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Uncategorized Published - 13 January, 2022    By - Dr Clemens
Poor Correlation between Diaphragm Thickening Fraction and Transdiaphragmatic Pressure in Mechanically Ventilated Patients and Healthy Subjects

Authors: Thomas Poulard, M.Sc. et al  Anesthesiology January 2022, Vol. 136, 162–175. Background The relationship between the diaphragm thickening fraction and the transdiaphragmatic pressure, the reference method to evaluate the diaphragm function, has not been clearly established. This study investigated the global and intraindividual relationship between the thickening fraction of the diaphragm and the transdiaphragmatic […]

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Uncategorized Published - 12 January, 2022    By - Dr Clemens
Anesthesia Considerations for Retinal Detachment Repair

Radius Anesthesia Blog During rhegmatogenous retinal detachment (RRD) surgery, operating teams reattach a split sensory retina to the retinal pigment epithelium [1]. During the procedure, the anesthesiologist must ensure the safety of the patient and the comfort of the surgeon(s) [2]. From weighing regional versus general techniques to determining the best method through which to administer anesthesia, […]

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Uncategorized Published - 12 January, 2022    By - Dr Clemens
Myocardial Injury After Non-Cardiac Surgery

Radius Anesthesia Blog Myocardial injury after non-cardiac surgery, or MINS, is a condition that affects approximately 20% of patients who undergo major surgery [1]. Unfortunately, there is a strong association between MINS and major surgical patients’ short-term and long-term mortalities [1]. Furthermore, it is a common condition [1]. A systematic review pooling outcomes from 530,867 […]

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Uncategorized Published - 12 January, 2022    By - Dr Clemens
Anesthesia Management of Lung Surgery

Radius Anesthesia Blog The debate around anesthesia management of lung surgery has made quite a few developments in the past decade. Perioperative pain can be extremely intense for patients undergoing thoracic incisions. Without proper anesthesia, patients may experience difficulties breathing and painful coughing which can lead to adverse outcomes, including chronic post-thoracotomy pain syndrome (Lederman et al., […]

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Uncategorized Published - 12 January, 2022    By - Dr Clemens
Mediastinal Masses, Anesthetic Interventions, and Airway Compression in Adults

Authors: Philip M. Hartigan, M.D. et al  Anesthesiology January 2022, Vol. 136, 104–114. Background Central airway occlusion is a feared complication of general anesthesia in patients with mediastinal masses. Maintenance of spontaneous ventilation and avoiding neuromuscular blockade are recommended to reduce this risk. Physiologic arguments supporting these recommendations are controversial and direct evidence is lacking. The […]

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Uncategorized Published - 12 January, 2022    By - Dr Clemens
Estimating the Impact of Carbon Dioxide Absorbent Performance Differences on Absorbent Cost During Low-Flow Anesthesia

AUTHORS: Feldman, Jeffrey M. MD, MSE et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 374-381 BACKGROUND:  Reducing fresh gas flow when using a circle anesthesia circuit is the most effective strategy for reducing both inhaled anesthetic vapor cost and waste. As fresh gas flow is reduced, the amount of […]

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Uncategorized Published - 11 January, 2022    By - Dr Clemens
Ultrasound-Assisted Versus Landmark-Guided Spinal Anesthesia in Patients With Abnormal Spinal Anatomy

AUTHORS: Park, Sun-Kyung MD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 787-795 BACKGROUND:  Spinal anesthesia using a surface landmark–guided technique can be challenging in patients with anatomical alterations of the lumbar spine; however, it is unclear whether using ultrasonography can decrease the technical difficulties in these populations. We […]

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Uncategorized Published - 11 January, 2022    By - Dr Clemens
A Narrative Review of Oxygenation During Pediatric Intubation and Airway Procedures

Authors: Else, Scott D. N. MD*; Kovatsis, Pete G. MD Anesthesia & Analgesia: April 2020 – Volume 130 – Issue 4 – p 831-840 Abstract Hypoxemia is a common complication in the pediatric operating room during endotracheal intubation and airway procedures and is a precursor to serious adverse events. Small children and infants are at greater […]

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Uncategorized Published - 11 January, 2022    By - Dr Clemens
Establishing Clinical Cut-points on the Pediatric PROMIS-pain Interference Scale in Youth with Abdominal Pain

DG Journal Club AUTHORS: Kaitlyn L Gamwell, Constance A Mara et al. Clin J Pain. 2021 Dec 20 OBJECTIVE Abdominal pain is a common presenting complaint in youth seeking medical care and can be debilitating. Therefore, it is important to understand the impact of pain on functioning using a clinically sensitive approach. In recent years, […]

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Uncategorized Published - 11 January, 2022    By - Dr Clemens
Reliability of pain scores during a body weight support protocol in individuals with knee osteoarthritis

DG Journal Club AUTHORS: Rebecca Greenwood, Jennifer Ellison et al. Disabil Rehabil. 2021 Dec 21 1-6 PURPOSE To explore the reliability of percentage of Body Weight Support (BWS) needed for maximal pain relief and of pain scores across 12 walking conditions including pre and post-over-ground walking and an unweighting protocol from 0% to 40% BWS […]

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