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Uncategorized Published - 18 October, 2021    By - Dr Clemens
Comparative Effect of Propofol and Volatile Anesthetics on Postoperative Pulmonary Complications After Lung Resection Surgery

AUTHORS: Li, Xue-Fei MD et al Anesthesia & Analgesia: October 2021 – Volume 133 – Issue 4 – p 949-957 BACKGROUND:  The effect of general anesthetics (propofol and volatile anesthetics) on pulmonary outcome after lung resection surgery with one-lung ventilation (OLV) is yet undetermined. We evaluated the effect of intravenous anesthesia (propofol) and volatile anesthesia (sevoflurane […]

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Uncategorized Published - 18 October, 2021    By - Dr Clemens
Ultrasound-guided central venous catheterization. Short-axis out-of-plane.

Author: Cardiac Anesthesiologist Short-axis out-of-plane technique In this technique, the needle is inserted while observing the short axis of the vein; thus, the needle intersects the ultrasound image. It is mainly used for puncturing the IJV and FV. It is advantageous, because positional relationships with arteries are easy to identify, but its disadvantage is that […]

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Uncategorized Published - 18 October, 2021    By - Dr Clemens
Patient Satisfaction Through an Immersive Experience Using a Mobile Phone–Based Head-Mounted Display During Arthroscopic Knee Surgery Under Spinal Anesthesia

AUTHORS: Tharion, Joseph G. DA; Kale et al Anesthesia & Analgesia: October 2021 – Volume 133 – Issue 4 – p 940-948 BACKGROUND:  Patient satisfaction is an important element of high-quality health care. Virtual reality has been studied for its sedative and analgesic effects, as it immerses the patient into an artificial interactive environment. Deriving from […]

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Uncategorized Published - 18 October, 2021    By - Dr Clemens
Association Between Short-, Intermediate-, and Long-term Mortality and Myocardial Injury After Noncardiac Surgery After Hip Fracture Surgery

AUTHORS: Vacheron, Charles-Hervé MD et al Anesthesia & Analgesia: October 2021 – Volume 133 – Issue 4 – p 915-923 BACKGROUND:  For more than 20 years, hip fracture 1-year mortality has remained around 20%. An elevation of the postoperative troponin peak within 72 hours (myocardial injury after noncardiac surgery [MINS]) is associated with a greater risk […]

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Uncategorized Published - 15 October, 2021    By - Dr Clemens
Effect of 6% Hydroxyethyl Starch 130/0.4 on Inflammatory Response and Pulmonary Function in Patients Having Cardiac Surgery

AUTHORS: Lee, Mee Jee MD et al Anesthesia & Analgesia: October 2021 – Volume 133 – Issue 4 – p 906-914 BACKGROUND:  Cardiac surgery with cardiopulmonary bypass induces a profound inflammatory response that, when severe, can lead to multiorgan system dysfunction. Preliminary data suggest that administration of hydroxyethyl starch (HES) solutions may mitigate an inflammatory response […]

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Uncategorized Published - 15 October, 2021    By - Dr Clemens
Postoperative Neurocognitive Disorders After Closed-Loop Versus Manual Target Controlled-Infusion of Propofol and Remifentanil in Patients Undergoing Elective Major Noncardiac Surgery

AUTHORS: Mahr, Nicolas MD et al Anesthesia & Analgesia: October 2021 – Volume 133 – Issue 4 – p 837-847 BACKGROUND:  The aim of the study was to investigate whether closed-loop compared to manual bispectral index (BIS)–guided target-controlled infusion of propofol and remifentanil could decrease the incidence of postoperative neurocognitive disorders after elective major noncardiac surgery. […]

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Uncategorized Published - 15 October, 2021    By - Dr Clemens
Anatomical In Vitro Investigations of the Pediatric Larynx: A Call for Manufacturer Redesign of Tracheal Tube Cuff Location and Perhaps a Call to Reconsider the Use of Uncuffed Tracheal Tubes

AUTHORS: Isa, Malaak MD et al Anesthesia & Analgesia: October 2021 BACKGROUND: Some in vivo studies question the traditional “funnel-shaped” infant larynx; further anatomic examinations were warranted. Examination of fixative free fresh autopsy laryngeal and upper tracheal specimens and multiple measurements was needed to determine consistency between current tracheal tube designs and anatomic observations. METHODS: Larynges […]

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Uncategorized Published - 15 October, 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: September 2021 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 cricothyroid membrane in nonobese female patients. METHODS: In 198 […]

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Uncategorized Published - 15 October, 2021    By - Dr Clemens
Over-Sedation in Patients With COVID-19, ARDS, Linked to Delirium Risk

DG News Authors: Nancy Melville Critically-ill patients with coronavirus disease 2019 (COVID-19) and/or acute respiratory distress syndrome (ARDS) who are over-sedated are at an increased risk of delirium, regardless of their age, according to a study presented at the 40th International Symposium on Intensive Care and Emergency Medicine. “This study shows that, besides age, over-sedation […]

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Uncategorized Published - 14 October, 2021    By - Dr Clemens
Simulation Analysis of Flow Rate Variability During Microinfusions: The Effect of Vertical Displacement and Multidrug Infusion in Conventional Infusion Pumps Versus New Cylinder-Type Infusion Pumps

AUTHORS: Oh, Eun Jung MD, PhD et al Anesthesia & Analgesia: September 2021 Abstract BACKGROUND: Medication dosing errors can occur during microinfusions when there is vertical pump displacement or multidrug infusion through a single intravenous path. We compared flow rate variability between new-generation cylinder-type infusion pumps and conventional infusion pumps under simulated conditions. METHODS: We evaluated […]

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