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Uncategorized Published - 6 October, 2016    By - Dr Clemens
Intraoperative Care Transitions Are Not Associated with Postoperative Adverse Outcomes

Anesthesiology 10 2016, Vol.125, 690-699. Authors: Maxim A. Terekhov, M.S., M.B.A. et al Background: Whether anesthesia care transitions and provision of short breaks affect patient outcomes remains unclear. Methods: The authors determined the number of anesthesia handovers and breaks during each case for adults admitted between 2005 and 2014, along with age, sex, race, American Society of Anesthesiologists […]

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Uncategorized Published - 5 October, 2016    By - Dr Clemens
Impact of a Potassium-enriched, Chloride-depleted 5% Glucose Solution on Gastrointestinal Function after Major Abdominopelvic Surgery: Results of a Randomized Controlled Trial

Anesthesiology 10 2016, Vol.125, 678-689 Authors: Lukas M. Löffel, M.D. et al Background: Gastrointestinal (GI) complications often delay recovery after radical cystectomy with urinary diversion. The authors investigated if perioperative administration of a potassium-enriched, chloride-depleted 5% glucose solution (G5K) accelerates recovery of GI function. Methods: This randomized, parallel-group, single-center double-blind trial included 44 consecutive patients undergoing radical cystectomy […]

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Uncategorized Published - 5 October, 2016    By - Dr Clemens
Success of Intubation Rescue Techniques after Failed Direct Laryngoscopy in Adults: A Retrospective Comparative Analysis from the Multicenter Perioperative Outcomes Group

Anesthesiology 10 2016, Vol.125, 656-666. Authors: Michael F. Aziz, M.D. et al Background: Multiple attempts at tracheal intubation are associated with mortality, and successful rescue requires a structured plan. However, there remains a paucity of data to guide the choice of intubation rescue technique after failed initial direct laryngoscopy. The authors studied a large perioperative database to […]

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Uncategorized Published - 5 October, 2016    By - Dr Clemens
Sedation with Dexmedetomidine or Propofol Impairs Hypoxic Control of Breathing in Healthy Male Volunteers: A Nonblinded, Randomized Crossover Study

Anesthesiology 10 2016, Vol.125, 700-715 Authors: Åse Lodenius, M.D., D.E.S.A. et al Background: In contrast to general anesthetics such as propofol, dexmedetomidine when used for sedation has been put forward as a drug with minimal effects on respiration. To obtain a more comprehensive understanding of the regulation of breathing during sedation with dexmedetomidine, the authors compared ventilatory […]

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Uncategorized Published - 5 October, 2016    By - Dr Clemens
Hydrocortisone Doesn’t Seem to Lower Risk for Septic Shock in Adults with Sepsis

Edited by David G. Fairchild, MD, MPH Low-dose hydrocortisone infusion may not prevent progression to septic shock among adults with severe sepsis, according to a JAMA study. Some 380 adults with severe sepsis who were not in septic shock were randomized to receive placebo or hydrocortisone (an initial 50-mg intravenous bolus, followed by a 200-mg continuous infusion daily […]

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