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Uncategorized Published - 28 February, 2017    By - Dr Clemens
A Perioperative Systems Design to Improve Intraoperative Glucose Monitoring Is Associated with a Reduction in Surgical Site Infections in a Diabetic Patient Population

Authors: Jesse M. Ehrenfeld, M.D., M.P.H. et al Anesthesiology 3 2017, Vol.126, 431-440. Background: Diabetic patients receiving insulin should have periodic intraoperative glucose measurement. The authors conducted a care redesign effort to improve intraoperative glucose monitoring. Methods: With approval from Vanderbilt University Human Research Protection Program (Nashville, Tennessee), the authors created an automatic system to identify diabetic patients, […]

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Uncategorized Published - 28 February, 2017    By - Dr Clemens
Dexmedetomidine Disrupts the Local and Global Efficiencies of Large-scale Brain Networks

Authors: Javeria A. Hashmi, Ph.D. et al Anesthesiology 3 2017, Vol.126, 419-430. Background: A clear understanding of the neural basis of consciousness is fundamental to research in clinical and basic neuroscience disciplines and anesthesia. Recently, decreased efficiency of information integration was suggested as a core network feature of propofol-induced unconsciousness. However, it is unclear whether this finding […]

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Uncategorized Published - 27 February, 2017    By - Dr Clemens
Anesthetics, the Ryanodine Receptors, and the Heart

Authors: Ion A. Hobai, M.D., Ph.D. Anesthesiology 3 2017, Vol.126, 373-375. CARDIOVASCULAR complications are still a major cause of perioperative mortality and morbidity.1  Myocardial ischemia, arrhythmias, and cardiac pump failure usually harm patients with preexisting cardiac disease and/or during extreme hemodynamic challenges. To prevent these complications, a substantial body of research aims to understand the effects exerted […]

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Uncategorized Published - 27 February, 2017    By - Dr Clemens
Ketamine: A Drug at War with Itself

Authors: Paul Garcia, M.D., Ph.D. et al Anesthesiology 3 2017, Vol.126, 371-372. KETAMINE has always been the odd one out. Like an eccentric uncle who always turns up at the holiday season with a new partner, ketamine has never really comfortably fitted in to simple classifications of anesthetic drugs. Obviously, the anesthesia produced by ketamine is qualitatively […]

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Uncategorized Published - 27 February, 2017    By - Dr Clemens
Adjusting the Focus on Transfusion-associated Circulatory Overload

Authors: Nareg Roubinian, M.D., M.P.H.T.M. et al Anesthesiology 3 2017, Vol.126, 363-365. TRANSFUSION-ASSOCIATED circulatory overload (TACO) remains the most common pulmonary complication of transfusion and the second most common cause of transfusion-related deaths reported to the Food and Drug Administration.  The term TACO was coined by Popovsky  in 1983 and is characterized by new or worsening hydrostatic pulmonary […]

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