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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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Uncategorized Published - 5 August, 2016    By - Dr Clemens
The Impact of Surgery and Stored Red Blood Cell Transfusions on Nitric Oxide Homeostasis

Anesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 274–282 AUTHORS: Nagababu, Enika PhD et al BACKGROUND: Cell-free hemoglobin (Hb) forms in stored red blood cells (RBCs) as a result of hemolysis. Studies suggest that this cell-free Hb may decrease nitric oxide (NO) bioavailability, potentially leading to endothelial dysfunction, vascular injury, […]

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