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Uncategorized Published - 31 March, 2023    By - Dr Clemens
Effects of Goal-Directed Hemodynamic Therapy Using a Noninvasive Finger-Cuff Monitoring Device on Intraoperative Cerebral Oxygenation and Early Delayed Neurocognitive Recovery in Patients Undergoing Beach Chair Position Shoulder Surgery 2023

AUTHORS: Lee, Chen-Tse MD et al  Anesthesia & Analgesia 136(2):p 355-364, February 2023. BACKGROUND: Perioperative cerebral desaturation events (CDEs) and delayed neurocognitive recovery are common among patients undergoing beach chair position (BCP) shoulder surgery and may be caused by cerebral hypoperfusion. This study tested the hypothesis that the application of goal-directed hemodynamic therapy (GDHT) would attenuate […]

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Uncategorized Published - 31 March, 2023    By - Dr Clemens
Always Assess the Raw Electroencephalogram: Why Automated Burst Suppression Detection May Not Detect All Episodes 2023

AUTHORS: Fleischmann, Antonia MD et al  Anesthesia & Analgesia 136(2):p 346-354, February 2023. BACKGROUND: Electroencephalogram (EEG)-based monitors of anesthesia are used to assess patients’ level of sedation and hypnosis as well as to detect burst suppression during surgery. One of these monitors, the Entropy module, uses an algorithm to calculate the burst suppression ratio (BSR) that […]

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Uncategorized Published - 31 March, 2023    By - Dr Clemens
Health Care Burden Associated With Adolescent Prolonged Opioid Use After Surgery 2023

AUTHORS: Cummings Joyner et al  Anesthesia & Analgesia 136(2):p 317-326, February 2023. BACKGROUND: Prolonged opioid use after surgery (POUS), defined as the filling of at least 1 opioid prescription filled between 90 and 180 days after surgery, has been shown to increase health care costs and utilization in adult populations. However, its economic burden has not […]

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Uncategorized Published - 30 March, 2023    By - Dr Clemens
Prevalence and Outcomes of Opioid Use Disorder in Pediatric Surgical Patients 2023

AUTHORS: Alalade, Emmanuel MD et al  Anesthesia & Analgesia 136(2):p 308-316, February 2023. BACKGROUND: Chronic opioid use among adolescents is a leading preventable public health problem in the United States. Consequently, a sizable proportion of surgical patients in this age group may have a comorbid opioid use disorder (OUD). No previously published study has examined the […]

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Uncategorized Published - 30 March, 2023    By - Dr Clemens
Pulmonary Vasodilator Response of Combined Inhaled Epoprostenol and Inhaled Milrinone in Cardiac Surgical Patients

AUTHORS: Elmi-Sarabi, Mahsa MSc et al  Anesthesia & Analgesia 136(2):p 282-294, February 2023. BACKGROUND: Pulmonary hypertension (PH) and right ventricular (RV) dysfunction are major complications in cardiac surgery. Intraoperative management of patients at high risk of RV failure should aim to reduce RV afterload and optimize RV filling pressures, while avoiding systemic hypotension, to facilitate weaning […]

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