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Uncategorized Published - 5 January, 2017    By - Dr Clemens
Flexible optical intubation via the Ambu Aura-i vs blind intubation via the single-use LMA Fastrach: a prospective randomized clinical trial

AUTHORS: Artime C et al Journal of Clinical Anesthesia (JCA) 33 41-6 (Sep 2016) STUDY OBJECTIVE This study was designed to compare the Ambu Aura-i to the single-use LMA Fastrach regarding time to intubation, success rate, and airway morbidity in patients undergoing elective surgery requiring general anesthesia. DESIGN Prospective, randomized controlled trial. SETTING Academic medical center. […]

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Uncategorized Published - 5 January, 2017    By - Dr Clemens
Impact of spinal versus general anesthesia on postoperative pain and long term recurrence after surgery for pilonidal disease

AUTHORS: Luedi M et al Journal of Clinical Anesthesia (JCA) 33 236-42 (Sep 2016) STUDY OBJECTIVE To assess the effect of the kind of anesthesia on postoperative pain and long term recurrence rate in pilonidal sinus disease. DESIGN Retrospective study. SETTING Surgical departments of German Armed Forces Hospitals in Hamburg, Bad Zwischenahn and Hamm. PATIENTS […]

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Uncategorized Published - 5 January, 2017    By - Dr Clemens
Evaluation of high-risk obstetric patients: a survey of US academic centers

AUTHORS: Butwick A, Tiouririne M Journal of Clinical Anesthesia (JCA) 33 460-8 (Sep 2016) STUDY OBJECTIVES Obstetric anesthesiologists commonly care for high-risk obstetric patients. However, it is unclear how obstetricians refer these patients for anesthetic evaluation and whether obstetric anesthesia clinics (OACs) are used. Our study aims were to determine the availability and characteristics of […]

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Uncategorized Published - 4 January, 2017    By - Dr Clemens
Acute Normovolemic Hemodilution Reduces Allogeneic Red Blood Cell Transfusion in Cardiac Surgery: A Systematic Review and Meta-analysis of Randomized Trials

Anesthesia & Analgesia:September 23, 2016 AUTHORS: Barile, Luigi MD et al BACKGROUND: To better understand the role of acute normovolemic hemodilution (ANH) in a surgical setting with high risk of bleeding, we analyzed all randomized controlled trials (RCTs) in the setting of cardiac surgery that compared ANH with standard intraoperative care. The aim was to […]

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Uncategorized Published - 4 January, 2017    By - Dr Clemens
Augmented Reality Reduces Intractable Phantom Limb Pain

Authors: Ortiz-Catalan M et al., Lancet 2016 Dec 10; 388:2885 A study demonstrates that practicing phantom motor executions based on decoding of intended actions using an augmented-reality computer system can reduce phantom limb pain. Phantom limb pain is a debilitating condition that occurs in a subset of patients after limb amputation. Growing evidence suggests that such pain […]

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Uncategorized Published - 4 January, 2017    By - Dr Clemens
How Effective Is Video Laryngoscopy for Rescue Intubation?H

Success of Intubation Rescue Techniques After Failed Direct Laryngoscopy in Adults: A Retrospective Comparative Analysis From the Multicenter Perioperative Outcomes Group Authors” Aziz MF, Brambrink AM, Healy DW, et al Anesthesiology. 2016 Aug 1. Study Summary A team of investigators retrospectively analyzed 346,861 anesthesia cases that involved attempted tracheal intubation from 2004 to 2013 at […]

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Uncategorized Published - 4 January, 2017    By - Dr Clemens
Lung Ultrasonography for the Assessment of Perioperative Atelectasis: A Pilot Feasibility Study.

Anesthesia & Analgesia: September 23, 2016 AUTHORS: Monastesse, Audrey MD et al BACKGROUND: Few diagnostic tools are available to anesthesiologists when confronted with intraoperative hypoxemia. Lung ultrasonography is a safe and accurate bedside imaging modality. The aim of this study was to evaluate the feasibility of lung ultrasonography during the perioperative period and assess its […]

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Uncategorized Published - 4 January, 2017    By - Dr Clemens
Hypomagnesemia Is Prevalent in Patients Undergoing Gynecologic Surgery by a Gynecologic Oncologist

Authors: Ulm M, Watson C et al International Journal of Gynecological Cancer 26 (7), 1320-6 (Sep 2016) OBJECTIVE The aim of this study was to assess the incidence of and risk factors for hypomagnesemia in patients undergoing gynecologic surgery by a gynecologic oncologist. METHODS A retrospective chart review was performed on all patients undergoing surgery […]

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Uncategorized Published - 3 January, 2017    By - Dr Clemens
Vasopressin versus Norepinephrine in Patients with Vasoplegic Shock after Cardiac Surgery: The VANCS Randomized Controlled Trial

Authors: Ludhmila Abrahao Hajjar, M.D., Ph.D. et al    Connected Content Anesthesiology 1 2017, Vol.126, 85-93. Background: Vasoplegic syndrome is a common complication after cardiac surgery and impacts negatively on patient outcomes. The objective of this study was to evaluate whether vasopressin is superior to norepinephrine in reducing postoperative complications in patients with vasoplegic syndrome. Methods: This prospective, […]

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Uncategorized Published - 3 January, 2017    By - Dr Clemens
Lower Oxygen Saturation Goals Are Safe in Mechanically Ventilated Patients

Authors: Panwar R et al. Am J Respir Crit Care Med 2016 Jan 1. Targeting to 88%–92% did not cause harm. The optimal oxygenation goal for patients who are receiving invasive mechanical ventilation remains unclear. Clinicians usually target resolution of hypoxemia and pay little attention to weaning levels of oxygen once 100% saturation has been achieved. However, […]

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