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Uncategorized Published - 10 November, 2021    By - Dr Clemens
Hospital Volumes of Inpatient Pediatric Surgery in the United States

AUTHORS: Berry, Jay G. MD, MPH et al Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1280-1287 BACKGROUND:  Perioperative outcomes of children depend on the skill and expertise in managing pediatric patients, as well as integration of surgical, anesthesiology, and medical teams. We compared the types of pediatric patients and inpatient […]

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Uncategorized Published - 10 November, 2021    By - Dr Clemens
Comparison of the Spectral Features of the Frontal Electroencephalogram in Patients Receiving Xenon and Sevoflurane General Anesthesia

AUTHORS: McGuigan, Steven MBChB et al Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1269-1279 BACKGROUND:  Depth-of-anesthesia monitoring is often utilized for patients receiving xenon anesthesia. Processed electroencephalogram (EEG) depth-of-anesthesia monitoring relies to a significant extent on frequency domain analysis of the frontal EEG, and there is evidence that the spectral […]

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Uncategorized Published - 10 November, 2021    By - Dr Clemens
The Association of Dexmedetomidine on Perioperative Opioid Consumption in Children Undergoing Adenotonsillectomy With and Without Obstructive Sleep Apnea

AUTHORS: Adler, Adam C. MS, MD, FAAP, FASE et al Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1260-1268 BACKGROUND:  Dexmedetomidine is used to reduce opioid consumption in pediatric anesthesia. However, there is conflicting evidence in pediatric adenotonsillectomy literature regarding the total perioperative opioid-sparing effects of dexmedetomidine. The aim of this […]

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Uncategorized Published - 10 November, 2021    By - Dr Clemens
A Novel 3-Dimensional Printing Fabrication Approach for the Production of Pediatric Airway Models

AUTHORS: Weatherall, Andrew D. BMed et al Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1251-1259 BACKGROUND:  Pediatric airway models currently available for use in education or simulation do not replicate anatomy or tissue responses to procedures. Emphasis on mass production with sturdy but homogeneous materials and low-fidelity casting techniques diminishes […]

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Uncategorized Published - 9 November, 2021    By - Dr Clemens
Anesthetic Management of Von Willebrand Disease in Pregnancy

AUTHORS: Reale, Sharon C. MD et al Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1244-1250 BACKGROUND:  Although Von Willebrand disease (vWD) is the most common heritable bleeding disorder, there are limited reports regarding the safety of neuraxial anesthesia in the obstetric population and no definitive guidelines specifying recommended pretreatment or […]

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Uncategorized Published - 9 November, 2021    By - Dr Clemens
Effect of Different Positions During Surgical Preparation With Combined Spinal-Epidural Anesthesia for Elective Cesarean Delivery

AUTHORS: Liu, Tianyu BSc et al Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1235-1243 BACKGROUND:  The intraoperative 15° left-tilt position during cesarean delivery has more recently been questioned regarding its effect on fetal acid-base balance and is a frequent source of complaints by surgeons. We hypothesized that a 30° left-tilt […]

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Uncategorized Published - 9 November, 2021    By - Dr Clemens
Beta-Blocker Therapy Is Associated With Increased 1-Year Survival After Hip Fracture Surgery

AUTHORS: Mohammad Ismail, Ahmad MD et al Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1225-1234 BACKGROUND:  The high mortality rates seen within the first postoperative year after hip fracture surgery have remained relatively unchanged in many countries for the past 15 years. Recent investigations have shown an association between beta-blocker […]

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Uncategorized Published - 9 November, 2021    By - Dr Clemens
Comparison of Percentage Prolonged Times to Tracheal Extubation Between a Japanese Teaching Hospital and One in the United States, Without and With a Phase I Postanesthesia Care Unit

AUTHORS: Sugiyama, Daisuke MD, PhD et al  Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1206-1214 BACKGROUND:  Prolonged times to tracheal extubation are those from end of surgery (dressing on the patient) to extubation 15 minutes or longer. They are so long that others in the operating room (OR) generally have […]

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Uncategorized Published - 9 November, 2021    By - Dr Clemens
The Effect of Low-Dose Intraoperative Ketamine on Closed-Loop-Controlled General Anesthesia

AUTHORS: Napoleone, Gabby BSc et al Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1215-1224 BACKGROUND:  Closed-loop control of propofol-remifentanil anesthesia using the processed electroencephalography depth-of-hypnosis index provided by the NeuroSENSE monitor (WAVCNS) has been previously described. The purpose of this placebo-controlled study was to evaluate the performance (percentage time within […]

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Uncategorized Published - 8 November, 2021    By - Dr Clemens
Driving Pressure–Guided Individualized Positive End-Expiratory Pressure in Abdominal Surgery:

AUTHORS: Zhang, Chengmi MD, PhD et al Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1197-1205 BACKGROUND:  The optimal positive end-expiratory pressure (PEEP) to prevent postoperative pulmonary complications (PPCs) remains unclear. Recent evidence showed that driving pressure was closely related to PPCs. In this study, we tested the hypothesis that an […]

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