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Uncategorized Published - 15 March, 2021    By - Dr Clemens
Intravenous versus Volatile Anesthetic Effects on Postoperative Cognition in Elderly Patients Undergoing Laparoscopic Abdominal Surgery

Authors: Yujuan Li, M.D., Ph.D. et al  Anesthesiology March 2021, Vol. 134, 381–394. Background Delayed neurocognitive recovery after surgery is associated with poor outcome. Most surgeries require general anesthesia, of which sevoflurane and propofol are the most commonly used inhalational and intravenous anesthetics. The authors tested the primary hypothesis that patients with laparoscopic abdominal surgery under […]

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Uncategorized Published - 15 March, 2021    By - Dr Clemens
Restrictive Transfusion Strategy after Cardiac Surgery: Role of Central Venous Oxygen Saturation Trigger

Authors: Norddine Zeroual, M.D. et al Anesthesiology March 2021, Vol. 134, 370–380. Background Recent guidelines on transfusion in cardiac surgery suggest that hemoglobin might not be the only criterion to trigger transfusion. Central venous oxygen saturation (Svo2), which is related to the balance between tissue oxygen delivery and consumption, may help the decision process of transfusion. […]

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Uncategorized Published - 15 March, 2021    By - Dr Clemens
Researchers uncover altered brain connectivity after prolonged anesthesia

Science Daily Source: Columbia University Summary: A body of evidence supports the association between prolonged anesthesia and cognitive impairment, but a new study is among the first to address the effect of the procedure on neural connections. Prolonged anesthesia, also known as medically induced coma, is a life-saving procedure carried out across the globe on millions […]

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Uncategorized Published - 15 March, 2021    By - Dr Clemens
Experimental Treatment Shows Promise in Treating Traumatic Brain Injury

Author: Mallory Olson  University Of Kentucky Dr. Kevin Hatton, the division chief of Anesthesiology Critical Care Medicine at UK HealthCare, explains the use of HBO (hyperbaric oxygen treatment) as an experimental treatment for traumatic brain injury. The University of Kentucky Department of Emergency Medicine, in collaboration with the University of Kentucky Departments of Neurosurgery and […]

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Uncategorized Published - 12 March, 2021    By - Dr Clemens
Dexmedetomidine vs. Propofol for Sedation During Mechanical Ventilation

Patricia Kritek, MD, reviewing Hughes CG et al. N Engl J Med 2021 Feb 2 NEJM Journal Watch Key clinical outcomes were similar with either drug. Current best practice in the intensive care unit (ICU) is to use the least medication necessary to keep patients alert, interactive, and comfortable while they receive mechanical ventilation. Compared with propofol and […]

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