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Uncategorized Published - 18 November, 2022    By - Dr Clemens
Pharmacokinetics and Tolerability of Intraperitoneal Chloroprocaine After Fetal Extraction in Women Undergoing Cesarean Delivery

AUTHORS: Togioka, Brandon M. MD et al  Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 – p 777-786 BACKGROUND: Intraperitoneal chloroprocaine has been used during cesarean delivery to supplement suboptimal neuraxial anesthesia for decades. The short in vitro half-life of chloroprocaine (11–21 seconds) has been cited to support the safety of this approach. […]

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Uncategorized Published - 18 November, 2022    By - Dr Clemens
The Influence of Positive End-Expiratory Pressure on Leakage and Oxygenation Using a Laryngeal Mask Airway

AUTHORS: Ullmann, Hannah et al  Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 – p 769-776 BACKGROUND:  The value of positive end-expiratory pressure (PEEP) in maintaining oxygenation during ventilation with a laryngeal mask airway (LMA) mask is unclear. To clarify the potential benefit or harm to PEEP application during positive pressure ventilation with […]

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Uncategorized Published - 18 November, 2022    By - Dr Clemens
A Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial of Preoperative Antithrombin Supplementation in Patients at Risk for Antithrombin Deficiency After Cardiac Surgery

AUTHORS: Moront, Michael George MD et al Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 – p 757-768 BACKGROUND:  Antithrombin (AT) activity is reduced during cardiac operations with cardiopulmonary bypass (CPB), which is associated with adverse outcomes. Preoperative AT supplementation, to achieve >58% and <100% AT activity, may potentially reduce postoperative morbidity and […]

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Uncategorized Published - 17 November, 2022    By - Dr Clemens
Systems Anesthesiology: Integrating Insights From Diverse Disciplines to Improve Perioperative Care

AUTHORS: Ruscic, Katarina Jennifer MD et al  Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 – p 673-677 The twenty-first century saw the rise of “systems biology,” an interdisciplinary approach in biomedical research integrating computational modeling, cell biology, proteomics, and genomics to provide an understanding of the larger picture of a tissue or […]

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Uncategorized Published - 17 November, 2022    By - Dr Clemens
A Best Practice for Anesthesia Work Area Infection Control Measures: What Are You Waiting For?

Authors: Jonathan E. Charnin, MD, FASA et al  Anesthesia Patient Safety Foundation Oct 2022 SUMMARY:Evidence-based, basic infection control measures implemented effectively in the anesthesia work area can generate substantial reductions in pathogen transmission and surgical site infection development. These measures are indicated to improve patient safety. In this brief review, we characterize basic preventive measures […]

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