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Uncategorized Published - 20 March, 2018    By - Dr Clemens
Utility of Perioperative Lung Ultrasound in Pediatric Cardiac Surgery: A Randomized Controlled Trial

Authors: In-Kyung Song, M.D. et al Anesthesiology 4 2018, Vol.128, 718-727. Background: Pediatric cardiac patients are at risk for perioperative respiratory insufficiency. The objective of this study was to assess the utility of perioperative lung ultrasound examination in pediatric cardiac surgery. Methods: In this randomized, controlled trial, children (5 yr old or younger) undergoing cardiac surgery were allocated into […]

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Uncategorized Published - 20 March, 2018    By - Dr Clemens
Digital Rectal Exams for Routine Prostate Screening Discouraged

This is an article that I bet our male followers will be happy to read. Digital rectal examination (DRE) for prostate cancer screening in primary care should be discouraged given “the lack of evidence supporting its use,” according to a meta-analysis. The analysis encompassed seven studies measuring the effectiveness of DRE in screening for prostate […]

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Uncategorized Published - 19 March, 2018    By - Dr Clemens
Young Brain and Anesthesia: Refusal of Anesthesia Is Not an Option!

Authors: Deborah J. Culley, M.D. et al Anesthesiology 4 2018, Vol.128, 697-699. “…[T]here may be risk associated with exposure to general anesthesia…[but] surgery without adequate anesthesia and analgesia is simply not an option.” TWENTY-FIVE years ago, surgery was commonly performed on awake or paralyzed infants and children without the benefit of analgesics, sedatives, or anesthetics. This […]

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Uncategorized Published - 19 March, 2018    By - Dr Clemens
Cyclosporine before Coronary Artery Bypass Grafting Does Not Prevent Postoperative Decreases in Renal Function: A Randomized Clinical Trial

Authors: Per Ederoth, M.D., Ph.D. et al Anesthesiology 4 2018, Vol.128, 710-717. Background: Acute kidney injury is a common complication after cardiac surgery, leading to increased morbidity and mortality. One suggested cause for acute kidney injury is extracorporeal circulation–induced ischemia–reperfusion injury. In animal studies, cyclosporine has been shown to reduce ischemia–reperfusion injury in the kidneys. We hypothesized […]

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Uncategorized Published - 19 March, 2018    By - Dr Clemens
Anesthesia and Neurodevelopment in Children: Perhaps the End of the Beginning

Authors: David O. Warner, M.D. et al Anesthesiology4 2018, Vol.128, 700-703. “The potential for adverse neurodevelopmental effects of anesthetics is clearly a complex problem and the answers are not ‘obvious’…[and] we grapple with the specific question of whether animal findings translate to children…” EXPOSURE of young animals to most clinically-utilized anesthetics in sufficient doses changes […]

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