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Uncategorized Published - 17 April, 2024    By - Dr Clemens
Development and Evaluation of An In-House Lumbar Puncture Simulator for First-Year Resident Lumbar Puncture Procedure Learning

Authors: Muñoz-Leija D et al Cureus 16(3): e56567. doi:10.7759/cureus.56567 Abstract Introduction: Lumbar puncture (LP) is a common invasive technique considered an essential learning milestone for anesthesiologists due to its application in spinal anesthesia. We aimed to develop an in-house LP simulator, test its effectiveness in learning the steps to perform an LP and analyze its impact on […]

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Uncategorized Published - 17 April, 2024    By - Dr Clemens
Role of Acute Normovolemic Hemodilution in Pregnancy for Emergency Cesarean Section in a Patient With Bombay Blood Group

Authors: Chatterjee P et al Cureus 15(4): e37995. doi:10.7759/cureus.37995 Abstract Postpartum hemorrhage (PPH) is among the leading causes of maternal morbidity and mortality, and various blood conservation strategies can be implemented to minimize blood loss. Acute normovolemic hemodilution (ANH) is a simple yet effective blood management tool in the armamentarium of an anesthesiologist, the use […]

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Uncategorized Published - 16 April, 2024    By - Dr Clemens
Comparison of differences in cohort (forwards) and case control (backwards) methodological approaches for validation of the Hypotension Prediction Index

Authors: Simon J Davies, FRCA, MD et al  Anesthesiology April 2024. Background The Hypotension Prediction Index (the index) software is a machine learning algorithm that detects physiological changes that may lead to hypotension. The original validation used a case control (backwards) analysis that has been suggested to be biased. We therefore conducted a cohort (forwards) […]

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Uncategorized Published - 16 April, 2024    By - Dr Clemens
The Hypotension Prediction Index is equally effective in predicting intraoperative hypotension during non-cardiac surgery compared to a mean arterial pressure threshold

Authors: Marijn P. Mulder, M.Sc. et al  Anesthesiology April 2024. Background The Hypotension Prediction Index is designed to timely predict intraoperative hypotension and is based on arterial waveform analysis using machine learning. It has recently been suggested that this algorithm is highly correlated with the mean arterial pressure (MAP) itself. Therefore, the aim of this […]

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Uncategorized Published - 16 April, 2024    By - Dr Clemens
Preoperative Anemia and Postoperative Outcomes in Cardiac Surgery

AUTHORS: Warner, Matthew A. MD et al Anesthesia & Analgesia 138(4):p 728-737, April BACKGROUND: Preoperative anemia is associated with adverse outcomes in cardiac surgery, yet it remains unclear what proportion of this association is mediated through red blood cell (RBC) transfusions. METHODS: This is a historical observational cohort study of adults undergoing coronary artery bypass grafting […]

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Uncategorized Published - 16 April, 2024    By - Dr Clemens
Myocardial Injury as a Harbinger of Multi-organ Failure in Septic Shock

Author: Singam A Cureus 16(2): e55021. doi:10.7759/cureus.55021 Abstract Myocardial injury in the context of septic shock presents a multifaceted challenge in critical care medicine with implications for patient prognosis and therapeutic strategies. This comprehensive review explores the mechanisms, diagnostic approaches, and clinical implications of myocardial injury as a harbinger of multi-organ failure in septic shock. […]

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Uncategorized Published - 16 April, 2024    By - Dr Clemens
Intraoperative Abdominal Aortic Aneurysm Repair and Its Complications From an Anesthesia Perspective

Authors:  Alanzi A K, et al Cureus 15(4): e37351. doi:10.7759/cureus.37351 Abstract An abdominal aortic aneurysm (AAA) is a disease characterized by an abnormal bulge or swelling in the aorta. It could be serious if left unobserved, and with time, it swells and eventually ruptures, resulting in massive bleeding inside, and, more likely, causes death. This […]

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Uncategorized Published - 15 April, 2024    By - Dr Clemens
Evaluate Extubation in Neurosurgical Patients: Comment

Authors: Yukiko Yamazaki, M.D. Koji Hosokawa, M.D., Ph.D. Anesthesiology April 2024. To the Editor: We read with great interest the recent article by Xu et al. that discusses how the Swallowing, Tongue protrusion, Airway protection reflected by spontaneous and suctioning cough, and Glasgow coma scale Evaluation (STAGE) score of neurologic patients may predict the success of extubation. However, […]

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Uncategorized Published - 15 April, 2024    By - Dr Clemens
Evaluate Extubation in Neurosurgical Patients: Reply

Authors: Shan-Shan Xu, M.D.; Linlin Zhang, M.D., Ph.D.; Jian-Xin Zhou, M.D., Ph.D. Anesthesiology April 2024. In Reply: We would like to thank Yamazaki and Hosokawa for their interest in our article.  The authors highlight four concerns about using the Swallowing, Tongue protrusion, Airway protection reflected by spontaneous and suctioning cough, and Glasgow coma scale Evaluation (STAGE) score to […]

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Uncategorized Published - 15 April, 2024    By - Dr Clemens
Influence of Fractional Inspired Oxygen Tension on Lung Perfusion Distribution, Regional Ventilation, and Lung Volume during Mechanical Ventilation of Supine Healthy Swine

Authors: Bruno M. Ribeiro, P.T. et al  Anesthesiology April 2024, Vol. 140, 752–764. Background Lower fractional inspired oxygen tension (Fio2) during general anesthesia can reduce lung atelectasis. The objectives are to evaluate the effect of two Fio2 (0.4 and 1) during low positive end-expiratory pressure (PEEP) ventilation over lung perfusion distribution, volume, and regional ventilation. These variables were […]

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