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Uncategorized Published - 5 November, 2018    By - Dr Clemens
Comparison of the TOFscan and the TOF-Watch SX during Recovery of Neuromuscular Function

Authors: Glenn S. Murphy, M.D. et al  Anesthesiology 11 2018, Vol.129, 880-888. What We Already Know about This Topic: Monitoring of neuromuscular function recovery using quantitative methods improves patient outcome However, the application of quantitative monitoring is infrequent, in part because current devices are complex and application is time consuming What This Article Tells Us That […]

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Uncategorized Published - 5 November, 2018    By - Dr Clemens
Brain Dynamics and Temporal Summation of Pain Predicts Neuropathic Pain Relief from Ketamine Infusion

Authors: Rachael L. Bosma, Ph.D. et al  Anesthesiology 11 2018, Vol.129, 1015-1024. What We Already Know about This Topic: Ketamine is an N-methyl-d-aspartate antagonist with growing use in the management of chronic pain Descending pain modulatory circuits are key modulators of chronic pain What This Article Tells Us That Is New: The infusion of ketamine resulted in […]

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Uncategorized Published - 5 November, 2018    By - Dr Clemens
Impact of the Choice of Risk Model for Identifying Low-risk Patients Using the 2014 American College of Cardiology/American Heart Association Perioperative Guidelines

Authors: Laurent G. Glance, M.D. et al  Anesthesiology 11 2018, Vol.129, 889-900. What We Already Know about This Topic: The Revised Cardiac Risk Index, and the risk calculators based on the National Surgical Quality Improvement Program can be used to assess the risk of cardiac adverse events after noncardiac surgery Recent clinical practice guidelines recommend the […]

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Uncategorized Published - 5 November, 2018    By - Dr Clemens
Preoperative Cardiac Evaluation before Noncardiac Surgery: Reverend Bayes’s Risk Indices and Optimal Variables

Author: Lee A. Fleisher, M.D.  Anesthesiology 11 2018, Vol.129, 867-868. “[What are] the implications of advocating different risk algorithms on the decision for further diagnostic evaluation and potential interventional strategies[?]” THE preoperative evaluation of the patient has been a key function of anesthesiologists. The focus of the evaluation has been on identifying baseline comorbidities that will […]

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Uncategorized Published - 2 November, 2018    By - Dr Clemens
What do we know – and not know – about postoperative delirium?

Postoperative delirium affects a wide range of the general surgical population, with rates reported to be between 9 and 87 percent, depending on patient age and type of operative procedure. This adverse event has been associated with poor outcomes, such as increases in length of hospital stay, likelihood of being discharged to a rehabilitation center […]

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