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Uncategorized Published - 26 April, 2021    By - Dr Clemens
Supplemental Intraoperative Oxygen and Long-term Mortality

Authors: Qiliang Jiang, M.D. et al Anesthesiology May 2021, Vol. 134, 709–721. Background Whether supplemental oxygen worsens long-term mortality remains unclear, with contradictory trial results. The authors therefore tested the hypothesis that supplemental oxygen (80% vs. 30%) increases the hazard for long-term mortality. Methods The authors conducted a post hoc analysis of a large multiple crossover cluster trial in […]

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Uncategorized Published - 26 April, 2021    By - Dr Clemens
Analysis of Fentanyl Pharmacokinetics, and its Sedative Effects and Tolerance in Critically-Ill Children

DG Journal Club AUTHORS: Sin Yin Lim, Jamie L Miller et al. Pharmacotherapy. 2021 Feb 19 INTRODUCTION Fentanyl pharmacokinetic and pharmacodynamic data are limited in mechanically ventilated children. This study aims to assess the fentanyl pharmacokinetics (PK), the sedation outcome, and the development of tolerance in children receiving fentanyl continuous infusion. METHODS This study included […]

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Uncategorized Published - 26 April, 2021    By - Dr Clemens
Surgical risk scores may not be needed when considering TAVR

Author: Michael Walter Cardiovascular Business Clinicians may not necessarily need to assess a patient’s surgical risk when determining if they are a suitable candidate for transcatheter aortic valve replacement (TAVR), according to a new study published in Current Problems in Cardiology. Instead, that time could be spent focusing on other important considerations such as the patient’s […]

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Uncategorized Published - 26 April, 2021    By - Dr Clemens
Effects of general versus regional anaesthesia on circadian melatonin rhythm and its association with postoperative delirium in elderly patients undergoing hip fracture surgery

AUTHORS: Yi Yuan, Yanan Song et al. BMJ Open. 2021 Feb 12; 11(2): INTRODUCTION Postoperative delirium (POD) is a common neurological complication after hip fracture surgery and is associated with high morbidity and mortality in elderly patients. Although the specific mechanism of POD remains unclear, circadian rhythm disruptions have recently drawn increased attention. To date, […]

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Uncategorized Published - 26 April, 2021    By - Dr Clemens
Prophylactic norepinephrine infusion for postspinal anesthesia hypotension in patients undergoing cesarean section

DG Journal club AUTHORS: Yi Chen, Lili Zou et al. Pharmacotherapy. 2021 Feb 14 BACKGROUND Prophylactic norepinephrine infusion effectively lowers the incidence of postspinal anesthesia hypotension. The optimal prophylactic dose of norepinephrine remains undefined. The purpose of this study was to investigate the optimal prophylactic dose of norepinephrine to prevent postspinal anesthesia hypotension in patients […]

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