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Uncategorized Published - 27 December, 2023    By - Dr Clemens
The Association of Guideline-Directed Prophylaxis with Postoperative Nausea and Vomiting in Pediatric Patients

AUTHORS: Andrew, Benjamin Y. MD, MHS et al  Anesthesia & Analgesia May 2023. BACKGROUND: Guidelines for postoperative nausea and vomiting (PONV) prophylaxis in pediatric patients recommend escalation of the number of antiemetics based on a preoperative estimate of PONV risk. These recommendations have been translated into performance metrics, most notably by the Multicenter Perioperative Outcomes […]

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Uncategorized Published - 27 December, 2023    By - Dr Clemens
Ketamine is comparable to ECT for patients with treatment-resistant depression, study shows

Author: Olivia Goldhill STAT Health When seriously depressed patients don’t respond to antidepressants, the alternatives are limited. Now a new study has found that ketamine performs at least as well as the current gold standard for such patients, electroconvulsive therapy (ECT), suggesting it deserves consideration as a frontline response for people with treatment-resistant depression. But […]

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Uncategorized Published - 27 December, 2023    By - Dr Clemens
Failure to Rescue and Mortality Differences After Appendectomy in a Low-Middle-Income Country and the United States

AUTHORS: Rosero, Eric B. MD, MSc et al  Anesthesia & Analgesia 136(6):p 1030-1038, June 2023. BACKGROUND: Major disparities in complications and mortality after appendectomy between countries with different income levels have not been well characterized, as comparative studies at patient level between countries are scant. This study aimed to investigate variations in postoperative complications, mortality, and […]

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Uncategorized Published - 26 December, 2023    By - Dr Clemens
Thoracic Epidural Anesthesia in Cardiac Surgery

AUTHORS: Chiew, John Keong MBBS et al  Anesthesia & Analgesia 137(3):p 587-600, September 2023. BACKGROUND: Research on fast-track recovery protocols postulates that thoracic epidural anesthesia (TEA) in cardiac surgery contributes to improved postoperative outcomes. However, concerns about TEA’s safety hinder its widespread usage. We conducted a systematic review and meta-analysis to assess the benefits and risks […]

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Uncategorized Published - 26 December, 2023    By - Dr Clemens
Evaluation of Medical Confidentiality Breaches on Twitter Among Anesthesiology and Intensive Care Health Care Workers

AUTHORS: Pineau, Iris MD et al  Anesthesia & Analgesia 137(2):p 418-425, August 2023. BACKGROUND: With the generalization of social network use by health care workers, we observe the emergence of breaches in medical confidentiality. Our objective was to determine, among anesthesiology and intensive care health care workers, the rate of medical confidentiality breaches among professional tweets. […]

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Uncategorized Published - 26 December, 2023    By - Dr Clemens
Association of Opioid Administration During General Anesthesia and Survival for Severely Injured Trauma Patients

AUTHORS: Levy, Dominique T. BS et al  Anesthesia & Analgesia 136(5):p 905-912, May 2023. BACKGROUND: There is a lack of reported clinical outcomes after opioid use in acute trauma patients undergoing anesthesia. Data from the Pragmatic, Randomized, Optimal Platelet and Plasma Ratios (PROPPR) study were analyzed to examine opioid dose and mortality. We hypothesized that higher […]

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Uncategorized Published - 26 December, 2023    By - Dr Clemens
CMS finalizes updated fees for No Surprises Act dispute resolution

Author: Paige Minemyer Fierce Healthcare The Biden administration released amended fees related to independent dispute resolution under the No Surprises Act. The Centers for Medicare & Medicaid Services had established initial fees, but the guidance was vacated by a Texas judge in a win for providers, forcing the agency to pause IDR. The independent dispute […]

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Uncategorized Published - 25 December, 2023    By - Dr Clemens
Merry Christmas from Anesthesia Experts

Thank you to all of our many friends and readers around the world for your continued support over the last 40 years! We would like to wish you all a very Merry Christmas and a Happy New Year.

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Uncategorized Published - 22 December, 2023    By - Dr Clemens
Effect of an individualized lung protective ventilation on lung strain and stress in children undergoing laparoscopy

Authors: Cecilia M. Acosta, MD et al  Anesthesiology December 2023. Background Exaggerated lung strain and stress could damage lungs in anesthetized children. We hypothesized that the association of capnoperitoneum and lung collapse in anesthetized children increases lung strain-stress. Our primary aim was to describe the impact of capnoperitoneum on lung strain-stress and the effects of […]

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Uncategorized Published - 22 December, 2023    By - Dr Clemens
Feasibility of prone positioning for brain-injured patients with severe ARDS

Authors: Yoann Elmaleh, M.D et al  Anesthesiology December 2023. Background Prone position is a key component to treat hypoxemia in patients with severe Acute Respiratory Distress syndrom. However, most studies evaluating it exclude patients with brain-injuries without any medical evidence. Methods We planned: a systematic review to determine whether brain-injured patients were excluded in studies […]

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