisa K. MD et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 1079-1086 BACKGROUND:  Hypertrophic pyloric stenosis in infants can cause a buildup of gastric contents. Orogastric tubes (OGTs) or nasogastric tubes (NGTs) are often placed in patients with pyloric stenosis before surgical management to prevent aspiration. […]

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Uncategorized Published - 8 January, 2020    By - Dr Clemens
Anesthesia Type Is Not Associated With Postoperative Complications in the Care of Patients With Lower Extremity Traumatic Fractures

AUTHORS: Brovman, Ethan Y. MD et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 1034-1042 BACKGROUND:  Lower extremity fracture fixation is commonplace and represents the majority of orthopedic trauma surgical volume. Despite this, few studies have examined the use of regional anesthesia or neuraxial anesthesia (RA/NA) versus general anesthesia […]

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Uncategorized Published - 8 January, 2020    By - Dr Clemens
Comparison of Standard and Enhanced Pulse Oximeter Auditory Displays of Oxygen Saturation: A Laboratory Study With Clinician and Nonclinician Participants

AUTHORS: Paterson, Estrella BPsySc(Hons) et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 997-1004 BACKGROUND:  When engaged in visually demanding tasks, anesthesiologists depend on the auditory display of the pulse oximeter (PO) to provide information about patients’ oxygen saturation (Spo2). Current auditory displays are not always effective at providing […]

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Uncategorized Published - 8 January, 2020    By - Dr Clemens
Diabetes During Pregnancy Tied to Early-Onset CVD in Offspring

This has nothing to do with anesthesia however I wanted to share with our readers. By Amy Orciari Herman Edited by André Sofair, MD, MPH, and William E. Chavey, MD, MS In utero exposure to maternal diabetes is associated with increased risk for cardiovascular disease in early adulthood, according to a study in The BMJ. Using Danish health […]

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Uncategorized Published - 8 January, 2020    By - Dr Clemens
Red Blood Cell Transfusion in Pediatric Orthotopic Liver Transplantation: What a Difference a Few Decades Make

AUTHORS: Tran, Lieu T. MD et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 1087-1092 BACKGROUND:  Liver transplantation in children is often associated with coagulopathy and significant blood loss. Available data are limited. In this observational retrospective study, we assessed transfusion practices in pediatric patients undergoing liver transplantation at […]

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Uncategorized Published - 7 January, 2020    By - Dr Clemens
Factors Affecting Patient Satisfaction With Their Anesthesiologist: An Analysis of 51,676 Surveys From a Large Multihospital Practice

AUTHORS: Pozdayakova, Anastasia BS et alAnesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 951-959 BACKGROUND: An increasing focus of health care quality is the assessment of patient-reported outcomes, including satisfaction. Because anesthesia care occurs in the context of perioperative surgical care, direct associations between anesthetic management and patient experience may […]

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