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Uncategorized Published - 6 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 - 6 December, 2023    By - Dr Clemens
Age-Dependent Electroencephalogram Features in Infants Under Spinal Anesthesia Appear to Mirror Physiologic Sleep in the Developing Brain

AUTHORS: Santa Cruz Mercado, Laura A. MD et al Anesthesia & Analgesia 137(6):p 1241-1249, December 2023.  BACKGROUND: Infants under spinal anesthesia appear to be sedated despite the absence of systemic sedative medications. In this prospective observational study, we investigated the electroencephalogram (EEG) of infants under spinal anesthesia and hypothesized that we would observe EEG features […]

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Uncategorized Published - 6 December, 2023    By - Dr Clemens
National Survey of Combined Pediatrics-Anesthesiology Residents and Graduates: Factors Contributing to Changing Career Aspirations Over Time

AUTHORS: Liu, Jia MD et al Anesthesia & Analgesia 137(6):p 1250-1256, December 2023. BACKGROUND: The Dual Pathway for Certification in Pediatrics and Anesthesiology was created in 2011 to develop leaders in caring for children with complex medical and surgical conditions. While existing dual-trained practitioners report continued practice in both pediatric anesthesiology (PA) and pediatric critical care […]

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Uncategorized Published - 5 December, 2023    By - Dr Clemens
Association of Genetic Variants with Postsurgical Pain

Authors: Stephan G. Frangakis, M.D., Ph.D. et al  Anesthesiology December 2023, Vol. 139, 827–839. Background Postsurgical pain is a key component of surgical recovery. However, the genetic drivers of postsurgical pain remain unclear. A broad review and meta-analyses of variants of interest will help investigators understand the potential effects of genetic variation. Methods This article is […]

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Uncategorized Published - 5 December, 2023    By - Dr Clemens
Determination of the Optimal Volume of Programmed Intermittent Epidural Bolus When Combined With the Dural Puncture Epidural Technique for Labor Analgesia

AUTHORS: Xiao, Fei MD et al Anesthesia & Analgesia 137(6):p 1233-1240, December 2023. BACKGROUND: The dural puncture epidural (DPE) and the programmed intermittent epidural bolus (PIEB) techniques are recent innovations for labor analgesia. The optimal volume of PIEB during traditional epidural analgesia has been investigated previously but it is unknown whether these findings are applicable to […]

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Uncategorized Published - 5 December, 2023    By - Dr Clemens
Postdischarge Survival After Sepsis: A Cohort Study

AUTHORS: Engoren, Milo MD, FCCM et al Anesthesia & Analgesia 137(6):p 1216-1225, December 2023. BACKGROUND: After hospital discharge, patients who had sepsis have increased mortality. We sought to estimate factors associated with postdischarge mortality and how they vary with time after discharge. METHODS: This was a retrospective study of hospital survivors of sepsis using time-varying Cox […]

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Uncategorized Published - 5 December, 2023    By - Dr Clemens
Incidence of Interstitial Alveolar Syndrome on Point-of-Care Lung Ultrasonography in Pre-eclamptic Women With Severe Features

AUTHORS: Yagani, Seshagiribabu MD et al  Anesthesia & Analgesia 137(6):p 1158-1166, December 2023. BACKGROUND: Lung interstitial edema is a clinically silent pathology that develops before overt pulmonary edema among pre-eclamptic women with severe features. Point-of-care lung ultrasonography (LUS) has been suggested as an accessible bedside tool that may identify lung interstitial edema before developing clinical signs […]

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Uncategorized Published - 5 December, 2023    By - Dr Clemens
Implementation of Nephroprotective Measures to Prevent Acute Kidney Injury in Septic Patients

AUTHORS: Sadjadi, Mahan MD et al Anesthesia & Analgesia 137(6):p 1226-1232, December 2023. BACKGROUND:  Sepsis remains the leading cause of mortality in critically ill patients, and mortality is increased when acute kidney injury (AKI) occurs. The Kidney Disease: Improving Global Outcomes (KDIGO) guideline recommends the implementation of supportive measures in patients at high risk for AKI. […]

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Uncategorized Published - 4 December, 2023    By - Dr Clemens
Prediction of Acute Myocardial Injury in Noncardiac Surgery in Patients at Risk for Major Adverse Cardiovascular and Cerebrovascular Events

AUTHORS: Mases, Anna MD et al  Anesthesia & Analgesia 137(6):p 1116-1126, December 2023. BACKGROUND: The best use of perioperative cardiac biomarkers assessment is still under discussion. Massive postoperative troponin surveillance can result in untenably high workloads and costs for health care systems and potentially harmful interventions for patients. In a cohort of patients at risk for […]

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Uncategorized Published - 4 December, 2023    By - Dr Clemens
Association of Labor Neuraxial Analgesia with Maternal Blood Transfusion

Authors: Jean Guglielminotti, M.D., Ph.D. et al Anesthesiology December 2023, Vol. 139, 734–745. Background Labor neuraxial analgesia may reduce the odds of postpartum hemorrhage, the leading indication for maternal blood transfusion during childbirth. This study tested the hypothesis that labor neuraxial analgesia is associated with reduced odds of maternal blood transfusion overall. Methods U.S. birth certificate […]

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