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Uncategorized Published - 5 April, 2016    By - Dr Clemens
When Seconds Count, Buy More Time: The Oxygen Reserve Index and Its Promising Role in Patient Monitoring and Safety

Authors: Allan F. Simpao, M.D., M.B.I.; Jorge A. Gálvez, M.D. Anesthesiology 4 2016, Vol.124, 750-751. THE pulse oximeter has become a virtually indispensable monitor for measuring a patient’s peripheral capillary oxygen saturation (Spo2) accurately and reliably in a continuous, noninvasive fashion.1 Despite its ubiquitous use as a detector of hypoxemia, pulse oximetry has limited utility to herald an […]

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Uncategorized Published - 4 April, 2016    By - Dr Clemens
Preoperative Laboratory Investigations: Rates and Variability Prior to Low-risk Surgical Procedures

Anesthesiology 4 2016, Vol.124, 804-814. Authors: Kyle R. Kirkham, M.D. et al Background: Increasing attention has been focused on low-value healthcare services. Through Choosing Wisely campaigns, routine laboratory testing before low-risk surgery has been discouraged in the absence of clinical indications. The authors investigated rates, determinants, and institutional variation in laboratory testing before low-risk procedures. Methods: Patients who […]

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Uncategorized Published - 4 April, 2016    By - Dr Clemens
Cerebral Oximetry Monitoring to Maintain Normal Cerebral Oxygen Saturation during High-risk Cardiac Surgery: A Randomized Controlled Feasibility Trial

Anesthesiology 4 2016, Vol.124, 826-836. Authors: Alain Deschamps, Ph.D., M.D. et al  Background: Cerebral oxygen desaturation during cardiac surgery has been associated with adverse perioperative outcomes. Before a large multicenter randomized controlled trial (RCT) on the impact of preventing desaturations on perioperative outcomes, the authors undertook a randomized prospective, parallel-arm, multicenter feasibility RCT to determine whether an […]

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Uncategorized Published - 4 April, 2016    By - Dr Clemens
Use of Intensive Care Services for Medicare Beneficiaries Undergoing Major Surgical Procedures

Anesthesiology 4 2016, Vol.124, 899-907. Authors: Hannah Wunsch, M.D., M.Sc. et al     Background: Use of intensive care after major surgical procedures and whether routinely admitting patients to intensive care units (ICUs) improve outcomes or increase costs is unknown. Methods: The authors examined frequency of admission to an ICU during the hospital stay for Medicare beneficiaries undergoing selected […]

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Uncategorized Published - 4 April, 2016    By - Dr Clemens
Two Approaches to Lessen Need for Reintubation

Authors: Spoletini G et al., JAMA 2016 Mar 15; High-flow oxygen and noninvasive positive pressure ventilation lowered reintubation rates in selected patient populations. During the past few years, interest has grown in using high-flow oxygen (HFO) and noninvasive positive pressure ventilation (NPPV) in lieu of intubation and mechanical ventilation (NEJM JW Gen Med Aug 1 2015 and JAMA 2015; 313:2331 […]

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