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Uncategorized Published - 22 June, 2016    By - Dr Clemens
Restrictive versus Liberal Transfusion Strategy in the Perioperative and Acute Care Settings: A Context-specific Systematic Review and Meta-analysis of Randomized Controlled Trials

Anesthesiology 7 2016, Vol.125, 46-61 Authors: Frédérique Hovaguimian, M.D. et al Background: Blood transfusions are associated with morbidity and mortality. However, restrictive thresholds could harm patients less able to tolerate anemia. Using a context-specific approach (according to patient characteristics and clinical settings), the authors conducted a systematic review to quantify the effects of transfusion strategies. Methods: The authors searched MEDLINE, […]

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Uncategorized Published - 21 June, 2016    By - Dr Clemens
Preoperative Falls and Their Association with Functional Dependence and Quality of Life

Anesthesiology published on 6 2016 Authors: Vanessa L. Kronzer, B.A. et al Background: No study has rigorously explored the characteristics of surgical patients with recent preoperative falls. Our objective was to describe the essential features of preoperative falls and determine whether they are associated with preoperative functional dependence and poor quality of life. Methods: This was an observational […]

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Uncategorized Published - 21 June, 2016    By - Dr Clemens
Ultrasound-Guided Subclavian Vein Catheterization: Evidence and Practice

By Carly C. Barron, MSc; Andre Y. Denault, PhD, ABIM-CCM; and Manoj M. Lalu MD, PhD Central venous catheterization is a common procedure with more than 5 million central venous catheters (CVC) implanted each year in the United States.1,2 Approximately 8% of hospitalized patients require central venous access during the course of their hospital stay.2 Appropriate […]

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Uncategorized Published - 21 June, 2016    By - Dr Clemens
HAIs: When in Doubt, Blame Anesthesia. Could They Be Right?

By Ian Yuan, MD, and Jeffrey M. Feldman, MD, MSE Two patients come into a hospital for elective knee replacements. Their surgeries are uneventful, but both are found to have surgical site infections in follow-up visits. In the first patient, the anesthesia professional forgets to give antibiotics prior to the start of the procedure. The […]

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Uncategorized Published - 21 June, 2016    By - Dr Clemens
Low Tidal Volume Ventilation in the Operating Room—Where Are We Now?

by Tao Shen, MBBS, and Edward A. Bittner, MD, PhD, MSEd High tidal volume (TV) (10-15mL/kg) mechanical ventilation has been historically encouraged for anesthetized patients in the OR, especially for abdominal and thoracic procedures. This practice was based on a study published in the New England Journal of Medicine in 1963. It followed a series of 18 […]

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