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Uncategorized Published - 28 December, 2017    By - Dr Clemens
Age Matters: The Older the Physician, the Fewer the Patient Complaints

It turns out the age of a physician does influence the likelihood patients will have a complaint. However, the older the doctor, the fewer patient complaints, according to a study published in JAMA Ophthalmology. Researchers from Vanderbilt University School of Medicine in Nashville, Tennessee, wanted to see if physician age was associated with an increased […]

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Uncategorized Published - 28 December, 2017    By - Dr Clemens
Vasopressin versus Norepinephrine in Patients with Vasoplegic Shock after Cardiac Surgery: A Discussion of the Level of Evidence

Authors: Arthur James, M.D. et al Anesthesiology 1 2018, Vol.128, 228. To the Editor: We read with great interest Hajjar et al.’s article1  that was published in the January 2017 issue of Anesthesiology. Norepinephrine, the most commonly recommended vasopressor agent for vasoplegic shock states, can cause unfortunate side effects; therefore, researchers strive to find a therapeutic alternative. Several […]

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Uncategorized Published - 28 December, 2017    By - Dr Clemens
Use of Vasopressin in Vasoplegic Syndrome with Reduced Ejection Fraction: Asking for Trouble

Author: Ajay Kumar Jha, M.D., D.M. Anesthesiology 1 2018, Vol.128, 227. To the Editor: I read the article by Hajjar et al. with great enthusiasm.1  First, I would like to congratulate the authors for their ambitious study and reasonable conclusions. They concluded that vasopressin improved clinical outcomes better than norepinephrine in vasoplegic shock after cardiac surgery. I would […]

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Uncategorized Published - 28 December, 2017    By - Dr Clemens
Preoperative Prediction of Chronic Postsurgical Pain after Thoracotomy: Need for Adequately Sized Population-based Samples

Authors: Antonio Montes, M.D., Ph.D. et al Anesthesiology 1 2018, Vol.128, 224. To the Editor: The article by Bayman et al.,1  evaluating predictors of chronic pain 6 months after thoracic surgery, provides important evidence of the high incidence and severity of chronic postsurgical pain (CPSP) after both thoracotomy and video-assisted thoracic surgery. However, we are surprised the authors […]

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Uncategorized Published - 28 December, 2017    By - Dr Clemens
Crystalloid versus Colloid for Intraoperative Goal-directed Fluid Therapy Using a Closed-loop System: A Randomized, Double-blinded, Controlled Trial in Major Abdominal Surgery

Authors: Alexandre Joosten, M.D. et al Anesthesiology 1 2018, Vol.128, 55-66. Background: The type of fluid and volume regimen given intraoperatively both can impact patient outcome after major surgery. This two-arm, parallel, randomized controlled, double-blind, bi-center superiority study tested the hypothesis that when using closed-loop assisted goal-directed fluid therapy, balanced colloids are associated with fewer postoperative complications […]

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