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Uncategorized Published - 29 December, 2023    By - Dr Clemens
The Effect of Intravenous Lidocaine, Ketamine, and Lidocaine–Ketamine Combination in Colorectal Cancer Surgery

AUTHORS: Ostović, Helena MD et al  Anesthesia & Analgesia  May 2023. BACKGROUND: Colorectal resections are associated with a pronounced inflammatory response, severe postoperative pain, and postoperative ileus. The aim of this study was to evaluate the main effects of lidocaine and ketamine, and their interaction in colorectal cancer (CRC) patients after open surgery. The interaction […]

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Uncategorized Published - 29 December, 2023    By - Dr Clemens
Leveraging artificial intelligence for the management of postoperative delirium following cardiac surgery

AUTHORS: Fliegenschmidt et al  European Journal of Anaesthesiology and Intensive Care 2(1):p e0010, February 2023. BACKGROUND Postoperative delirium is a highly relevant complication of cardiac surgery. It is associated with worse outcomes and considerably increased costs of care. A novel approach of monitoring patients with machine learning enabled prediction software could trigger pre-emptive implementation of mitigation […]

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Uncategorized Published - 29 December, 2023    By - Dr Clemens
Variability of expert assessments of ECG time domain parameters

AUTHORS: Böck, Carl et al  European Journal of Anaesthesiology and Intensive Care 2(2):p e0020, April 2023. BACKGROUND In anaesthesiology, time domain parameters of the ECG are frequently used for long QT diagnosis, determination of branch blocks and for identifying atrioventricular blocks. However, this analysis depends on several factors and therefore the time domain parameters are prone […]

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Uncategorized Published - 28 December, 2023    By - Dr Clemens
Challenges for anaesthesia for robotic-assisted surgery in the elderly

AUTHORS: Aceto, Paola et al  European Journal of Anaesthesiology and Intensive Care 2(2):p e0019, April 2023. Steep and reverse Trendelenburg positions are often used in robotic-assisted surgery (RAS) to improve surgical access. The elderly are particularly vulnerable to the cardiovascular effect of the combination of pneumoperitoneum and these extreme positions. Falls in both cardiac output (CO) […]

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Uncategorized Published - 28 December, 2023    By - Dr Clemens
Pre-operative ultrasound prediction of difficult airway management in adult patients

AUTHORS: Giordano, Giovanni et al  European Journal of Anaesthesiology 40(5):p 313-325, May 2023. BACKGROUND Predicting a difficult airway, including difficult laryngoscopy, intubation or mask ventilation, is paramount in peri-operative management. As clinical predictors are only partially reliable, ultrasound-based measurements might be useful in evaluating anterior neck fat tissues depth. OBJECTIVES The aim of this systematic review […]

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Uncategorized Published - 28 December, 2023    By - Dr Clemens
Opioid-Free Versus Opioid-Based Anesthesia on Postoperative Pain After Thoracoscopic Surgery

AUTHORS: Yan, Huan MD et al  Anesthesia & Analgesia 137(2):p 399-408, August 2023. BACKGROUND: The effectiveness and safety of opioid-free anesthesia (OFA) regimens in distinct types of surgeries remain controversial. In this study, we investigated whether OFA could reduce the occurrence of chronic postoperative pain in patients receiving video-assisted thoracoscopic surgery (VATS). METHODS: We conducted a […]

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Uncategorized Published - 28 December, 2023    By - Dr Clemens
Survey Validation for Measuring Perceptions of Work-Related Factors That Influence Career Paths of Men and Women in Academic Anesthesiology

AUTHORS: Minjae MD et al  Anesthesia & Analgesia 138(1):p 187-197, January 2024. BACKGROUND: Women’s underrepresentation in positions of leadership in medicine has been attributed to environmental, structural, motivational, and situational factors. The purpose of this study was to design and validate a survey instrument based on these constructs, using a sample of men and women anesthesiologists […]

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Uncategorized Published - 28 December, 2023    By - Dr Clemens
Alternatives to the in-person anaesthetist-led preoperative assessment in adults undergoing low-risk or intermediate-risk surgery

AUTHORS: Jonker, Philip et al  European Journal of Anaesthesiology 40(5):p 343-355, May 2023. BACKGROUND The design of the optimal preoperative evaluation is a much debated topic, with the anaesthetist-led in-person evaluation being most widely used. This approach is possibly leading to overuse of a valuable resource, especially in low-risk patients. Without compromising patient safety, we hypothesised […]

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Uncategorized Published - 27 December, 2023    By - Dr Clemens
Preoperative Ultrasound-Guided Internal Branch Block of Superior Laryngeal Nerve Reduces Postoperative Sore Throat Caused by Double Lumen Endotracheal Intubation

AUTHORS: Chen, Zheping MM et al Anesthesia & Analgesia 137(6):p 1270-1278, December 2023. | BACKGROUND: Postoperative sore throat (POST) is one of the more common side effects of tracheal intubation patients under general anesthesia (GA) after extubation using double-lumen endobronchial tubes (DLTs). The internal branches of the superior laryngeal nerve (SLN) block (iSLNB) have been reported to […]

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Uncategorized Published - 27 December, 2023    By - Dr Clemens
Postoperative Outcomes in Elderly Patients Undergoing Cardiac Surgery With Preoperative Cognitive Impairment

AUTHORS: Au, Emily BSc et al  Anesthesia & Analgesia 136(6):p 1016-1028, June 2023. BACKGROUND: Older patients with preoperative cognitive impairment are at risk for increased postoperative complications after noncardiac surgery. This systematic review and meta-analysis aimed to determine the association between preoperative cognitive impairment and dementia and postoperative outcomes in older surgical patients after cardiac surgery. […]

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