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Uncategorized Published - 24 March, 2021    By - Dr Clemens
Association between In-hospital Mortality and Low Cardiac Output Syndrome with Morning versus Afternoon Cardiac Surgery

Authors: Ryan M. Hijazi, D.O. et al Anesthesiology April 2021, Vol. 134, 552–561. Background Recent work suggests that having aortic valve surgery in the morning increases risk for cardiac-related complications. This study therefore explored whether mortality and cardiac complications, specifically low cardiac output syndrome, differ for morning and afternoon cardiac surgeries. Methods The study included adults […]

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Uncategorized Published - 24 March, 2021    By - Dr Clemens
A Lower Tidal Volume Regimen during One-lung Ventilation for Lung Resection Surgery Is Not Associated with Reduced Postoperative Pulmonary Complications

Authors: Douglas A. Colquhoun, M.B.Ch.B., M.Sc., M.P.H. et al  Anesthesiology April 2021, Vol. 134, 562–576. Background Protective ventilation may improve outcomes after major surgery. However, in the context of one-lung ventilation, such a strategy is incompletely defined. The authors hypothesized that a putative one-lung protective ventilation regimen would be independently associated with decreased odds of pulmonary […]

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Uncategorized Published - 24 March, 2021    By - Dr Clemens
Beta-blockers unlikely to cause depression, could contribute to sleep disturbances

Author: Aislinn Antrim Pharmacy Times Adverse effects, such as strange dreams, insomnia, and sleep disorders may be more likely for patients with a history of cardiovascular health issues. Although depression may occur during treatment with beta blockers, new research suggests that the drugs are not the likely cause. Beta-blockers are used to reduce heart rate, […]

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Uncategorized Published - 24 March, 2021    By - Dr Clemens
Osteopathic Manipulation of Questionable Benefit for Low Back Pain

NEJM Journal Watch By Kelly Young Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD Osteopathic manipulative treatment had a statistically significant but small effect on low back pain in a randomized trial in JAMA Internal Medicine. The researchers question the clinical usefulness of the treatment. Some 400 people in France with nonspecific subacute or […]

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Uncategorized Published - 23 March, 2021    By - Dr Clemens
Balanced Opioid-free Anesthesia with Dexmedetomidine versus Balanced Anesthesia with Remifentanil for Major or Intermediate Noncardiac Surgery

The Postoperative and Opioid-free Anesthesia (POFA) Randomized Clinical Trial Authors: Helene Beloeil, M.D., Ph.D. et al  Anesthesiology April 2021, Vol. 134, 541–551. Background It is speculated that opioid-free anesthesia may provide adequate pain control while reducing postoperative opioid consumption. However, there is currently no evidence to support the speculation. The authors hypothesized that opioid-free balanced anesthetic […]

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