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Uncategorized Published - 14 November, 2016    By - Dr Clemens
Effectiveness of an Electronic Alert for Hypotension and Low Bispectral Index on 90-day Postoperative Mortality: A Prospective, Randomized Trial

Authors: Patrick J. McCormick, M.D. et al Anesthesiology 12 2016, Vol.125, 1113-1120. Background: We tested the hypothesis that an electronic alert for a “double low” of mean arterial pressure less than 75 mmHg and a bispectral index less than 45 reduces the primary outcome of 90-day mortality. Methods: Adults having noncardiac surgery were randomized to receive either intraoperative […]

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Uncategorized Published - 14 November, 2016    By - Dr Clemens
Quality of Quality Measurement: Impact of Risk Adjustment, Hospital Volume, and Hospital Performance

Authors: Laurent G. Glance, M.D. et al Anesthesiology 12 2016, Vol.125, 1092-1102. Background: The validity of basing healthcare reimbursement policy on pay-for-performance is grounded in the accuracy of performance measurement. Methods: Monte Carlo simulation was used to examine the accuracy of performance profiling as a function of statistical methodology, case volume, and the extent to which hospital or […]

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Uncategorized Published - 11 November, 2016    By - Dr Clemens
Anesthesia Kills Brain Cells, but What Does It Mean?

Author: Jeffrey W. Sall, Ph.D., M.D. Commentary: Long-term Fate Mapping to Assess the Impact of Postnatal Isoflurane Exposure on Hippocampal Progenitor Cell Productivity Anesthesiology 12 2016, Vol.125, 1090-1091. THE possibility of neurocognitive dysfunction after early exposure to anesthesia is an area of concern for anesthesiologists. Two recent clinical trials (“General Anaesthesia and Awake-Regional Anaesthesia in Infancy” [GAS] […]

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Uncategorized Published - 11 November, 2016    By - Dr Clemens
Exposure of Stored Packed Erythrocytes to Nitric Oxide Prevents Transfusion-associated Pulmonary Hypertension

Authors: Stefan Muenster, M.D. et al Published in Anesthesiology 11 2016, Vol.125, 952-963 Background: Transfusion of packed erythrocytes stored for a long duration is associated with increased pulmonary arterial pressure and vascular resistance. Prolonged storage decreases erythrocyte deformability, and older erythrocytes are rapidly removed from the circulation after transfusion. The authors studied whether treating stored packed ovine […]

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Uncategorized Published - 11 November, 2016    By - Dr Clemens
Blood Bupivacaine Concentrations After a Combined Single-Shot Sciatic Block and a Continuous Femoral Nerve Block in Pediatric Patients: A Prospective Observational Study.

Anesthesia & Analgesia: August 31, 2016 AUTHORS: Suresh, Santhanam MD et al BACKGROUND: We evaluated blood bupivacaine concentrations in children having a single-shot sciatic and continuous femoral blocks after anterior cruciate ligament repair. METHODS: Dried blood spot samples were analyzed for bupivacaine levels at 0, 5, 15, 30, 60, and 120 minutes and 4, 24, […]

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