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Uncategorized Published - 12 January, 2023    By - Dr Clemens
CHEST Perioperative Guidelines for Antithrombotic Therapy

NEJM Journal Watch Daniel D. Dressler, MD, MSc, MHM, FACP, reviewing Douketis JD et al. Chest 2022 Nov Douketis JD et al. Chest 2022 Nov New recommendations guide management of perioperative and periprocedural antithrombotic agents. Background In their previous guideline on perioperative antithrombotic management (published a decade ago; Chest 2012;141:2 Suppl:e326S. opens in new tab), the ACCP addressed 11 questions; now, […]

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Uncategorized Published - 11 January, 2023    By - Dr Clemens
Lidocaine Intraoperative Infusion Pharmacokinetics during Partial Hepatectomy for Living Liver Donation

Authors: Cara E. Crouch, M.D. et al  Anesthesiology January 2023, Vol. 138, 71–81. Background Postoperative pain associated with open partial hepatectomy can be intense and persistent. The multimodal approach used to lessen this problem includes an intraoperative intravenous infusion of lidocaine hydrochloride. Decreased hepatic metabolism after resection raises concerns about safe lidocaine dosing in this patient […]

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Uncategorized Published - 11 January, 2023    By - Dr Clemens
Ultrasound-guided Percutaneous Cryoneurolysis to Treat Chronic Postamputation Phantom Limb Pain

Authors: Brian M. Ilfeld, M.D., M.S. et al  Anesthesiology January 2023, Vol. 138, 82–97. Background Postamputation phantom pain is notoriously persistent with few validated treatments. Cryoneurolysis involves the application of low temperatures to reversibly ablate peripheral nerves. The authors tested the hypothesis that a single cryoneurolysis treatment would decrease phantom pain 4 months later. Methods The […]

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Uncategorized Published - 11 January, 2023    By - Dr Clemens
Extended-age Out-of-sample Validation of Risk Stratification Index 3.0 Models Using Commercial All-payor Claims

Authors: Scott Greenwald, PhD et al  Anesthesiology December 2022. Background We previously reported a broad suite of individualized Risk Stratification Index 3.0 models for various meaningful outcomes in patients admitted to a hospital for medical or surgical reasons. The models used ICD-10 trajectories, and were restricted to information available at hospital admission, including coding history […]

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Uncategorized Published - 11 January, 2023    By - Dr Clemens
Pulse Oximetry Is Less Accurate in Patients with Darker Skin Pigmentation

NEJM Journal Watch Neil H. Winawer, MD, SFHM And the difference in accuracy might have clinical consequences. Pulse oximeters estimate the oxygen saturation of blood (SpO2) noninvasively by passing two wavelengths of light through the body and measuring the change in absorbance. This reading can be affected by the amount of melanin in the skin, […]

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