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Uncategorized Published - 9 November, 2021    By - Dr Clemens
Comparison of Percentage Prolonged Times to Tracheal Extubation Between a Japanese Teaching Hospital and One in the United States, Without and With a Phase I Postanesthesia Care Unit

AUTHORS: Sugiyama, Daisuke MD, PhD et al  Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1206-1214 BACKGROUND:  Prolonged times to tracheal extubation are those from end of surgery (dressing on the patient) to extubation 15 minutes or longer. They are so long that others in the operating room (OR) generally have […]

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Uncategorized Published - 9 November, 2021    By - Dr Clemens
The Effect of Low-Dose Intraoperative Ketamine on Closed-Loop-Controlled General Anesthesia

AUTHORS: Napoleone, Gabby BSc et al Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1215-1224 BACKGROUND:  Closed-loop control of propofol-remifentanil anesthesia using the processed electroencephalography depth-of-hypnosis index provided by the NeuroSENSE monitor (WAVCNS) has been previously described. The purpose of this placebo-controlled study was to evaluate the performance (percentage time within […]

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Uncategorized Published - 8 November, 2021    By - Dr Clemens
Driving Pressure–Guided Individualized Positive End-Expiratory Pressure in Abdominal Surgery:

AUTHORS: Zhang, Chengmi MD, PhD et al Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1197-1205 BACKGROUND:  The optimal positive end-expiratory pressure (PEEP) to prevent postoperative pulmonary complications (PPCs) remains unclear. Recent evidence showed that driving pressure was closely related to PPCs. In this study, we tested the hypothesis that an […]

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Uncategorized Published - 8 November, 2021    By - Dr Clemens
Neurocognitive, Quality of Life, and Behavioral Outcomes for Patients With Covert Stroke After Cardiac Surgery

AUTHORS: Lewis, Choy MD et al Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1187-1196 BACKGROUND:  Asymptomatic brain ischemic injury detected with diffusion-weighted magnetic resonance imaging (DWI) is reported in more than one-half of patients after cardiac surgery. There are conflicting findings on whether DWI-detected covert stroke is associated with neurocognitive […]

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Uncategorized Published - 8 November, 2021    By - Dr Clemens
Survey of Practice Pattern in Patients With Heparin-Induced Thrombocytopenia Requiring Cardiopulmonary Bypass

AUTHORS: Wanat-Hawthorne, Alycia MD et al Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1180-1186 BACKGROUND:  Heparin-induced thrombocytopenia (HIT) is an immune-mediated adverse reaction to heparin. Patients undergoing cardiac surgery with cardiopulmonary bypass (CPB) are routinely anticoagulated with heparin before the initiation of bypass. Heparin is contraindicated, however, in patients with […]

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