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Uncategorized Published - 8 August, 2016    By - Dr Clemens
Preoperative Evaluation Clinic Visit Is Associated with Decreased Risk of In-hospital Postoperative Mortality

Authors: Jeanna D. Blitz, M.D. et al Anesthesiology 8 2016, Vol.125, 280-294. Background: As specialists in perioperative medicine, anesthesiologists are well equipped to design and oversee the preoperative patient preparation process; however, the impact of an anesthesiologist-led preoperative evaluation clinic (PEC) on clinical outcomes has yet to be fully elucidated. The authors compared the incidence of in-hospital […]

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Uncategorized Published - 8 August, 2016    By - Dr Clemens
Anesthetic Neurotoxicity Meets Big Data: Reasons to Be Cheerful?

Authors: Cor J. Kalkman, M.D., Ph.D. et al Commentary: A Population-based Study Evaluating the Association between Surgery in Early Life and Child Development at Primary School Entry Anesthesiology 8 2016, Vol.125, 263-265 FOR more than a decade, the possibility that exposure to anesthetics may be harmful to the developing human brain has intrigued anesthesiologists and the public […]

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Uncategorized Published - 8 August, 2016    By - Dr Clemens
Transcranial Doppler to Predict Neurologic Outcome after Mild to Moderate Traumatic Brain Injury

Authors: Pierre Bouzat, M.D., Ph.D. et al     Anesthesiology 8 2016, Vol.125, 346-354.: Background: To assess the performance of transcranial Doppler (TCD) in predicting neurologic worsening after mild to moderate traumatic brain injury. Methods: The authors conducted a prospective observational study across 17 sites. TCD was performed upon admission in 356 patients (Glasgow Coma Score [GCS], 9 to […]

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Uncategorized Published - 8 August, 2016    By - Dr Clemens
Emergency Cricothyrotomy Performed by Surgical Airway–naive Medical Personnel: A Randomized Crossover Study in Cadavers Comparing Three Commonly Used Techniques

Authors: Frédéric Heymans, M.D. et al        Commentary: Surgical Cricothyrotomy, Rather than Percutaneous Cricothyrotomy, in “Cannot Intubate, Cannot Oxygenate” Situation Anesthesiology 8 2016, Vol.125, 295-303. Background: When conventional approaches to obtain effective ventilation and return of effective spontaneous breathing fail, surgical airway is the last rescue option. Most physicians have a limited lifetime experience with cricothyrotomy, and it […]

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Uncategorized Published - 5 August, 2016    By - Dr Clemens
Anesthesia Alert: Reduce PONV by “Bookending” Propofol

The key is to get gas out of the patient’s system. Michael Reines, MD Take advantage of propofol’s antiemetic properties by reintroducing it toward the end of the procedure. I‘ve developed an anesthetic technique that significantly reduces PONV and costs, and improves patient, surgeon and nurse satisfaction. I call it “bookending,” because it involves using […]

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