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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 […]
Read MoreAUTHORS: 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 […]
Read MoreAuthor: 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 […]
Read MoreAuthor: Саrdiac Anesthesiologist Immediately after Cardiac Surgery (CS), most patients have some degree of bleeding. If left unevacuated, retained blood can cause tamponade or hemothorax. Thus, a pericardial drain is always necessary after CS to evacuate shed mediastinal blood. Drains used to evacuate shed mediastinal blood are prone to clogging with clotted blood in up to 36% of patients. When these […]
Read MoreAuthor: Cardiac Anesthesiologist Most cardiac surgeons use wire cerclage for sternotomy closure because of the perceived low rate of sternal wound complications and low cost of wires. Wire cerclage brings the cut edges of bone back together by wrapping a wire or band around or through the 2 portions of bone, then tightening the wire […]
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