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Uncategorized Published - 30 December, 2021    By - Dr Clemens
Intraoperative Hypotension and Acute Kidney Injury after Noncardiac Surgery in Infants and Children

Authors: Nadav Y. Schacham, M.D. et al  Anesthesiology January 2022, Vol. 136, 93–103. Background Age- and sex-specific reference nomograms for intraoperative blood pressure have been published, but they do not identify harm thresholds. The authors therefore assessed the relationship between various absolute and relative characterizations of hypotension and acute kidney injury in children having noncardiac […]

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Uncategorized Published - 30 December, 2021    By - Dr Clemens
Selection of Intravenous Catheters and Sites

Author: Cardiac Anesthesiologist  Peripheral and Midline Catheter Recommendations1. In adults, use an upper-extremity site for catheter insertion. Replace a catheter inserted in a lower extremity site to an upper extremity site as soon as possible. Category II2. In pediatric patients, the upper or lower extremities or the scalp (in neonates or young infants) can be used as the catheter […]

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Uncategorized Published - 30 December, 2021    By - Dr Clemens
Burnout or Resilience? How Anesthesiologists at an Academic Institution Dealt with the Pandemic

Authors: Neha Dasmunshi, MD and Katharine Miles, MD ASA Monitor January 2022, Vol. 86, 22–23. Anesthesiologists practicing social distancing in the hospital breakroom during the COVID-19 pandemic. As anesthesiologists, we are trained to be flexible and adapt our plans to rapidly evolving circumstances. Being an anesthesiologist, however, is only one facet of our identities. We balance our […]

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Uncategorized Published - 30 December, 2021    By - Dr Clemens
Early oral treatment with molnupiravir reduced risk of hospitalisation or death in at-risk, unvaccinated adults with COVID-19

DG Alerts Early treatment with molnupiravir, an oral, small-molecule antiviral prodrug, reduced the risk of hospitalisation or death in at-risk, unvaccinated adults with coronavirus disease 2019 (COVID-19), according to a study published in The New England Journal of Medicine. “These data from the MOVe-OUT Phase III trial in nonhospitalised at-risk adults with COVID-19 indicate that molnupiravir, […]

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Uncategorized Published - 30 December, 2021    By - Dr Clemens
ASPIRATION

doctoryg.blogspot.com Risk Factors of Aspiration Patient: Inadequate fasting Delayed gastric emptying Incompetent Lower Oesophageal Sphincter Emergency Pregnancy Diabetes, Obesity Hiatus Hernia GORD   Surgery: Upper GI tract Lithotomy Head down Laparoscopy Cholecystectomy   Anaesthetic: Light anaesthesia Supraglottic airways Positive-pressure ventilation Difficult airway Long surgery   Management of Aspiration: 1 Call for help, communicate and delegate. 2 Place head […]

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