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Uncategorized Published - 10 January, 2023    By - Dr Clemens
Postoperative Continuous Positive Airway Pressure Didn’t Prevent Respiratory Complications

NEJM Journal Watch Patricia Kritek, MD, reviewing PRISM trial group. Lancet Respir Med 2021 Nov Routine use of CPAP after abdominal surgery didn’t prevent pneumonia, reintubation, or death. Respiratory complications (e.g., hypoxemia, pneumonia) are common after abdominal surgery and are thought to be related to postoperative atelectasis. Although adequate analgesia and incentive spirometry are important to minimize atelectasis, […]

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Uncategorized Published - 9 January, 2023    By - Dr Clemens
Perioperative Red Blood Cell Transfusion Is Associated With Adverse Cardiovascular Outcomes in Heart Valve Surgery

AUTHORS: Kim, Hee Jung MD, PhD et al  Anesthesia & Analgesia November 01, 2022. BACKGROUND: We examined the relationship between blood transfusion and long-term adverse events to evaluate the clinical impact of red blood cell (RBC) transfusion on patients undergoing cardiac valve surgery. METHODS: From the National Health Insurance Service database, individuals undergoing heart valve […]

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Uncategorized Published - 9 January, 2023    By - Dr Clemens
Effect of 5% EMLA Cream on Postoperative Sore Throat in Adults Following General Endotracheal Anesthesia

AUTHORS: Murugaiyan, Abishek MD et al  Anesthesia & Analgesia November 01, 2022. BACKGROUND: Postoperative sore throat (POST) is a distressing complaint in adults after endotracheal intubation. This study aimed to evaluate the effect of topical application of a eutectic mixture of local anesthetics (EMLA) cream over the endotracheal tube (ETT) cuff on the incidence and severity […]

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Uncategorized Published - 9 January, 2023    By - Dr Clemens
Spinal or General Anesthesia for Total Hip Arthroplasty

NEJM Journal Watch Neil H. Winawer, MD, SFHM, reviewing Owen AR et al. J Bone Joint Surg Am 2022 Sep 7 Patients who received spinal anesthesia had less pain and opioid use and fewer intensive care admissions. The optimal choice of anesthesia — spinal or general — often is debated for patients undergoing total hip arthroplasty (THA). Mayo […]

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Uncategorized Published - 9 January, 2023    By - Dr Clemens
Preoperative Spirometry in Patients With Known or Suspected Chronic Obstructive Pulmonary Disease Undergoing Major Surgery

AUTHORS: Dankert, André MD et al  Anesthesia & Analgesia October 29, 2022. Abstract   BACKGROUND: Pulmonary function tests (PFTs) such as spirometry and blood gas analysis have been claimed to improve preoperative pulmonary risk assessment, but the scientific literature is conflicting. The Preoperative Diagnostic Tests for Pulmonary Risk Assessment in Chronic Obstructive Pulmonary Disease (PREDICT) […]

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