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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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Uncategorized Published - 1 December, 2021    By - Dr Clemens
Analgesia After Cesarean Delivery in the United States 2008–2018

AUTHORS: Reed, Sydney E. MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1550-1558 BACKGROUND:  Optimizing analgesia after cesarean delivery is a priority and requires balancing adequate pain relief with the risk of analgesics-associated adverse effects. Current recommendations are for use of a multimodal, opioid-sparing analgesic regimen that includes […]

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Uncategorized Published - 1 December, 2021    By - Dr Clemens
Neuromuscular Blockade and Reversal Practice Variability in the Outpatient Setting

AUTHORS: Bash, Lori D. PhD, MPH et a; Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1437-1450 BACKGROUND:  Neuromuscular blockade (NMB) is a critical part of many surgical procedures. Data on practice patterns of NMB agents (NMBAs) and NMB reversal in recent years in the US ambulatory surgical care setting are […]

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Uncategorized Published - 1 December, 2021    By - Dr Clemens
The Strength of Alpha Oscillations in the Electroencephalogram Differently Affects Algorithms Used for Anesthesia Monitoring

AUTHORS: Weyer, Clara BS et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1577-1587 BACKGROUND:  Intraoperative patient monitoring using the electroencephalogram (EEG) can help to adequately adjust the anesthetic level. Therefore, the processed EEG (pEEG) provides the anesthesiologist with the estimated anesthesia level. The commonly used approaches track the changes […]

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Uncategorized Published - 30 November, 2021    By - Dr Clemens
Impact of Neuraxial Versus General Anesthesia on Discharge Destination in Patients Undergoing Primary Total Hip and Total Knee Replacement

AUTHORS: Duque, Melissa MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1379-1386 BACKGROUND:  Total knee replacement (TKR) and total hip replacement (THR) are 2 of the most common orthopedic surgical procedures in the United States. These procedures, with fairly low mortality rates, incur significant health care costs, with […]

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Uncategorized Published - 30 November, 2021    By - Dr Clemens
Early Postoperative Outcomes of Super Morbid Obese Compared to Morbid Obese Patients After Ambulatory Surgery Under General Anesthesia

AUTHORS: Hajmohamed, Sherine MD et al  Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1366-1373 BACKGROUND:  Patients with body mass index (BMI) ≥50 kg/m2, defined as super morbid obesity, represent the fastest growing segment of patients with obesity in the United States. It is currently unknown if super morbid obese patients […]

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Uncategorized Published - 30 November, 2021    By - Dr Clemens
What Is the Learning Curve for Lumbar Spine Surgery Under Spinal Anesthesia?

DG Journal Club AUTHORS: James L West, Gaetano De Biase et al. World Neurosurg. 2021 Nov 1 BACKGROUND Spinal anesthesia (SA) is routinely used in obstetrics and orthopedic surgery but has not been widely adopted in lumbar spinal surgery (LSS). One of the perceived barriers is the learning curve for the neurosurgical and anesthesia team […]

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Uncategorized Published - 30 November, 2021    By - Dr Clemens
Efficiency Metrics at an Academic Freestanding Ambulatory Surgery Center: Analysis of the Impact on Scheduled End-Times

AUTHORS: Reeves, J. Jeffery MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1406-1414 BACKGROUND:  Understanding the impact of key metrics on operating room (OR) efficiency is important to optimize utilization and reduce costs, particularly in freestanding ambulatory surgery centers. The aim of this study was to assess the […]

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