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Uncategorized Published - 10 August, 2022    By - Dr Clemens
Success and Time to Oxygen Delivery for Scalpel-Finger-Cannula and Scalpel-Finger-Bougie Front-of-Neck Access

AUTHORS: Zhang, Jinbin MMED et al  Anesthesia & Analgesia: August 2022 – Volume 135 – Issue 2 – p 376-384 BACKGROUND: Emergency front-of-neck access (FONA) is particularly challenging with impalpable neck anatomy. We compared 2 techniques that are based on a vertical midline neck incision, followed by finger dissection and then either a cannula or scalpel […]

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Uncategorized Published - 10 August, 2022    By - Dr Clemens
A Comparison Between the Adductor Pollicis Muscle Using TOF-Watch SX and the Abductor Digiti Minimi Muscle Using TetraGraph in Rocuronium-Induced Neuromuscular Block

AUTHORS: Iwasaki, Hajime MD, PhD et al  Anesthesia & Analgesia: August 2022 – Volume 135 – Issue 2 – p 370-375 BACKGROUND:  The commonly used acceleromyography (AMG)-based neuromuscular monitor TOF-Watch SX is no longer manufactured. Recently, a new portable electromyography (EMG)-based neuromuscular monitor TetraGraph was introduced in clinical anesthesia. The aim of the study was to […]

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Uncategorized Published - 10 August, 2022    By - Dr Clemens
Gabapentinoid Use Is Associated With Reduced Occurrence of Hyperactive Delirium in Older Cancer Patients Undergoing Chemotherapy

AUTHORS: Abe, Hiroaki MD, PhD et al Anesthesia & Analgesia: August 2022 – Volume 135 – Issue 2 – p 362-369 BACKGROUND:  It is unclear whether gabapentinoids affect the development of delirium. We aimed to determine the association between gabapentinoid use and hyperactive delirium in older cancer patients undergoing chemotherapy. METHODS: We conducted propensity score-matched analyses […]

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Uncategorized Published - 10 August, 2022    By - Dr Clemens
Factors Associated With Postreperfusion Syndrome in Living Donor Liver Transplantation

AUTHORS: Umehara, Kaoru MD, PhD Anesthesia & Analgesia: August 2022 – Volume 135 – Issue 2 – p 354-361 BACKGROUND: Postreperfusion syndrome (PRS) after portal vein reperfusion during liver transplantation (LT) has been reported to cause rapid hemodynamic changes and is associated with a prolonged postoperative hospital stay, renal failure, and increased mortality. Although there are […]

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Uncategorized Published - 9 August, 2022    By - Dr Clemens
Levels of Maternal Care: The Anesthesiologist’s Role in Reducing Maternal Mortality

Authors: David Stahl, MD et al  ASA Monitor July 2022, Vol. 86, 34–35. Walking into the PACU following an appendectomy on a Saturday afternoon, the on-call obstetrician pages you about a pregnant patient in the ED. You work at a 50-bed hospital in a mountain town that provides basic obstetric services but has no ICU and […]

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Uncategorized Published - 9 August, 2022    By - Dr Clemens
Outlying End-Tidal Carbon Dioxide During General Anesthesia Is Associated With Postoperative Pulmonary Complications

AUTHORS: Akkermans, Annemarie MD, PhD et al  Anesthesia & Analgesia: August 2022 – Volume 135 – Issue 2 – p 341-353 BACKGROUND:  Postoperative pulmonary complications (PPCs) occur in up to 33% of patients who undergo noncardiothoracic surgery. Emerging evidence suggests that permissive hypercapnia may reduce the risk of lung injury. We hypothesized that higher intraoperative end-tidal […]

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Uncategorized Published - 9 August, 2022    By - Dr Clemens
Intraoperative Hypotension and Myocardial Injury After Noncardiac Surgery in Adults With or Without Chronic Hypertension

AUTHORS: Cohen, Barak MD et al  Anesthesia & Analgesia: August 2022 – Volume 135 – Issue 2 – p 329-340 BACKGROUND: The risk of myocardial injury progressively increases at intraoperative mean arterial pressures (MAPs) ≤65 mm Hg. Higher pressures might be required in chronically hypertensive patients. We aimed to test the hypothesis that the harm threshold […]

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Uncategorized Published - 9 August, 2022    By - Dr Clemens
Clonidine Versus Midazolam Premedication and Postoperative Negative Behavioral Changes in Younger Children

AUTHORS: Zickerman, Caroline MD et al  Anesthesia & Analgesia: August 2022 – Volume 135 – Issue 2 – p 307-315 Abstract Export BACKGROUND: Postoperative negative behavioral changes (NBCs) are common among children, but risk for this is thought to be reduced with premedication. Midazolam has for many years been a standard premedication for children. More recently, […]

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Uncategorized Published - 9 August, 2022    By - Dr Clemens
Postoperative Outcomes Associated With Procedural Sedation Conducted by Physician and Nonphysician Anesthesia Providers

AUTHORS: van der Merwe et al  Anesthesia & Analgesia: August 2022 – Volume 135 – Issue 2 – p 250-263 BACKGROUND:  There is an unmet need for essential surgical services in Africa. Limited anesthesia services are a contributing factor. Nonphysician anesthesia providers are utilized to assist with providing anesthesia and procedural sedation to make essential surgeries […]

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Uncategorized Published - 8 August, 2022    By - Dr Clemens
PSH Myths Worth Busting: 10 Years of Change and 6 Misconceptions

Author: Rob Shakar, MD, FASA ASA Monitor July 2022, Vol. 86, 41. In 2012, ASA introduced the Perioperative Surgical Home (PSH) as a response to the shift from volume-based to value-based health care. The society recognized that anesthesiologists would increasingly be measured by the cost-effectiveness and quality of the care they provide. We believed a patient-centric, […]

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