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Uncategorized Published - 22 April, 2025    By - Dr Clemens
Incidence of Concurrent Cerebral Desaturation and Electroencephalographic Burst Suppression in Cardiac Surgery Patients

AUTHORS: Ramachandran, Rushil Vladimir MD et al Anesthesia & Analgesia 140(5):p 1086-1092, May 2025. BACKGROUND: Increased intraoperative electroencephalographic (EEG) burst suppression is associated with postoperative delirium. Cerebral desaturation is considered as one of the factors associated with burst suppression. Our study investigates the association between cerebral desaturation and burst suppression by analyzing their concurrence. Additionally, we […]

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Uncategorized Published - 21 April, 2025    By - Dr Clemens
TEN COMMANDMENTS OF ANESTHESIA

Author: Richard Novak MD The Anesthesia Consultant The Ten Commandments in the Old Testament of the Bible described a path toward a proper life. In anesthesia, I see commandments as guidelines for how to be a safe and excellent anesthesiologist. Based on forty years of clinical practice and administration in both community and academic anesthesiology, here are Ten […]

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Uncategorized Published - 21 April, 2025    By - Dr Clemens
Preoperative Multivariable Model for Risk Stratification of Hypoxemia During One-Lung Ventilation

AUTHORS: Zorrilla-Vaca, Andres MD et al Anesthesia & Analgesia 140(5):p 1029-1036, May 2025. BACKGROUND: Hypoxemia occurs with relative frequency during one-lung ventilation (OLV) despite advances in airway management. Lung perfusion scans are thought to be one of the most accurate methods to predict hypoxemia during OLV, but their complexity and costs are well-known limitations. There is […]

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Uncategorized Published - 21 April, 2025    By - Dr Clemens
Opioid Dose Variation in Cardiac Surgery

AUTHORS: Fisher, Clark MD, PhD et al Anesthesia & Analgesia 140(5):p 1016-1027, May 2025. BACKGROUND: Although high-opioid anesthesia was long the standard for cardiac surgery, some anesthesiologists now favor multimodal analgesia and low-opioid anesthetic techniques. The typical cardiac surgery opioid dose is unclear, and the degree to which patients, anesthesiologists, and institutions influence this opioid dose […]

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Uncategorized Published - 21 April, 2025    By - Dr Clemens
Risk of Acute Complications with Rocuronium versus Cisatracurium in Patients with Chronic Kidney Disease

AUTHORS: Georgakis, Nikolas A. BS et al Anesthesia & Analgesia 140(5):p 1004-1011, May 2025. BACKGROUND: Neuromuscular blocking agents (NMBAs) play an integral role in modern anesthesia by facilitating endotracheal tube placement, assisting with mechanical ventilation, and creating optimal surgical conditions. However, NMBAs can have deleterious side effects. The purpose of this study was to retrospectively analyze […]

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