Author: Dr Clemens

Uncategorized Published - 20 December, 2018    By - Dr Clemens
Wegener’s Granulomatosis, PHACE Syndrome: Rarities With Anesthetic Implications

Anesthesiology News Elizabeth A.M. Frost, MD Professor of Anesthesiology Mount Sinai Medical Center New York, New York Wegener’s Granulomatosis What Is It? Wegener’s granulomatosis, first described by Peter McBride in 1897 and later by Friedrich Wegener (1936 and 1939), is a chronic, immunologic, systemic disorder characterized mainly by necrotizing granulomatosis and polyangiitis throughout the respiratory […]

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Uncategorized Published - 19 December, 2018    By - Dr Clemens
Simultaneous Color Change at Opposite Ends of Carbon Dioxide Absorbent Canisters

Robert G. Loeb, M.D. et al  Anesthesiology 12 2018, Vol.129, 1170. The image shows carbon dioxide absorbent that is violet at the top and bottom of the canisters. This was observed on a Monday after a weekend of nonuse when fresh gas was left flowing. Like other absorbents, Amsorb Plus (Armstrong Medical, Ireland)1 changes color when exhausted […]

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Uncategorized Published - 19 December, 2018    By - Dr Clemens
Acetaminophen, ibuprofen, and tramadol analgesic interactions after adenotonsillectomy

Authors: Hannam J et al Paediatric Anaesthesia (Aug 2018) BACKGROUND The impact of tramadol in children given acetaminophen-ibuprofen combination therapy is uncertain in acute pediatric pain management. A model describing the interaction between these three drugs would be useful to understand the role of supplemental analgesic therapy. METHODS Children undergoing tonsillectomy were given oral paracetamol […]

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Uncategorized Published - 19 December, 2018    By - Dr Clemens
Postoperative Corneal Injuries: Incidence and Risk Factors

Authors: Deljou A et al Anesthesia & Analgesia (Aug 2018) BACKGROUND Previous studies of postoperative corneal injury rates relied on provider-initiated incident reports, which may underestimate the true incidence. Postoperative administration of proparacaine eye drops is used almost exclusively to diagnose corneal injury; therefore, identifying instances of administration may provide a better estimate of corneal […]

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Uncategorized Published - 19 December, 2018    By - Dr Clemens
Prolonged Intubation Injuries of the Larynx: Endoscopic Diagnosis, Classification, And Treatment

Authors: Benjamin B Annals of Otology Rhinology & Laryngology 127 (8), 492-507 (Aug 2018) Laryngeal trauma from prolonged endotracheal intubation occurs in patients of all ages. Most changes are superficial and heal quickly. Injuries that are found consistently during intubation include nonspecific changes, edema, granulation tissue, ulceration, and othermiscellaneous injuries. In thispapersignificant, severe, and lasting […]

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Uncategorized Published - 19 December, 2018    By - Dr Clemens
Smartphone-Integrated Consumer Pulse Oximetry Baby Monitors May Not Be Accurate

This has nothing to do with anesthesia however most of our readers have either kids or grand kids so I wanted to share it. Bonafide CP et al. JAMA 2018 Aug 21 Compared with an FDA-approved monitor, two non–FDA-approved monitors had inaccurate and inconsistent readings. As smartphone-integrated health apps become more ubiquitous, the accuracy of those that […]

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Uncategorized Published - 19 December, 2018    By - Dr Clemens
Airway Management of Children With Rare Syndromes

Anesthesiology News A Look at 3 Cases Yvon F. Bryan, MD Anesthesiologist, Wake Forest Baptist Health Associate Professor, Anesthesiology Wake Forest School of Medicine Winston-Salem, North Carolina Kathleen N. Johnson, BS Clinical Research Assistant, Anesthesiology Wake Forest School of Medicine Winston-Salem, North Carolina Dr Bryan and Ms Johnson reported no relevant financial disclosures.  Download the printer-friendly PDF version […]

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Uncategorized Published - 18 December, 2018    By - Dr Clemens
Sedation Practices in the ICU

Anesthesiology News Darya Shevchenko, MD Department of Anesthesiology University of Rochester School of Medicine and Dentistry Rochester, New York Konstantinos Pilidis, MD Department of Anesthesiology University of Rochester School of Medicine and Dentistry Rochester, New York Peter J. Papadakos, MD Director, Division of Critical Care Medicine Professor, Anesthesiology, Surgery, Neurology and Neurosurgery University of Rochester […]

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Uncategorized Published - 18 December, 2018    By - Dr Clemens
Airway Management Roundtable 2018: 7 Questions for 7 Anesthesiologists

Anesthesiology News D. John Doyle, MD, PhD Consultant Anesthesiologist Department of General Anesthesiology Cleveland Clinic Abu Dhabi Abu Dhabi, United Arab Emirates Professor of Anesthesiology Cleveland Clinic Lerner College of Medicine of Case Western Reserve University Cleveland, Ohio Lauren Berkow, MD Professor of Neuroanesthesiology University of Florida College of Medicine Gainesville, Florida President-Elect Society for […]

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Uncategorized Published - 18 December, 2018    By - Dr Clemens
Which Transfusion Strategy for High-Risk Cardiac Surgery Patients?

 Authors: Mazer CD et al.  N Engl J Med 2018 Aug 26 Clinical outcomes at 6 months were similar with a liberal and a restrictive transfusion strategy, according to data from the TRICS III trial. In the international Transfusion Requirements in Cardiac Surgery (TRICS) III trial (NCT02042898), a restrictive red-cell transfusion strategy was shown to be noninferior […]

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