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Uncategorized Published - 11 November, 2021    By - Dr Clemens
Effects of Local Anesthetic Volume (Standard Versus Low) on Incidence of Hemidiaphragmatic Paralysis and Analgesic Quality for Ultrasound-Guided Superior Trunk Block After Arthroscopic Shoulder Surgery

AUTHORS: Kim, Hyunzu MD, PhD et al Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1303-1310 BACKGROUND:  Relative to interscalene block, superior trunk block (STB) provides comparable analgesia and a reduced risk of hemidiaphragmatic paralysis. However, the incidence of hemidiaphragmatic paralysis remains high when a standard volume (15 mL) of local […]

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Uncategorized Published - 11 November, 2021    By - Dr Clemens
Ultrasound-guided central venous catheterization. Long-axis in-plane technique

Cardiac Anesthesiologist In this technique, the needle is advanced inside the ultrasound scan plane while observing the long axis of the vein. Unlike the short-axis out-of-plane, puncturing is truly performed in real time. Although this technique can be applied clinically with the Internal Jugular Vein if a small probe is used, it can be difficult to use regular-sized […]

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Uncategorized Published - 10 November, 2021    By - Dr Clemens
Comparison of the Conventional Downward and Modified Upward Laryngeal Handshake Techniques to Identify the Cricothyroid Membrane

AUTHORS: Chang, Jee-Eun MD et al Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1288-1295 BACKGROUND:  Accurate identification of the cricothyroid membrane is crucial for successful cricothyroidotomy. The aim of this study was to compare the conventional downward and modified upward laryngeal handshake techniques in terms of accuracy to identify the […]

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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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