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Uncategorized Published - 11 November, 2019    By - Dr Clemens
Patient and System Factors Affecting Anesthesiologist First Case Start Performance

Authors: George Hoffman, M.D. et al Introduction: Performance of anesthesiologists, surgical teams, and perioperative systems is commonly measured by the percent of first case on time start (FCOTS) as percent of first cases of the day (FCOD) and by first case start delay (FCSD) time. Although these metrics have reported variable relationships to other measures […]

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Uncategorized Published - 8 November, 2019    By - Dr Clemens
Preoperative Blood Pressure Complexity Indices as a Marker for Frailty in Patients Undergoing Cardiac Surgery

Authors: Valluvan Rangasamy, MD, DESA  et al Journal of Cardiothoracic and Vascular Anesthesia Oct 2019 Objective Frailty, a state of decreased physiological reserve, increases the risk of adverse outcomes. There is no standard tool for frailty during perioperative period. Autonomic dysfunction, an underlying process in frailty, could result in hemodynamic fluctuations. Complexity, the physiological adaptability […]

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Uncategorized Published - 8 November, 2019    By - Dr Clemens
The influence of time to surgery on mortality after a hip fracture

Authors: Johan Kristiansson et al Anaesthesiologica Scandinavica Oct 2019 Background The effect of time‐to‐surgery on mortality in acute hip fracture (AHF) patients has been debated and studies are inconsistent regarding from what time‐limit mortality starts to increase. At Sahlgrenska University Hospital/Mölndal, surgery is recommended within 24 hours leaving little time for preoperative optimisation. However, internationally […]

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Uncategorized Published - 8 November, 2019    By - Dr Clemens
Investigational Capsaicin Therapy After Bunionectomy Reduces Pain, Opioid Reliance

Author: Bob Kronemyer Anesthesiology News The novel, water-soluble prodrug CA-008 (Concentric Analgesics), coupled with standard of care treatment that included a Mayo block with bupivacaine hydrochloride (HCl), was found to significantly reduce both pain and opioid reliance after bunionectomy surgery, according to two randomized, placebo-controlled studies. “CA-008 is a prodrug of trans-capsaicin, the substance in […]

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Uncategorized Published - 8 November, 2019    By - Dr Clemens
Ketamine Administration During Hospitalization Is Not Associated With Posttraumatic Stress Disorder Outcomes in Military Combat Casualties

AUTHORS: Highland, Krista B. PhD et al Anesthesia & Analgesia: July 17, 2019 BACKGROUND: Ketamine is routinely used within the context of combat casualty care. Despite early concerns that ketamine administration may be associated with elevated risk of posttraumatic stress disorder (PTSD), more recent evidence suggests no relationship. Because PTSD occurs with regular frequency in Operation Iraqi […]

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