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Uncategorized Published - 12 June, 2019    By - Dr Clemens
General Anesthesia for Cesarean Delivery: Occasionally Essential but Best Avoided

Authors: Jill Mhyre, M.D. et al Anesthesiology 6 2019, Vol.130, 864-866. “…[I]n the absence of contraindications, neuraxial anesthesia has been and remains the gold standard anesthetic for cesarean delivery.” Cesarean delivery is the most commonly performed operation in the United States, with more than one million women undergoing this procedure per year. Neuraxial anesthesia is widely […]

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Uncategorized Published - 12 June, 2019    By - Dr Clemens
Association between COMT polymorphism, labor anxiety, and analgesia in pregnant women

Authors: Xiaohui Ren et al Journal of Pain Research Volume 12 Background: COMT gene polymorphism is associated with mental disorders and sensitivity to pain. In this study, we investigated the association between the COMT gene polymorphism and labor anxiety and analgesia in pregnant women. Subjects and methods: A total of 425 pregnant women undergoing labor analgesia were […]

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Uncategorized Published - 12 June, 2019    By - Dr Clemens
Failure to Debrief after Critical Events in Anesthesia Is Associated with Failures in Communication during the Event

Authors: Alexander F. Arriaga, M.D., M.P.H., Sc.D. et al Anesthesiology 6 2019, Vol.130, 1039-1048. Editor’s Perspective: What We Already Know about This Topic: Debriefing after an actual critical event is an established good practice in medicine, but a gap exists between principle and implementation. What This Article Tells Us That Is New: Failure to debrief after […]

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Uncategorized Published - 12 June, 2019    By - Dr Clemens
Lung Recruitment in Obese Patients with Acute Respiratory Distress Syndrome

Authors: Jacopo Fumagalli, M.D. et al Anesthesiology 5 2019, Vol.130, 791-803 Editor’s Perspective: What We Already Know about This Topic: Obesity increases the propensity to atelectasis in acute respiratory distress syndrome, but the optimal approach to reversing this atelectasis is uncertain What This Article Tells Us That Is New: A clinical crossover study comparing three approaches to titrate […]

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Uncategorized Published - 12 June, 2019    By - Dr Clemens
β-Blockers Might Improve COPD Outcomes

Autors: Nielsen AO et al.  Clinical Medicine 2019 Jan Hospitalizations for chronic obstructive pulmonary disease were less common in patients who received β-blockers. Patients with chronic obstructive pulmonary disease (COPD) often do not receive β-blockers because of concerns that they might exacerbate respiratory symptoms. Using Danish registries from 1995 to 2015, investigators studied the incidence of […]

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