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Uncategorized Published - 26 October, 2023    By - Dr Clemens
Loss of Independent Living in Patients Undergoing Transcatheter or Surgical Aortic Valve Replacement

AUTHORS: Blank, Michael Cand.Med et al  Anesthesia & Analgesia 137(3):p 618-628, September 2023. BACKGROUND: The recommendation for transcatheter aortic valve replacement (TAVR) or surgical aortic valve replacement (SAVR) in patients 65 to 80 years of age is equivocal, leaving patients with a difficult decision. We evaluated whether TAVR compared to SAVR is associated with reduced odds […]

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Uncategorized Published - 26 October, 2023    By - Dr Clemens
Sociodemographic Disparities in Postoperative Nausea and Vomiting

AUTHORS: Lee, Donaldson C. MD et al  Anesthesia & Analgesia 137(3):p 665-675, September 2023. BACKGROUND: Postoperative nausea and vomiting (PONV) prophylaxis is consistently considered a key indicator of anesthesia care quality. PONV may disproportionately impact disadvantaged patients. The primary objectives of this study were to examine the associations between sociodemographic factors and the incidence of PONV […]

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Uncategorized Published - 26 October, 2023    By - Dr Clemens
A Prospective, Randomized Comparison of the Classical Altemir’s Method With the Newer Seldinger’s Technique of Submental Intubation

AUTHORS: S P S, Aswin Ram MD et al  Anesthesia & Analgesia 137(3):p 638-647, September 2023. BACKGROUND: Submental intubation performed using the classical Altemir’s technique is a well-accepted, safe technique for providing optimal operating field to the maxillofacial surgeon, in cases where either nasotracheal or orotracheal intubation is impossible. We propose a new, percutaneous Seldinger’s technique […]

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Uncategorized Published - 26 October, 2023    By - Dr Clemens
Trial set for anesthesiologist accused of tampering with IV bags at ASC

Author: Patsy Newitt Becker’s ASC Review The trial for anesthesiologist Raynaldo Ortiz Jr., MD, who allegedly injected heart-stopping drugs into IV bags at Baylor Scott & White Surgicare North Dallas, has been set for Feb. 5, D Magazine reported Oct. 20. A judge set a date following motions for continuance from Dr. Ortiz’s attorney over the last […]

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Uncategorized Published - 25 October, 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 - 25 October, 2023    By - Dr Clemens
Association Between the FRAIL Scale and Postoperative Complications in Older Surgical Patients

AUTHORS: Gong, Selena BhSc et al  Anesthesia & Analgesia 136(2):p 251-261, February 2023. BACKGROUND: Several frailty screening tools have been shown to predict mortality and complications after surgery. However, these tools were developed for in-person evaluation and cannot be used during virtual assessments before surgery. The FRAIL (fatigue, resistance, ambulation, illness, and loss of weight) scale […]

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Uncategorized Published - 25 October, 2023    By - Dr Clemens
Transnasal Humidified Rapid Insufflation Ventilatory Exchange Augments Oxygenation in Children With Juvenile Onset Recurrent Respiratory Papillomatosis During Surgery

AUTHORS: Lei, Guiyu MD et al  Anesthesia & Analgesia 137(3):p 578-586, September 2023. BACKGROUND: Evidence is lacking regarding the efficacy of transnasal humidified rapid insufflation ventilatory exchange (THRIVE) in tubeless anesthesia, especially in pediatric patients. This study aimed to evaluate the use of THRIVE for juvenile onset recurrent respiratory papillomatosis (JORRP) patients. METHODS: Twenty-eight children aged […]

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Uncategorized Published - 25 October, 2023    By - Dr Clemens
Monitoring and Antagonism of Neuromuscular Blockade: Problems with Succinylcholine

Authors: Patrick Wong, F.R.C.A.; Oliver Ashby, F.A.N.Z.C.A. Anesthesiology November 2023, Vol. 139, 712–714. To the Editor: We congratulate Thilen et al. for their comprehensive and pragmatic guidelines for neuromuscular blockade monitoring and antagonism. They highlight the problems associated with neuromuscular monitoring after administration of succinylcholine (a depolarizing neuromuscular blocker): the utilization of single-twitch monitoring; occurrence of fade in […]

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Uncategorized Published - 25 October, 2023    By - Dr Clemens
External Validation of a Multivariable Prediction Model for Placenta Accreta Spectrum

AUTHORS: Singh, Shubhangi MD et al  Anesthesia & Analgesia 137(3):p 537-547, September 2023. BACKGROUND: Placenta accreta spectrum (PAS) is a disorder of abnormal placentation associated with severe postpartum hemorrhage, maternal morbidity, and mortality. Predelivery prediction of this condition is important to determine appropriate delivery location and multidisciplinary planning for operative management. This study aimed to validate […]

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Uncategorized Published - 24 October, 2023    By - Dr Clemens
Difficult Airway Management in Neonates: Reply

Author: James Joseph Thomas, M.D Anesthesiology November 2023, Vol. 139, 712. In Reply: Dr. Asai appears to be discussing a slightly different, yet intriguing concept that he has previously published.  It is important to clarify, as he mentioned in his letter, that depending on the patient, the endotracheal tube could extend beyond the glottis, surpassing the […]

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