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Uncategorized Published - 4 January, 2022    By - Dr Clemens
Challenges of Pediatric Anesthesia Services and Training Infrastructure in Tertiary Care Teaching Institutions in Pakistan

AUTHORS: Khan, Fauzia A. MBBS, FRCA et al Anesthesia & Analgesia: December 28, 2021 BACKGROUND: Pakistan is a lower middle–income country located in South Asia with a population of nearly 208 million. Sindh is its second largest province. The aim of this survey was to identify the current setup of pediatric services, staffing, equipment, and training […]

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Uncategorized Published - 3 January, 2022    By - Dr Clemens
Inflammatory Biomarker Levels After Propofol or Sevoflurane Anesthesia

AUTHORS:  O’Bryan, Liam J. MD et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 69-81 BACKGROUND:  The perioperative inflammatory response may be implicated in adverse outcomes including neurocognitive dysfunction and cancer recurrence after oncological surgery. The immunomodulatory role of anesthetic agents has been demonstrated in vitro; however, its clinical relevance […]

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Uncategorized Published - 3 January, 2022    By - Dr Clemens
The Relation Between Mean Arterial Pressure and Cardiac Index in Major Abdominal Surgery Patients

AUTHORS: Kouz, Karim MD et al  Anesthesia & Analgesia: December 10, 2021 BACKGROUND: Cardiac output is an important hemodynamic variable and determines oxygen delivery. In contrast to blood pressure, cardiac output is rarely measured even in high-risk surgical patients, suggesting that clinicians consider blood pressure to be a reasonable indicator of systemic blood flow. However, the […]

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Uncategorized Published - 3 January, 2022    By - Dr Clemens
Hydroxyethyl Starch for Fluid Management in Patients Undergoing Major Abdominal Surgery

AUTHORS: Pensier, Joris MD et al  Anesthesia & Analgesia: November 22, 2021 Abstract BACKGROUND: In critically ill patients, warnings about a risk of death and acute kidney injury (AKI) with hydroxyethyl starch (HES) solutions have been raised. However, HES solutions may yet have a role to play in major abdominal surgery. This meta-analysis and trial sequential […]

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Uncategorized Published - 3 January, 2022    By - Dr Clemens
CARDIAC ARREST DURING A PEDIATRIC TONSILLECTOMY

Author: Richard Novak MD the anesthesia consultant A 12-year-old boy and his mother walk into a surgery center. The child is scheduled for a tonsillectomy, and is otherwise healthy. The anesthesiologist induces general anesthesia, and ten minutes later the patient has ventricular arrhythmias which descend into a cardiac arrest. Advanced Cardiac Life Support (ACLS) measures […]

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