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Uncategorized Published - 23 February, 2023    By - Dr Clemens
Performance of Noninvasive Airway Occlusion Maneuvers to Assess Lung Stress and Diaphragm Effort in Mechanically Ventilated Critically Ill Patients

Authors: Heder J. de Vries, M.D. et al  Anesthesiology March 2023, Vol. 138, 274–288. Background Monitoring and controlling lung stress and diaphragm effort has been hypothesized to limit lung injury and diaphragm injury. The occluded inspiratory airway pressure (Pocc) and the airway occlusion pressure at 100 ms (P0.1) have been used as noninvasive methods to assess […]

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Uncategorized Published - 23 February, 2023    By - Dr Clemens
Is time running out for small ASCs?

Author: Patsy Newitt  Becker’s ASC Review Although the ASC industry remains fragmented, some leaders are worried about the viability of independent ASCs amid an increasingly consolidated healthcare landscape. “I am focused on the consolidation of health systems, capital equity firms, private practices and third-party payers purchasing practices and ASCs,” Matt Kraemer, administrator of Northern Arizona […]

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Uncategorized Published - 23 February, 2023    By - Dr Clemens
Hospital-, Anesthesiologist-, Surgeon-, and Patient-Level Variations in Neuraxial Anesthesia Use for Lower Limb Revascularization Surgery

AUTHORS: Roberts, Derek J. MD, PhD, FRCSC et al  Anesthesia & Analgesia 135(6):p 1282-1292, December 2022. BACKGROUND: Although neuraxial anesthesia may promote improved outcomes for patients undergoing lower limb revascularization surgery, its use is decreasing over time. Our objective was to estimate variation in neuraxial (versus general) anesthesia use for lower limb revascularization at the hospital, […]

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Uncategorized Published - 23 February, 2023    By - Dr Clemens
Decreased Electroencephalographic Alpha Power During Anesthesia Induction Is Associated With EEG Discontinuity in Human Infants

AUTHORS: Chao, Jerry Y. MD, MS et al  Anesthesia & Analgesia 135(6):p 1207-1216, December 2022. | BACKGROUND: Electroencephalogram (EEG) discontinuity can occur at high concentrations of anesthetic drugs, reflecting suppression of electrocortical activity. This EEG pattern has been reported in children and reflects a deep state of anesthesia. Isoelectric events on the EEG, a more extreme degree […]

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Uncategorized Published - 23 February, 2023    By - Dr Clemens
Are Viscoelastic Tests Clinically Useful to Identify Platelet-Dependent Bleeding in High-Risk Cardiac Surgery Patients?

AUTHORS: Baryshnikova, Ekaterina PhD et al  Anesthesia & Analgesia 135(6):p 1198-1206, December 2022. BACKGROUND: Postoperative use of platelet function testing to rule out microvascular bleeding due to platelet dysfunction after cardiac surgery still lacks strong reference data and reliable cutoff values, yielding a clinically adequate sensitivity and specificity. The present study aims to investigate the performance […]

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