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Uncategorized Published - 8 July, 2016    By - Dr Clemens
Which Anesthesia Regimen Is Best to Reduce Morbidity and Mortality in Lung Surgery?: A Multicenter Randomized Controlled Trial

Authors: Beatrice Beck-Schimmer, M.D. et al Anesthesiology 8 2016, Vol.125, 313-321. Background: One-lung ventilation during thoracic surgery is associated with hypoxia–reoxygenation injury in the deflated and subsequently reventilated lung. Numerous studies have reported volatile anesthesia–induced attenuation of inflammatory responses in such scenarios. If the effect also extends to clinical outcome is yet undetermined. We hypothesized that volatile […]

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Uncategorized Published - 8 July, 2016    By - Dr Clemens
Rapid Infusion of Hydroxyethyl Starch 70/0.5 but not Acetate Ringer’s Solution Decreases the Plasma Concentration of Propofol during Target-controlled Infusion

Authors:  Sayako Itakura, M.D. et al Anesthesiology 8 2016, Vol.125, 304-312. Background: Rapid fluid infusion resulting in increased hepatic blood flow may decrease the propofol plasma concentration (Cp) because propofol is a high hepatic extraction drug. The authors investigated the effects of rapid colloid and crystalloid infusions on the propofol Cp during target-controlled infusion. Methods: Thirty-six patients were […]

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Uncategorized Published - 8 July, 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 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 is unclear what method should be taught for this lifesaving procedure. The aim […]

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Uncategorized Published - 8 July, 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 - 7 July, 2016    By - Dr Clemens
Surgical Cricothyrotomy, Rather than Percutaneous Cricothyrotomy, in “Cannot Intubate, Cannot Oxygenate” Situation

Author: Takashi Asai, M.D., Ph.D. Anesthesiology 8 2016, Vol.125, 269-271. CRICOTHYROTOMY (except for surgical tracheostomy) is regarded as the last resort in a situation of “cannot intubate, cannot oxygenate” after induction of general anesthesia,1–3  and thus, we should always be prepared to perform this task reliably in such a dire situation. Cricothyrotomy can be performed either surgically […]

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