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Uncategorized Published - 22 February, 2023    By - Dr Clemens
Hypobaric Unilateral Spinal Anesthesia Versus General Anesthesia for Hip Fracture Surgery in the Elderly

AUTHORS: Simonin, Marine MD et al  Anesthesia & Analgesia 135(6):p 1262-1270, December 2022. BACKGROUND: Hypotension during surgery is frequent in the elderly population and is associated with acute kidney and myocardial injury, which are, themselves, associated with increased 30-day mortality. The present study compared the hemodynamic effects of hypobaric unilateral spinal anesthesia (HUSA) to general anesthesia […]

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Uncategorized Published - 22 February, 2023    By - Dr Clemens
Completion of an Enhanced Recovery Program in a Pediatric Ambulatory Surgery Center

AUTHORS: Martin, Lynn D. MD, MBA et al  Anesthesia & Analgesia 135(6):p 1271-1281, December 2022. BACKGROUND: Enhanced Recovery After Surgery (ERAS) was first established in 2001 focusing on recovery from complex surgical procedures in adults and recently expanded to ambulatory surgery. The evidence for ERAS in children is limited. In 2018, recognized experts began developing needed […]

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Uncategorized Published - 22 February, 2023    By - Dr Clemens
Early Vasopressor Utilization Strategies and Outcomes in Critically Ill Patients With Severe Traumatic Brain Injury

AUTHORS: Toro, Camilo BA et al  Anesthesia & Analgesia 135(6):p 1245-1252, December 2022.  BACKGROUND: Early hypotension after severe traumatic brain injury (sTBI) is associated with increased mortality and poor long-term outcomes. Current guidelines suggest the use of intravenous vasopressors, commonly norepinephrine and phenylephrine, to support blood pressure after TBI. However, guidelines do not specify vasopressor […]

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Uncategorized Published - 22 February, 2023    By - Dr Clemens
Predictors and Hospital Outcomes in Pregnant Patients Undergoing Extracorporeal Membrane Oxygenation

AUTHORS: van den Bosch, Oscar F. C. MD et al  Anesthesia & Analgesia 135(6):p 1172-1179, December 2022. Abstract BACKGROUND: Extracorporeal membrane oxygenation (ECMO) is increasingly used in patients with severe cardiorespiratory collapse. Although prior large database reviews of ECMO use in the peripartum population exist, they do not stratify by ECMO indication nor do they include […]

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Uncategorized Published - 22 February, 2023    By - Dr Clemens
Ultrasound-guided genicular nerves block vs. local infiltration analgesia for total knee arthroplasty

DG Journal Club Authors: T Cuñat, J Mejía, I Tatjer, O Comino Anaesthesia. 2022 Nov 9 Genicular nerves block is a promising technique to treat acute postoperative pain in total knee arthroplasty. Similar to surgeon-administered local infiltration analgesia, it targets sensory branches from the knee capsule, but through a selective ultrasound-guided injection that reduces local […]

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