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Uncategorized Published - 20 October, 2023    By - Dr Clemens
Severe Achalasia Could Present with Subtle Symptoms

Authors: Jan Ngian, M.B.B.S. et al  Anesthesiology November 2023, Vol. 139, 665–666. These images belong to a 30-yr-old man who underwent an arthroscopic knee meniscal repair. He had a body mass index of 29 kg/m2 and endorsed occasional mild gastroesophageal reflux after spicy food. Induction of anesthesia was unremarkable. A laryngeal mask airway (LMA) was inserted with a […]

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Uncategorized Published - 20 October, 2023    By - Dr Clemens
Indoleamine 2,3-Dioxygenase Deletion to Modulate Kynurenine Pathway and to Prevent Brain Injury after Cardiac Arrest in Mice

Authors: Aurora Magliocca, M.D., Ph.D. et al  Anesthesiology November 2023, Vol. 139, 628–645. Background The catabolism of the essential amino acid tryptophan to kynurenine is emerging as a potential key pathway involved in post–cardiac arrest brain injury. The aim of this study was to evaluate the effects of the modulation of kynurenine pathway on cardiac arrest […]

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Uncategorized Published - 20 October, 2023    By - Dr Clemens
High-dose dual-antibiotic loaded cement for hip hemiarthroplasty in the UK (WHiTE 8)

Authors: Nickil R Agni et al   Lancet 2023 Jul 15;402(10397):196-202. Background: Hip fracture is the most common injury requiring treatment in hospital. Controversy exists regarding the use of antibiotic loaded bone cement in hip fractures treated with hemiarthroplasty. We aimed to compare the rate of deep surgical site infection in patients receiving high-dose dual-antibiotic loaded […]

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Uncategorized Published - 20 October, 2023    By - Dr Clemens
Transplantation Outcomes with Donor Hearts after Circulatory Death

Authors: Jacob N Schroder et al N Engl J Med 2023 Jun 8;388(23):2121-2131 Background: Data showing the efficacy and safety of the transplantation of hearts obtained from donors after circulatory death as compared with hearts obtained from donors after brain death are limited. Methods: We conducted a randomized, noninferiority trial in which adult candidates for heart transplantation […]

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Uncategorized Published - 19 October, 2023    By - Dr Clemens
Velo-epiglottic Adhesion: An Unusual Finding in a Mallampati Zero Airway

Authors: Peter L. Kovacs, M.D. et al  Anesthesiology November 2023, Vol. 139, 664. The figure is from the preanesthetic airway assessment of a 56-yr-old man scheduled for laparoscopic hernia repair. His epiglottis was visible on tongue protrusion (unusual “Mallampati Zero” classification) and was adhered to the uvula as well. The patient related an uneventful past surgical history, although […]

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Uncategorized Published - 19 October, 2023    By - Dr Clemens
Prehospital Tranexamic Acid for Severe Trauma

Authors:  Russell L Gruen et al   N Engl J Med 2023 Jul 13;389(2):127-136 Background: Whether prehospital administration of tranexamic acid increases the likelihood of survival with a favorable functional outcome among patients with major trauma and suspected trauma-induced coagulopathy who are being treated in advanced trauma systems is uncertain. Methods: We randomly assigned adults with major […]

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Uncategorized Published - 19 October, 2023    By - Dr Clemens
Patient Well-being and Satisfaction after General or Local Anesthesia with Conscious Sedation: A Secondary Analysis of the SOLVE-TAVI Trial

Authors: Matthias Heringlake, M.D. et al Anesthesiology November 2023, Vol. 139, 701–704. To the Editor: Transfemoral transcatheter aortic valve replacement has become the standard of care for older patients with symptomatic aortic stenosis.  While most procedures were initially performed under general anesthesia, based on the assumption that avoiding general anesthesia may improve postinterventional well-being and patient satisfaction, […]

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Uncategorized Published - 19 October, 2023    By - Dr Clemens
Novel Pulsed Ultrahigh-frequency Spinal Cord Stimulation Inhibits Mechanical Hypersensitivity and Brain Neuronal Activity in Rats after Nerve Injury

Authors: Chin-Tsang Yang, Ph.D. et al  Anesthesiology November 2023, Vol. 139, 646–663. Background Spinal cord stimulation (SCS) is an important pain treatment modality. This study hypothesized that a novel pulsed ultrahigh-frequency spinal cord stimulation (pUHF-SCS) could safely and effectively inhibit spared nerve injury–induced neuropathic pain in rats. Methods Epidural pUHF-SCS (± 3V, 2-Hz pulses comprising 500-kHz […]

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Uncategorized Published - 19 October, 2023    By - Dr Clemens
AmSurg to officially split from Envision

Author: Carly Behm Becker’s ASC Review AmSurg will be separated from Envision Healthcare and have its own separate leadership teams and owner groups, according to an Oct. 11 news release. The U.S. Bankruptcy Court for the Southern District of Texas Houston Division confirmed Envision’s plans to reorganize as it emerges from bankruptcy, which will eliminate 70% of […]

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Uncategorized Published - 18 October, 2023    By - Dr Clemens
Comparison of the Analgesic Efficacy between Arthroscopically Placed Continuous Suprascapular Nerve Block and Ultrasound-guided Continuous Superior Trunk Block

Authors: Ha-Jung Kim, M.D., Ph.D. et al  Anesthesiology November 2023, Vol. 139, 591–601. Background Single-shot suprascapular nerve block and superior trunk block have been reported to provide a noninferior analgesic effect after shoulder surgery with a lesser incidence of hemidiaphragmatic paresis compared with interscalene brachial plexus block. This study hypothesized that continuous suprascapular nerve block […]

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