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Uncategorized Published - 21 November, 2022    By - Dr Clemens
Identification of Foramen Ovale With H-Figure Fluoroscopic Landmark Improves Treatment Outcomes in Idiopathic Trigeminal Neuralgia

AUTHORS: He, Liang-Liang MD et al  Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 – p 837-844 BACKGROUND: Because it is traditionally difficult and time-consuming to identify the foramen ovale (FO) with fluoroscopy, we recently developed the H-figure method to acquire fluoroscopic view of FO with shorter procedure time and less radiation. However, […]

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Uncategorized Published - 18 November, 2022    By - Dr Clemens
Comparison of Antinociceptive Properties Between Sevoflurane and Desflurane Using Pupillary Dilation Reflex Under Equivalent Minimum Alveolar Concentration

AUTHORS: Kim, Soo Yeon MD, PhD et al  Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 – p 798-806 BACKGROUND:  The pupillary dilation reflex (PDR), the change in pupil size after a nociceptive stimulus, has been used to assess antinociception during anesthesia. The aim of this study was to compare the antinociceptive properties […]

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Uncategorized Published - 18 November, 2022    By - Dr Clemens
Intraoperative Blood Pressure and Long-Term Neurodevelopmental Function in Children Undergoing Ambulatory Surgery

AUTHORS: Ing, Caleb MD, MS et al Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 – p 787-797 BACKGROUND: Some studies have found surgery and anesthesia in children to be associated with neurodevelopmental deficits, but specific reasons for this association have not been fully explored. This study evaluates intraoperative mean arterial pressure (MAP) […]

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Uncategorized Published - 18 November, 2022    By - Dr Clemens
Pharmacokinetics and Tolerability of Intraperitoneal Chloroprocaine After Fetal Extraction in Women Undergoing Cesarean Delivery

AUTHORS: Togioka, Brandon M. MD et al  Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 – p 777-786 BACKGROUND: Intraperitoneal chloroprocaine has been used during cesarean delivery to supplement suboptimal neuraxial anesthesia for decades. The short in vitro half-life of chloroprocaine (11–21 seconds) has been cited to support the safety of this approach. […]

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Uncategorized Published - 18 November, 2022    By - Dr Clemens
The Influence of Positive End-Expiratory Pressure on Leakage and Oxygenation Using a Laryngeal Mask Airway

AUTHORS: Ullmann, Hannah et al  Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 – p 769-776 BACKGROUND:  The value of positive end-expiratory pressure (PEEP) in maintaining oxygenation during ventilation with a laryngeal mask airway (LMA) mask is unclear. To clarify the potential benefit or harm to PEEP application during positive pressure ventilation with […]

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Uncategorized Published - 18 November, 2022    By - Dr Clemens
A Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial of Preoperative Antithrombin Supplementation in Patients at Risk for Antithrombin Deficiency After Cardiac Surgery

AUTHORS: Moront, Michael George MD et al Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 – p 757-768 BACKGROUND:  Antithrombin (AT) activity is reduced during cardiac operations with cardiopulmonary bypass (CPB), which is associated with adverse outcomes. Preoperative AT supplementation, to achieve >58% and <100% AT activity, may potentially reduce postoperative morbidity and […]

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Uncategorized Published - 17 November, 2022    By - Dr Clemens
Systems Anesthesiology: Integrating Insights From Diverse Disciplines to Improve Perioperative Care

AUTHORS: Ruscic, Katarina Jennifer MD et al  Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 – p 673-677 The twenty-first century saw the rise of “systems biology,” an interdisciplinary approach in biomedical research integrating computational modeling, cell biology, proteomics, and genomics to provide an understanding of the larger picture of a tissue or […]

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Uncategorized Published - 17 November, 2022    By - Dr Clemens
A Best Practice for Anesthesia Work Area Infection Control Measures: What Are You Waiting For?

Authors: Jonathan E. Charnin, MD, FASA et al  Anesthesia Patient Safety Foundation Oct 2022 SUMMARY:Evidence-based, basic infection control measures implemented effectively in the anesthesia work area can generate substantial reductions in pathogen transmission and surgical site infection development. These measures are indicated to improve patient safety. In this brief review, we characterize basic preventive measures […]

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Uncategorized Published - 17 November, 2022    By - Dr Clemens
Why the No Surprises Act is harming anesthesiologists

Author: Patsy Newitt Becker’s ASC Review The No Surprises Act has created financial challenges for anesthesiologists, the American Society of Anesthesiologists said Nov. 15. The implementation of the law has harmed physicians specifically at small and medium-sized practices, the society said in a news release. Insurance companies have slashed payments for anesthesiologists by nearly 40 percent in […]

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Uncategorized Published - 17 November, 2022    By - Dr Clemens
Evolving Standards for Anesthesia During Advanced GI Endoscopic Procedures

Authors: Richard C. Prielipp, MD, MBA, FCCM; Stuart K. Amateau, MD, PhD, FASGE, FACG, AGAF Reprinted from Anesthesia & Analgesia, June 2022 • Volume 134 • Number 6, pages 1189–1191, with permission from International Anesthesia Research Society. Professional titles and nomenclature were standardized and modified within the text consistent with APSF policy. Patients undergo over 11 […]

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