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Uncategorized Published - 1 November, 2016    By - Dr Clemens
Effects of dexmedetomidine on oxygenation and lung mechanics in patients with moderate chronic obstructive pulmonary disease undergoing lung cancer surgery: A randomised double-blinded trial

European Journal of Anaesthesiology: April 2016 – Volume 33 – Issue 4 – p 275–282 AUTHORS: Lee, Su Hyun et al BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a risk factor that increases the incidence of postoperative cardiopulmonary morbidity and mortality after lung resection. Dexmedetomidine, a selective α2-adrenoreceptor agonist, has been reported previously to attenuate intrapulmonary […]

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Uncategorized Published - 1 November, 2016    By - Dr Clemens
The Relationship Between Oxygen Reserve Index and Arterial Partial Pressure of Oxygen During Surgery

Anesthesia & Analgesia: September 2016 – Volume 123 – Issue 3 – p 626–633 AUTHORS: Applegate, Richard L. II MD et al BACKGROUND: The use of intraoperative pulse oximetry (SpO2) enhances hypoxia detection and is associated with fewer perioperative hypoxic events. However, SpO2 may be reported as 98% when arterial partial pressure of oxygen (PaO2) is […]

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Uncategorized Published - 1 November, 2016    By - Dr Clemens
Withholding versus Continuing Angiotensin-converting Enzyme Inhibitors or Angiotensin II Receptor Blockers before Noncardiac Surgery: An Analysis of the Vascular events In noncardiac Surgery patIents cOhort evaluatioN Prospective Cohort

Authors: Pavel S. Roshanov, M.D., M.Sc. et al Anesthesiology published on October 23, 2016. Background: The effect on cardiovascular outcomes of withholding angiotensin-converting enzyme inhibitors or angiotensin II receptor blockers in chronic users before noncardiac surgery is unknown. Methods: In this international prospective cohort study, the authors analyzed data from 14,687 patients (including 4,802 angiotensin-converting enzyme inhibitor/angiotensin II […]

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Uncategorized Published - 1 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 published on October 23, 2016. 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 […]

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Uncategorized Published - 31 October, 2016    By - Dr Clemens
Rovenstine Lecture: Professionalism requires a lifetime commitment

In a soul-searching Emery A. Rovenstine Memorial Lecture on Monday, David Chestnut, M.D., examined the key attributes of professionalism and his own journey on the road to professionalism in anesthesiology. “Each of us helps shape the culture of professionalism in our practice environment. Professionalism is not something that we learn once. None of us is […]

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