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Uncategorized Published - 3 December, 2019    By - Dr Clemens
Preoperative Diastolic Dysfunction and Postoperative Outcomes after Noncardiac Surgery

Authors: Mark Willingham, MD, MSCI et al Journal of Cardiothoracic and Vascular Anesthesia Objective To determine if diastolic dysfunction is independently associated with increased mortality, acute kidney injury, and hospital length of stay after noncardiac surgery. Design Retrospective observational cohort. Setting Academic referral center. Participants All patients undergoing noncardiac and nonliver-transplant surgeries at University of […]

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Uncategorized Published - 3 December, 2019    By - Dr Clemens
Perioperative intravenous low‐dose ketamine for neuropathic pain after major lower back surgery

Authors: Christoph Czarnetzki et al European Journal of Pain  Nov 2019 Background Chronic pain after major lower back surgery is frequent. We investigated in adults the effect of perioperative low‐dose ketamine on neuropathic lower back pain, assessed by the DN4 questionnaire, six and 12 months after major lower back surgery. Methods In this single‐centre randomized trial, […]

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Uncategorized Published - 3 December, 2019    By - Dr Clemens
The Value of a Post‐induction Fentanyl Test in Identifying Severe Obstructive Sleep Apnea Syndrome

Authors: Ru Wu et al Pediatric Anesthesia Nov 2019 Background Children with severe obstructive sleep apnea syndrome (OSAS) are more sensitive to opioids. Identifying such children and reducing or even eliminating opioids are necessary but difficult. We have previous shown that patients sensitive to intraoperative fentanyl require less opioids post operatively. Aim The objective of […]

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Uncategorized Published - 3 December, 2019    By - Dr Clemens
Effects of postoperative furosemide in adult surgical patients

Authors: Winther‐Olesen et al Anaesthesiologica Scandinavica Nov 2019 Background Acute kidney injury (AKI) is associated with increased morbidity and mortality and may present as oliguria in the postoperative phase. Diuretics including furosemide are commonly used in postoperative patients. Accordingly, we aimed to assess thebalance between benefits and harms of furosemide postoperativelyin adult surgical patients. Methods […]

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Uncategorized Published - 3 December, 2019    By - Dr Clemens
Testing for Myocardial Viability in Patients with Ischemic Heart Failure

Authors: Panza JA et al.  N Engl J Med 2019 Aug 22 In a 10-year follow-up, myocardial viability does not predict benefit from revascularization or mortality. We cardiologists have long lived with the idea that the assessment of myocardial viability should inform decisions about revascularization, particularly in patients with ischemic cardiomyopathy, but some studies have questioned […]

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