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Uncategorized Published - 3 December, 2021    By - Dr Clemens
Study suggests low testosterone associated with hypoxemic respiratory insufficiency and mortality in patients with COVID-19

This is for our readers that treat patients in the ICU. DG Alerts Findings from a study published in the Journal of Endocrinological Investigation suggest an association between testosterone deficiency and high risk of acute hypoxemic respiratory failure at admission, need of oxygen support and mortality during hospital stay in adult males with coronavirus disease 2019 (COVID-19). […]

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Uncategorized Published - 3 December, 2021    By - Dr Clemens
CABG still the ‘treatment of choice’ for patients with complex three-vessel CAD

Author: Michael Walter Cardiovascular Business Journal Percutaneous coronary intervention (PCI) guided by fractional flow reserve (FFR) was not found to be noninferior to coronary artery bypass grafting (CABG) for patients with three-vessel coronary artery disease (3V-CAD), according to new research presented Nov. 4 at TCT 2021. The analysis, which was also published in the New England […]

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Uncategorized Published - 2 December, 2021    By - Dr Clemens
The Invisible Cause of Physician Burnout

Author: Robert Pearl, MD ASA Monitor December 2021, Vol. 85, 25–26. Editor’s note: The following article contains observations and insights from Dr. Pearl that are more thoroughly explored on his website (robertpearlmd.com) and in his 2021 book “Uncaring: How the Culture of Medicine Kills Doctors & Patients.” Every doctor knows that properly diagnosing an ailment […]

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Uncategorized Published - 2 December, 2021    By - Dr Clemens
Impact of Bilateral Subcostal Plus Lateral Transversus Abdominis Plane Block on Quality of Recovery After Laparoscopic Cholecystectomy

AUTHORS: Jung, Jaewoong MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1624-1632 BACKGROUND:  Previous research has not evaluated the potential effect of transversus abdominis plane (TAP) block on quality of recovery following laparoscopic cholecystectomy. Therefore, we investigated whether addition of the bilateral subcostal and lateral TAP (bilateral dual […]

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Uncategorized Published - 2 December, 2021    By - Dr Clemens
Perioperative Electroencephalogram Spectral Dynamics Related to Postoperative Delirium in Older Patients

AUTHORS: Koch, Susanne MD, PhD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1598-1607 BACKGROUND:  Intraoperative electroencephalography (EEG) signatures related to the development of postoperative delirium (POD) in older patients are frequently studied. However, a broad analysis of the EEG dynamics including preoperative, postinduction, intraoperative and postoperative scenarios and […]

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Uncategorized Published - 2 December, 2021    By - Dr Clemens
Ketamine Alleviates Depressive Symptoms in Patients Undergoing Intracranial Tumor Resection

AUTHORS: Zhou, Yang MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1588-1597 BACKGROUND:  Depressive symptoms occur in over 40% of neurosurgical patients during the perioperative period. However, no measure has been suggested to have a rapid effect on depressive surgical patients during increasingly shorter stays in the hospital. […]

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Uncategorized Published - 2 December, 2021    By - Dr Clemens
The Prevalence of Difficult Airway in Children With Beckwith-Wiedemann Syndrome

AUTHORS: Sequera-Ramos, Luis MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1559-1567 BACKGROUND:  Beckwith-Wiedemann syndrome (BWS) is the most common congenital overgrowth disorder with an incidence of approximately 1 in 10,000 live births. The condition is characterized by lateralized overgrowth, abdominal wall defects, macroglossia, and predisposition to malignancy. […]

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Uncategorized Published - 2 December, 2021    By - Dr Clemens
Surgical, Obstetric, and Anesthetic Mortality Measurement at a Ugandan Secondary Referral Hospital

AUTHORS: Firth, Paul G. MBChB, BA et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1608-1616 BACKGROUND:  The health care systems of low-income countries have severely limited capacity to treat surgical diseases and conditions. There is limited information about which hospital mortality outcomes are suitable metrics in these settings. METHODS: […]

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Uncategorized Published - 1 December, 2021    By - Dr Clemens
Effect of Intravenous Acetaminophen on Mean Arterial Blood Pressure

AUTHORS: Bravo, Mauro MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1532-1539 BACKGROUND:  Acetaminophen is commonly used as part of multimodal analgesia for acute pain. The intravenous formulation offers a more predictable bioavailability compared to oral and rectal acetaminophen. There have been reports of hypotension with intravenous acetaminophen […]

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Uncategorized Published - 1 December, 2021    By - Dr Clemens
Rapid Sequence Induction With a Standard Intubation Dose of Rocuronium After Magnesium Pretreatment Compared With Succinylcholine

AUTHORS: Czarnetzki, Christoph MD, MBA et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1540-1549 BACKGROUND:  Succinylcholine remains the muscle relaxant of choice for rapid sequence induction (RSI) but has many adverse effects. High-dose rocuronium bromide may be an alternative to succinylcholine for RSI but recovery times are nearly doubled […]

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