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Uncategorized Published - 23 August, 2019    By - Dr Clemens
Effects of dexmedetomidine on delirium and mortality during sedation in ICU patients

 AUTHORS: Sun R  et al BMJ Open 9 (4), e025850 (Apr 2019) INTRODUCTION:  Delirium is very common in patients admitted to intensive care unit (ICU), and may worsen survival in these patients. Several meta-analyses have evaluated the antidelirium effects of dexmedetomidine in ICU patients, but their findings were inconsistent. Recently, several large multicentre randomised clinical […]

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Uncategorized Published - 23 August, 2019    By - Dr Clemens
Characterizing the Structural Integrity of Endotracheal Tube Taping Techniques

AUTHORS: Matchett, Gerald MD et al Anesthesia & Analgesia: May 2019 BACKGROUND: Endotracheal tubes (ETTs) are commonly secured with tape to prevent undesirable tube migration. Many methods of taping have been described, although little has been published comparing various methods of taping to one another. In this study, we evaluated several methods for securing ETTs with tape. […]

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Uncategorized Published - 23 August, 2019    By - Dr Clemens
Body Position Alters Mechanical Power and Respiratory Mechanics During Thoracic Surgery

AUTHORS: Chiumello, Davide MD et al Anesthesia & Analgesia: May 2019 BACKGROUND: During thoracic surgery, patients are usually positioned in lateral decubitus and only the dependent lung ventilated. The ventilated lung is thus exposed to the weight of the contralateral hemithorax and restriction of the dependent chest wall. We hypothesized that mechanical power would increase during one-lung […]

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Uncategorized Published - 23 August, 2019    By - Dr Clemens
End-Expiratory Occlusion Test to Predict Fluid Responsiveness Is Not Suitable for Laparotomic Surgery

AUTHORS: Weil, Gregoire MD et al Anesthesia & Analgesia: May 2019 BACKGROUND: The end-expiratory occlusion test predicts fluid responsiveness in ventilated intensive care patients; however, its utility in the operating room is questioned. We assessed end-expiratory occlusion test in laparotomic surgery for predicting volume expansion. METHODS: Forty-six patients were included in this study: stage 1 (n = 26) […]

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Uncategorized Published - 23 August, 2019    By - Dr Clemens
Retrospective Analysis of the Safety and Efficacy of Sugammadex Versus Neostigmine for the Reversal of Neuromuscular Blockade in Children

AUTHORS: Gaver, Renee S. MD et al Anesthesia & Analgesia: May 2019 BACKGROUND: Sugammadex, with its novel mechanism of action of encapsulation and noncompetitive binding of aminosteroid neuromuscular-blocking agents (rocuronium and vecuronium), may offer distinct advantage to pediatric patients where residual neuromuscular blockade may be poorly tolerated. Data describing its use in the pediatric population are limited, […]

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