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Uncategorized Published - 26 April, 2019    By - Dr Clemens
Nociception-guided versus Standard Care during Remifentanil–Propofol Anesthesia: A Randomized Controlled Trial

Authors: Fleur S. Meijer, M.D. et al Anesthesiology 5 2019, Vol.130, 745-755. What We Already Know about This Topic: The nociception level index (Medasense Biometrics Ltd., Ramat Gan, Israel), is a reliable measure of moderate to intense noxious stimulation during anesthesia and surgery What This Article Tells Us That Is New: In a randomized trial in […]

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Uncategorized Published - 26 April, 2019    By - Dr Clemens
Fibrin Sheath Formation during Mechanical Circulatory Support: Another Reason for Transesophageal Echocardiographic Monitoring

Autors: Michael Essandoh, M.D., F.A.S.E. Anesthesiology February 2019. Discontinuing mechanical circulatory support is often guided by transesophageal echocardiography (TEE).1,2  TEE was used to guide removal of an bicaval dual-lumen catheter (Avalon Elite, Maquet, Rastatt, Germany) after recovery of lung function in a patient supported with venovenous extracorporeal membrane oxygenation. TEE assessment of the right atrium showed […]

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Uncategorized Published - 26 April, 2019    By - Dr Clemens
General Anesthesia and the Cortex: Communication Breakdown?

“[Is] general anesthesia really a state of communication breakdown across the cortex? [What are] the implications for clinical monitoring?” Author: George A. Mashour, M.D., Ph.D. Anesthesiology 4 2019, Vol.130, 526-527. There is a growing body of evidence to suggest that depression or functional disconnection of frontal–parietal networks occurs during general anesthesia.1  If fully confirmed, this would be […]

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Uncategorized Published - 26 April, 2019    By - Dr Clemens
Adverse Events and Factors Associated with Potentially Avoidable Use of General Anesthesia in Cesarean Deliveries

Authors: Jean Guglielminotti, M.D., Ph.D. et al Anesthesiology February 2019. What We Already Know about This Topic: Neuraxial anesthesia is recommended in lieu of general anesthesia for cesarean deliveries The association of general anesthesia without a clinical indication with adverse events in cesarean deliveries remains poorly understood What This Manuscript Tells Us That Is New: […]

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Uncategorized Published - 26 April, 2019    By - Dr Clemens
Cannabis users needed up to twice the sedation for medical procedures, study says

CNN If you use cannabis, you might want to let your doctor know before having procedures needing anesthesia. A new study shows people who reported smoking or using edibles on a daily or weekly basis needed as much as two times the level of sedation than non-users. Researchers in Grand Junction, Colorado looked at 250 […]

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