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Uncategorized Published - 28 August, 2018    By - Dr Clemens
Processed Electroencephalogram Monitoring and Postoperative Delirium: A Systematic Review and Meta-analysis

Authors: Kristen K. MacKenzie, M.D. et al  Anesthesiology 9 2018, Vol.129, 417-427. What We Already Know about This Topic: Up to 20% of patients undergoing major surgery experience postoperative delirium or cognitive dysfunction Intraoperative management strategies to reduce the risk of postoperative delirium remain unclear What This Article Tells Us That Is New: The heterogeneity of […]

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Uncategorized Published - 28 August, 2018    By - Dr Clemens
Baseline Cerebral Metabolic Rate Is a Critical Determinant of the Cerebral Vasodilating Potency of Volatile Anesthetic Agents

Author: John C. Drummond, M.D., F.R.C.P.C. Anesthesiology 7 2018, Vol.129, 187-189. Abstract A Comparison of the Direct Cerebral Vasodilating Potencies of Halothane and Isoflurane in the New Zealand White Rabbit. By Drummond JC, Todd MM, Scheller MS, and Shapiro HM. Anesthesiology 1986; 65:462–7. Reprinted with permission. Halothane is commonly viewed as a more potent cerebral vasodilator than […]

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Uncategorized Published - 27 August, 2018    By - Dr Clemens
FDA Approves Liposomal Bupivacaine for Interscalene Brachial Plexus Block

On Friday the FDA approved a supplemental new drug application (sNDA) for the administration of liposomal bupivacaine (Exparel, Pacira) via interscalene brachial plexus block for postoperative regional analgesia. Liposomal bupivacaine now becomes the first long-acting, single-dose nerve block available for upper extremity surgeries, such as total shoulder arthroplasty. The approval comes despite an earlier, marginally […]

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Uncategorized Published - 27 August, 2018    By - Dr Clemens
Do Hospitals Performing Frequent Neuraxial Anesthesia for Hip and Knee Replacements Have Better Outcomes?

Authors: Stavros G. Memtsoudis, M.D., Ph.D., F.C.C.P. et al  Anesthesiology 9 2018, Vol.129, 428-439. What We Already Know about This Topic: Neuraxial anesthesia is being used more frequently for elective hip and knee replacements It is unclear whether increasing rates of hospital-level use of neuraxial anesthesia are associated with beneficial medical or economic outcomes What This […]

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Uncategorized Published - 27 August, 2018    By - Dr Clemens
Critical Role of the Surgeon–Anesthesiologist Relationship for Patient Safety

Author: Jeffrey B. Cooper, Ph.D. Anesthesiology 9 2018, Vol.129, 402-405. Abstract Teamwork is now recognized as important for safe, high-quality perioperative care. The relationship in each surgeon–anesthesiologist dyad is perhaps the most critical element of overall team performance. A well-functioning relationship is conducive to safe, effective care. A dysfunctional relationship can promote unsafe conditions and contribute […]

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