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Uncategorized Published - 26 October, 2021    By - Dr Clemens
Effects of Sevoflurane-Propofol–Balanced Anesthesia on Flash Visual Evoked Potential Monitoring in Spine Surgery

AUTHORS: Ma, Jiajia MD et al Anesthesia & Analgesia: September 20, 2021 BACKGROUND: Intraoperative flash visual evoked potential (FVEP) can be used to monitor visual function during spine surgery. However, it is limited due to the previous perception of its sensitivity to inhalation anesthesia. We conducted this trial to test the noninferiority of sevoflurane-propofol–balanced anesthesia (BA) […]

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Uncategorized Published - 26 October, 2021    By - Dr Clemens
Hiding in Plain Sight: Compassion as an Antidote to Burnout in the Post-COVID Era

Authors: Christopher Cornelissen, DO, FASA; Brent Lee, MD, MPH, FASA; Stephen Rivoli, DO, MPH, MA, CPHQ, CPPS; Barbara Gold, MD, FASA, MHCM Anesthesia Patient Safety Foundation Vol 36 No 3 Oct 2021 SUMMARY:Amplified by the COVID-19 pandemic, growing numbers of anesthesia professionals have experienced stress and burnout. Approaches to combat disillusionment, decreased job satisfaction and […]

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Uncategorized Published - 26 October, 2021    By - Dr Clemens
What to know about ADHD migraines

Author: Zia Sherrell Medical News Today People with ADHD may experience symptoms including difficulty concentrating, excessive physical movements, impulsivity, and becoming easily distracted. In addition to behavioral challenges, individuals may also experience physical symptoms such as migraine headaches. Attention deficit hyperactivity disorder, or ADHD, is a chronic developmental disorder marked by difficulty regulating attention and […]

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Uncategorized Published - 25 October, 2021    By - Dr Clemens
Phenylephrine or Ephedrine for Intraoperative Hypotension? Consider the Cerebral Microcirculation

Authors: Paul S. García, M.D., Ph.D. Charles H. Brown, IV, M.D., M.H.S. Anesthesiology November 2021, Vol. 135, 775–777. Intraoperative hypotension is common and known to be associated with suboptimal patient outcomes.  Over 90% of patients receiving anesthesia for surgery are expected to have at least one documented episode where the blood pressure decreased more than 20% below baseline.  Although […]

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Uncategorized Published - 25 October, 2021    By - Dr Clemens
Preoperative Paravertebral Block and Chronic Pain after Breast Cancer Surgery

Authors: Aline Albi-Feldzer, M.D. et al  Anesthesiology October 2021. Background The effectiveness of paravertebral block in preventing chronic pain after breast surgery remains controversial. The primary hypothesis of this study was that paravertebral block reduces the incidence of chronic pain 3 months after breast cancer surgery. Methods In this prospective, multicenter, randomized, double-blind, parallel-group, placebo-controlled […]

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Uncategorized Published - 25 October, 2021    By - Dr Clemens
Pressure Support versus Spontaneous Ventilation during Anesthetic Emergence—Effect on Postoperative Atelectasis

Authors: Heejoon Jeong, M.D. et al  Anesthesiology October 2021. Background Despite previous reports suggesting that pressure support ventilation facilitates weaning from mechanical ventilation in the intensive care unit, few studies have assessed its effects on recovery from anesthesia. The authors hypothesized that pressure support ventilation during emergence from anesthesia reduces postoperative atelectasis in patients undergoing […]

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Uncategorized Published - 25 October, 2021    By - Dr Clemens
Rhythmic Change of Cortical Hemodynamic Signals Associated with Ongoing Nociception in Awake and Anesthetized Individuals: An Exploratory Functional Near Infrared Spectroscopy Study

Authors: Ke Peng, Ph.D. et al  Anesthesiology November 2021, Vol. 135, 877–892. Background Patients undergoing surgical procedures are vulnerable to repetitive evoked or ongoing nociceptive barrage. Using functional near infrared spectroscopy, the authors aimed to evaluate the cortical hemodynamic signal power changes during ongoing nociception in healthy awake volunteers and in surgical patients under general […]

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Uncategorized Published - 25 October, 2021    By - Dr Clemens
Managing Luer Connections

Author: Bruce C. Hansel, PhD, CCE Anesthesia Patient Safety Foundation Vol 36 No 3 Oct 2021 Luer Fittings Named after German instrument maker, Hermann Luer, Luer fittings are among the earliest medical fittings designed to provide leak-free connections between syringes and needles and maintain a continuous lumen for fluid flow. The mated fittings are cone-shaped […]

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Uncategorized Published - 22 October, 2021    By - Dr Clemens
Perioperative Hypotension

Authorr: Daniel I. Sessler, MD Anesthesia Patient Safety Foundation Vol 36 No 3 Oct 2021 When patients reach the postanesthesia care unit after undergoing major noncardiac surgery, families assume they have naturally survived the most dangerous part of the perioperative experience. Their assumption is wrong. Mortality in the 30 days after surgery is more than […]

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Uncategorized Published - 22 October, 2021    By - Dr Clemens
Anesthetic Hypersensitivity in a Case-Controlled Series of Patients With Mitochondrial Disease

AUTHORS: Hsieh, Vincent C. MD et al Anesthesia & Analgesia: October 2021 – Volume 133 – Issue 4 – p 924-932 BACKGROUND:  Children with mitochondrial disease undergo anesthesia for a wide array of surgical procedures. However, multiple medications used for their perioperative care can affect mitochondrial function. Defects in function of the mitochondrial electron transport chain […]

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