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Uncategorized Published - 15 September, 2020    By - Dr Clemens
MH Survival without Dantrolene

Authors: Wayne Simmons, DO; Dandan Feng, MD; Zhengliang Ma, MD; Xiaoping Gu, MD; Jeffrey Huang, MD Anesthesia Patient Safety Foundation  Treatment of intraoperative malignant hyperthermia (MH) usually involves administration of IV dantrolene, which reduces the mortality from over 80% if untreated to less than 10%.1 When dantrolene is simply not available, physical and metabolic treatments must […]

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Uncategorized Published - 15 September, 2020    By - Dr Clemens
Anesthesiologist behavior and anesthesia machine use in the operating room during the COVID-19 pandemic: awareness and changes to cope with the risk of infection transmission

Author: Shinju Obara Journal of Anesthesia (2020) Abstract The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) disease [coronavirus disease 2019 (COVID-19) infection] first appeared in December 2019 in China and is now spreading worldwide. Because SARS-CoV-2 can be transmitted via aerosols and surface contaminations of the environment, appropriate use of anesthesia machines and appropriate behavior in […]

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Uncategorized Published - 15 September, 2020    By - Dr Clemens
Teamwork Needed to Reduce Stroke and Its Consequences in Cardiac Surgery: AHA

Author: L. A. McKeown tct/MD Good communication and teamwork before, during, and after are keys to minimizing the risk of stroke in patients undergoing cardiac and thoracic aortic surgery, according to a new scientific statement from the American Heart Association (AHA). “I would be the happiest person on earth if this document is useless because […]

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Uncategorized Published - 15 September, 2020    By - Dr Clemens
WHO Recommends Corticosteroids for Severe COVID-19 After Positive Study Results

By Kelly Young NEJM Journal Watch Edited by Susan Sadoughi, MD, and Richard Saitz, MD, MPH, FACP, DFASAM The World Health Organization recommends systemic corticosteroids to treat patients with severe and critical COVID-19. The guidance coincides with the publication of three randomized trials and a meta-analysis on corticosteroids in JAMA. The WHO recommends 6 mg of dexamethasone orally […]

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Uncategorized Published - 14 September, 2020    By - Dr Clemens
Anesthesia and Circulating Tumor Cells in Primary Breast Cancer Patients

Authors: Frédérique Hovaguimian, M.D. et al  Anesthesiology August 2020, Vol. 133, 548–558. Background The effect of anesthetic drugs on cancer outcomes remains unclear. This trial aimed to assess postoperative circulating tumor cell counts—an independent prognostic factor for breast cancer—to determine how anesthesia may indirectly affect prognosis. It was hypothesized that patients receiving sevoflurane would have higher […]

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