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Uncategorized Published - 24 August, 2021    By - Dr Clemens
Effect of a Sedation and Ventilator Liberation Protocol vs Usual Care on Duration of Invasive Mechanical Ventilation in Pediatric Intensive Care Units

DG Journal Club Authors: Bronagh Blackwood, Lyvonne N Tume et al. JAMA. 2021 Aug 3; 326(5): 401-410 Importance There is limited evidence on the optimal strategy for liberating infants and children from invasive mechanical ventilation in the pediatric intensive care unit. Objective To determine if a sedation and ventilator liberation protocol intervention reduces the duration […]

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Uncategorized Published - 24 August, 2021    By - Dr Clemens
TOPICAL ANESTHETIC

Author: Cardiac Anesthesiologist A number of local anesthetic formulations are available for topical anesthesia , lidocaine, dibucaine, tetracaine, and benzocaine being the drugs used most commonly. In general, these preparations provide effective but relatively short durations of analgesia when applied to mucous membranes or abraded skin. Their efficacy is determined by drug form, melting point, concentration, and […]

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Uncategorized Published - 23 August, 2021    By - Dr Clemens
Anterior Quadratus Lumborum Block Does Not Provide Superior Pain Control after Hip Arthroscopy

Authors: Stephen C. Haskins, M.D. et al  Anesthesiology September 2021, Vol. 135, 433–441. Background Hip arthroscopy is associated with moderate to severe postoperative pain. This prospective, randomized, double-blinded study investigates the clinically analgesic effect of anterior quadratus lumborum block with multimodal analgesia compared to multimodal analgesia alone. The authors hypothesized that an anterior quadratus lumborum […]

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Uncategorized Published - 23 August, 2021    By - Dr Clemens
Noninvasive Urine Oxygen Monitoring and the Risk of Acute Kidney Injury in Cardiac Surgery

Authors: Natalie A. Silverton, M.D., F.R.C.P.C., F.A.S.E et al  Anesthesiology September 2021, Vol. 135, 406–418. Background Acute kidney injury (AKI) is a common complication of cardiac surgery. An intraoperative monitor of kidney perfusion is needed to identify patients at risk for AKI. The authors created a noninvasive urinary oximeter that provides continuous measurements of urinary […]

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Uncategorized Published - 23 August, 2021    By - Dr Clemens
SHOULD YOU CANCEL SURGERY FOR A LOW POTASSIUM LEVEL OF 3.4 mEq/L?

Author: Richard Novak, MD The Anesthesia Consultant Clinical Case of the Month:  You’re medical director for a busy outpatient surgery center.  An RN routinely does the preoperative screening by telephoning each patient two days prior to surgery.  The RN pages you with this question:  A 48-year-old patient scheduled for anterior cruciate ligament (ACL) reconstruction surgery […]

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