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Uncategorized Published - 22 June, 2020    By - Dr Clemens
Low Tidal Volumes Are Associated With Slightly Improved Oxygenation in Patients Having Cardiac Surgery

AUTHORS: Jia, Yuan MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1396-1406 BACKGROUND:  Mechanical ventilation with low tidal volumes appears to provide benefit in patients having noncardiac surgery; however, whether it is beneficial in patients having cardiac surgery is unclear. METHODS: We retrospectively examined patients having elective cardiac […]

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Uncategorized Published - 22 June, 2020    By - Dr Clemens
Dexamethasone reduces death by up to one third in hospitalised patients with severe respiratory complications of COVID-19

DG Alerts New preliminary results from the RECOVERY trial suggest that low-dose dexamethasone can reduce the risk of death by up to one third in hospitalised patients with severe respiratory complications of COVID-19. In March 2020, the RECOVERY trial was established as a randomised clinical trial to test a range of potential treatments for COVID-19, including low-dose […]

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Uncategorized Published - 22 June, 2020    By - Dr Clemens
Small case reports describe headache, keratoconjunctivitis as presenting symptoms of COVID-19

DG Alerts In a case series published in the journal Headache, Jyotika Singh, DO, Henry Ford Health System, Department of Neurology, Detroit, Michigan, US, and another colleague, describe 2 instances of women with a history of migraine whose first symptom of coronavirus disease 2019 (COVID-19) was a severe persistent headache. The first case involves a 31-year-old female, with a history of episodic […]

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Uncategorized Published - 19 June, 2020    By - Dr Clemens
Individualized Fluid Management Using the Pleth Variability Index

Authors: Marc-Olivier Fischer, M.D., Ph.D. et al  Anesthesiology 7 2020, Vol.133, 31-40. Background: The present trial was designed to assess whether individualized strategies of fluid administration using a noninvasive plethysmographic variability index could reduce the postoperative hospital length of stay and morbidity after intermediate-risk surgery.Methods: This was a multicenter, randomized, nonblinded parallel-group clinical trial conducted in five hospitals. […]

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Uncategorized Published - 19 June, 2020    By - Dr Clemens
Effects of Inhaled Iloprost on Lung Mechanics and Myocardial Function During One-Lung Ventilation in Chronic Obstructive Pulmonary Disease Patients Combined With Poor Lung Oxygenation

AUTHORS: Kim, Namo MD, PhD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1407-1414 BACKGROUND:  The ventilation/perfusion mismatch in chronic obstructive pulmonary disease (COPD) patients can exacerbate cardiac function as well as pulmonary oxygenation. We hypothesized that inhaled iloprost can ameliorate pulmonary oxygenation with lung mechanics and myocardial […]

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