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Uncategorized Published - 3 June, 2024    By - Dr Clemens
Intraoperative Ventilation/Perfusion Mismatch and Postoperative Pulmonary Complications after Major non-cardiac surgery

Authors: Gaetano Scaramuzzo, MD et al  Anesthesiology May 2024. Background Postoperative pulmonary complications (PPCs) can increase hospital length of stay, postoperative morbidity and mortality. Despite many factors can increase the risk of PPCs, it is not known whether intraoperative ventilation/perfusion (V/Q) mismatch can be associated with an increased risk of PPCs after major non-cardiac surgery. […]

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Uncategorized Published - 3 June, 2024    By - Dr Clemens
Determinants and practice variability of oxygen administration during surgery in the U.S., a retrospective cohort study

Authors: Frederic T. Billings IV, MD et al  Anesthesiology May 2024. Background The best approaches to supplemental oxygen administration during surgery remain unclear, which may contribute to variation in practice. We aimed to assess determinants of oxygen administration and its variability during surgery. Methods Using multivariable linear mixed-effects regression, we measured the associations between intraoperative […]

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Uncategorized Published - 3 June, 2024    By - Dr Clemens
Patent Pathways: Navigating the Maze of Innovation in Perioperative Medicine

Author: Christian S. Guay, MD International Anesthesia Research Society The importance of intellectual property (IP) in advancing medical research and the challenges and rewards of translating scientific discoveries into impactful innovations in clinical practice were underscored at the session, “Ensuring Patients Benefit from Your Intellectual Property, Patents and Commercialization,” on Saturday, May 18 at the […]

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Uncategorized Published - 3 June, 2024    By - Dr Clemens
Reviving CPR: Innovations for Enhanced Cardiac Arrest Survival

Author: Christian S. Guay, MD International Anesthesia Research Society Cardiac arrest presents a critical medical emergency where swift and effective interventions can mean the difference between life and death. Recent advancements in cardiopulmonary resuscitation (CPR) techniques offer promising avenues to optimize patient outcomes in these emergencies. The session, “Hot Topics in Cardio‐Cerebral Resuscitation ‐ From […]

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Uncategorized Published - 2 June, 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 […]

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Uncategorized Published - 31 May, 2024    By - Dr Clemens
Quenching the Cognitive Fire of Surgery: New Insights into the Mechanisms, Biomarkers and Mitigation Strategies for Perioperative Neurocognitive Disorders

Author: Christian S. Guay, MD International Anesthesia Research Society Leading experts came together to discuss the latest advancements in understanding and preventing perioperative neurocognitive disorders (PND), during the symposium titled “Targets for Prevention of Perioperative Neurocognitive Disorders: What’s New in Town?” co-sponsored by the Society for the Advancement of Geriatric Anesthesia (SAGA), at the 2024 […]

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Uncategorized Published - 31 May, 2024    By - Dr Clemens
Perioperative Acute Renal Injury

Author: Robert N. Sladen, M.B.Ch.B., M.R.C.P.(U.K.), F.R.C.P.C., F.C.C.M. Anesthesiology May 2024. Background Acute renal dysfunction and subsequent acute renal failure after cardiac surgery are associated with high mortality and morbidity. Early therapeutic or preventive intervention is hampered by the lack of an early biomarker for acute renal injury. Recent studies showed that urinary neutrophil gelatinase–associated […]

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Uncategorized Published - 31 May, 2024    By - Dr Clemens
Gastric pressure monitoring unveils abnormal patient-ventilator interaction related to active expiration: a retrospective observational study

Authors: Evangelia Akoumianaki, M.D., Ph.D. et al  Anesthesiology May 2024. Background Patient-ventilator dyssynchrony is frequently observed during assisted mechanical ventilation (MV). However, the effects of expiratory muscle contraction on patient-ventilator interaction are underexplored. We hypothesized that active expiration would affect patient-ventilator interaction and we tested our hypothesis in a mixed cohort of invasively ventilated patients […]

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Uncategorized Published - 31 May, 2024    By - Dr Clemens
Perioperative Acute Renal Injury

Author: Robert N. Sladen, M.B.Ch.B., M.R.C.P.(U.K.), F.R.C.P.C., F.C.C.M. Anesthesiology May 2024. Background Acute renal dysfunction and subsequent acute renal failure after cardiac surgery are associated with high mortality and morbidity. Early therapeutic or preventive intervention is hampered by the lack of an early biomarker for acute renal injury. Recent studies showed that urinary neutrophil gelatinase–associated […]

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Uncategorized Published - 31 May, 2024    By - Dr Clemens
Electrical Impedance Tomography for Assessing the Impact of Inhaled Nitric Oxide on Pulmonary Artery Pressure

Authors: Gamonmas Ekkapat, M.D. et al  Anesthesiology May 2024. A 43-yr-old woman experienced acute respiratory failure with right ventricular dysfunction following a complex left pneumonectomy (fig. 1A) with cardiopulmonary bypass. She was intubated and mechanically ventilated. Fig. 1. (A) Chest x-ray showing patchy opacities at the right middle and lower lung zones along with loculated […]

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