Uncategorized

Uncategorized Published - 3 July, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

Author: Martin J. London, M.D. Anesthesiology July 2024, Vol. 141, A13–A15. Video laryngoscopy vs direct laryngoscopy for endotracheal intubation in the operating room: A cluster randomized clinical trial. JAMA 2024; 331:1279–86. PMID: 38497992 Endotracheal intubation has been traditionally performed in the operating room using direct laryngoscopy. Recently, video laryngoscopy has become widely available. Although it usually […]

Read More
Uncategorized Published - 2 July, 2024    By - Dr Clemens
Anesthetic Management of Large Bronchogenic Cyst With Severe Tracheal Compression in Adults: A Case Report

Authors: Sandeep G, Kalbande J V, Gupta A, et al. Cureus  June 18, 202416(6): e62621. Abstract Bronchogenic cysts (BCs) are a congenital anomaly, forming fluid-filled sacs in the bronchial tree during fetal development, and are relatively rare in adults. Patients with large BCs in the mediastinum presenting with severe tracheal compression pose a significant challenge […]

Read More
Uncategorized Published - 2 July, 2024    By - Dr Clemens
Liposomal Bupivacaine for Peripheral Nerve Blockade

Authors: Markus Zadrazil, M.D. et al  Anesthesiology July 2024, Vol. 141, 24–31. Background Little is known about the pharmacodynamic characteristics of liposomal bupivacaine. Hypothesizing that they would not identify pharmacodynamic differences from plain bupivacaine during the initial period after administration, but would find better long-term pharmacodynamic characteristics, the authors designed a randomized, controlled, triple-blinded, single-center study […]

Read More
Uncategorized Published - 2 July, 2024    By - Dr Clemens
Can Anesthesiologists Prevent Perioperative Neurocognitive Decline?

Authors: Lena Scotto, MD; Natalie Moreland, MD ASA Monitor March 2024, Vol. 88, 35. Individuals over the age of 65 make up the largest proportion of patients seeking surgical care. Advanced age and underlying cognitive disorders are risk factors for the development of cognitive impairment, the most common complication in this age group. Perioperative neurocognitive disorders (PNDs) […]

Read More
Uncategorized Published - 2 July, 2024    By - Dr Clemens
Fibrinolysis as a Causative Mechanism for Bleeding Complications on Extracorporeal Membrane Oxygenation

Authors: Julie Helms, M.D., Ph.D. et al  Anesthesiology July 2024, Vol. 141, 75–86. Background Extracorporeal membrane oxygenation (ECMO) is associated with a high risk of bleeding complications. The specific impact of ECMO on fibrinolysis remains unexplored. The objective of the current pilot observational prospective study was to investigate the longitudinal dynamics of fibrinolytic markers—i.e., changes over […]

Read More
Uncategorized Published - 2 July, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

The central renin-angiotensin system: A genetic pathway, functional decoding, and selective target engagement characterization in humans. Proc Natl Acad Sci U S A 2024; 121:e2306936121. PMID: 38349873. Author: Charles Emala, M.D. Anesthesiology July 2024, Vol. 141, A13–A15. The peripheral renin angiotensin system (RAS) is a well-characterized hormonal system classically understood to regulate cardiovascular and renal functions, […]

Read More
Uncategorized Published - 1 July, 2024    By - Dr Clemens
Increasing Sweep Gas Flow Reduces Respiratory Drive and Dyspnea in Nonintubated Venoarterial Extracorporeal Membrane Oxygenation Patients

Authors: Côme Bureau, M.D., Ph.D. et al  Anesthesiology July 2024, Vol. 141, 87–99. Background Data on assessment and management of dyspnea in patients on venoarterial extracorporeal membrane oxygenation (ECMO) for cardiogenic shock are lacking. The hypothesis was that increasing sweep gas flow through the venoarterial extracorporeal membrane oxygenator may decrease dyspnea in nonintubated venoarterial ECMO patients […]

Read More
Uncategorized Published - 1 July, 2024    By - Dr Clemens
Thinking Beyond the OR: Preventing Delirium

Authors: Ashish Agrawal, MD et al  ASA Monitor October 2023, Vol. 87, 35. Delirium is likely the most well-known perioperative cognitive disorder. Delirium, an acute and fluctuating alteration in the level of consciousness and attention, has significant consequences for patients, families, and the health care system. The incidence of delirium is associated with increased mortality, cognitive […]

Read More
Uncategorized Published - 1 July, 2024    By - Dr Clemens
Prospects for pain medicine in 4 elements

Author: Carly Behm Becker’s Spine Review Pain medicine and spine care can work in tandem, and their success will involve four key elements, according to one spine surgeon. “Pain medicine is navigating an era of unprecedented progress, and one of the key driving forces behind this evolution is the collaborative relationship between pain specialists and […]

Read More
Uncategorized Published - 1 July, 2024    By - Dr Clemens
A New Psychotherapeutic ‘Gold Standard’ for Chronic Pain?

Author: Alicia Ault Medscape Anesthesiology A single course of treatment with emotional awareness and expression therapy (EAET) was associated with a significantly greater reduction in chronic pain severity than cognitive-behavioral therapy (CBT), the current psychotherapeutic gold standard, a new study suggested. Two thirds of the patients who received EAET reported at least a 30% reduction […]

Read More