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Uncategorized Published - 11 July, 2017    By - Dr Clemens
Analysis of Physiological Respiratory Variable Alarm Alerts Among Laboring Women Receiving Remifentanil

Authors: Weiniger, Carolyn F. MB, ChB et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1211–1218 BACKGROUND: Remifentanil may be used by laboring women for analgesia, despite controversy because of potential apneas. We evaluated candidate variables as early warning alerts for apnea, based on prevalence, positive predictive rate, sensitivity for […]

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Uncategorized Published - 11 July, 2017    By - Dr Clemens
Methylprednisolone Therapy in Acute Traumatic Spinal Cord Injury: Analysis of a Regional Spinal Cord Model Systems Database

AUTHORS: Sunshine, Jacob E. MD, MS et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1200–1205 BACKGROUND: The objective of this study was to assess the relationship between exposure to methylprednisolone (MP) and improvements in motor function among patients with acute traumatic spinal cord injury (TSCI). MP therapy for patients […]

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Uncategorized Published - 11 July, 2017    By - Dr Clemens
Gastric Fluid Volume Change After Oral Rehydration Solution Intake in Morbidly Obese and Normal Controls: A Magnetic Resonance Imaging-Based Analysis

AUTHORS: Shiraishi, Toshie MD, PhD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1174–1178 BACKGROUND: Although preoperative fluid intake 2 hours before anesthesia is generally considered safe, there are concerns about delayed gastric emptying in obese subjects. In this study, the gastric fluid volume (GFV) change in morbidly obese […]

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Uncategorized Published - 10 July, 2017    By - Dr Clemens
The Cricoid Force Necessary to Occlude the Esophageal Entrance: Is There a Gender Difference?

AUTHORS: Zeidan, Ahed M. MD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1168–1173 BACKGROUND: We tested the hypothesis whether gender differences exist in the applied cricoid force necessary to prevent regurgitation. Real-time visual and dynamic means were used to assess the effectiveness of different applied cricoid forces in […]

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Uncategorized Published - 10 July, 2017    By - Dr Clemens
Apneic Oxygenation During Prolonged Laryngoscopy in Obese Patients: A Randomized, Controlled Trial of Buccal RAE Tube Oxygen Administration

AUTHORS: Heard, Andrew FRCA et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1162–1167 BACKGROUND: Despite optimal preoxygenation, obese patients undergoing induction of general anesthesia exhibit significant hypoxemia after 2 to 4 minutes of apnea. Apneic oxygenation techniques can assist airway management by extending the safe apnea time. We hypothesized […]

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Uncategorized Published - 10 July, 2017    By - Dr Clemens
Multicenter Study Validating Accuracy of a Continuous Respiratory Rate Measurement Derived From Pulse Oximetry: A Comparison With Capnography

AUTHORS: Bergese, Sergio D. MD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1153–1159 BACKGROUND: Intermittent measurement of respiratory rate via observation is routine in many patient care settings. This approach has several inherent limitations that diminish the clinical utility of these measurements because it is intermittent, susceptible to […]

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Uncategorized Published - 10 July, 2017    By - Dr Clemens
Systemic Lupus Erythematosus Is Associated With Increased Adverse Postoperative Renal Outcomes and Mortality: A Historical Cohort Study Using Administrative Health Data

AUTHORS: Babazade, Rovnat MD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1118–1126 BACKGROUND: Systemic lupus erythematosus (SLE) is a common autoimmune connective tissue disease that mainly harms kidneys, heart, lungs, and nervous system. Effects of surgical stimulus and anesthesia combined with SLE-related pathologies may increase morbidity and mortality. […]

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Uncategorized Published - 10 July, 2017    By - Dr Clemens
Clinical Significance of Portal Hypertension Diagnosed With Bedside Ultrasound After Cardiac Surgery

AUTHORS: Denault, André Y. MD, PhD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1109–1115 BACKGROUND: Portal venous flow pulsatility detected by Doppler ultrasound is a sign of congestive heart failure in noncritically ill patients. The assessment of portal and splenic venous flows has never been reported in patients […]

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Uncategorized Published - 7 July, 2017    By - Dr Clemens
Combined Thoracic Ultrasound Assessment during a Successful Weaning Trial Predicts Postextubation Distress

Authors: Stein Silva, M.D., Ph.D. et al Anesthesiology published on June 29, 2017. Background: Recent studies suggest that isolated sonographic assessment of the respiratory, cardiac, or neuromuscular functions in mechanically ventilated patients may assist in identifying patients at risk of postextubation distress. The aim of the present study was to prospectively investigate the value of an integrated […]

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Uncategorized Published - 7 July, 2017    By - Dr Clemens
Videolaryngoscopy versusFiber-optic Intubation through a Supraglottic Airway in Children with a Difficult Airway: An Analysis from the Multicenter Pediatric Difficult Intubation Registry

Authors: Nicholas E. Burjek, M.D. et al Anesthesiology published on June 29, 2017. Background: The success rates and related complications of various techniques for intubation in children with difficult airways remain unknown. The primary aim of this study is to compare the success rates of fiber-optic intubation via supraglottic airway to videolaryngoscopy in children with difficult airways. Our secondary […]

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