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Uncategorized Published - 4 October, 2021    By - Dr Clemens
Smart Glasses for Radial Arterial Catheterization in Pediatric Patients

Authors: Young-Eun Jang, M.D. et al  Anesthesiology October 2021, Vol. 135, 612–620. Background Hand–eye coordination and ergonomics are important for the success of delicate ultrasound-guided medical procedures. These can be improved using smart glasses (head-mounted display) by decreasing the head movement on the ultrasound screen. The hypothesis was that the smart glasses could improve the […]

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Uncategorized Published - 4 October, 2021    By - Dr Clemens
Ipsilateral and Simultaneous Comparison of Responses from Acceleromyography- and Electromyography-based Neuromuscular Monitors

Authors: Réka Nemes, M.D. et al  Anesthesiology October 2021, Vol. 135, 597–611. Background The paucity of easy-to-use, reliable objective neuromuscular monitors is an obstacle to universal adoption of routine neuromuscular monitoring. Electromyography (EMG) has been proposed as the optimal neuromuscular monitoring technology since it addresses several acceleromyography limitations. This clinical study compared simultaneous neuromuscular responses recorded […]

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Uncategorized Published - 4 October, 2021    By - Dr Clemens
New Report: Costs of Caring for Sicker Patients to Drive Continued Hospital and Health System Losses Throughout 2021

American Hospital Association Hospitals are treating sicker patients, spending more for labor, supplies and equipment as people continue to put off care A new analysis prepared by Kaufman, Hall & Associates, LLC and released today by the American Hospital Association shows that higher expenses for labor, drugs and supplies as well as patients putting off care […]

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Uncategorized Published - 1 October, 2021    By - Dr Clemens
Incidence, Mortality, and Characteristics of 18 Pediatric Perioperative Cardiac Arrests

AUTHORS: Jansen, Gerrit Dr med et al Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 747-754 BACKGROUND:  Recently, a very low incidence of 3 per 10,000 and a mortality of 30% were reported for pediatric perioperative cardiac arrest (POCA). However, high-risk patients, namely children already anesthetized on the intensive care unit […]

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Uncategorized Published - 1 October, 2021    By - Dr Clemens
REsidual Neuromuscular Block Prediction Score Versus Train-of-Four Ratio and Respiratory Outcomes

AUTHORS: Patrocínio, Maria D. MD et al Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 610-619 BACKGROUND:  Residual neuromuscular blockade is associated with an increased incidence of postoperative respiratory complications. The REsidual neuromuscular block Prediction Score (REPS) identifies patients at high risk for residual neuromuscular blockade after surgery. METHODS: A total […]

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Uncategorized Published - 1 October, 2021    By - Dr Clemens
Pharmacologic Management of Intensive Care Unit Delirium

AUTHORS: Boncyk, Christina S. MD et al Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 713-722 BACKGROUND: Pharmacologic agents are frequently utilized for management of intensive care unit (ICU) delirium, yet prescribing patterns and impact of medication choices on patient outcomes are poorly described. We sought to describe prescribing practices for […]

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Uncategorized Published - 1 October, 2021    By - Dr Clemens
P2Y1 Purinergic Receptor Contributes to Remifentanil-Induced Cold Hyperalgesia via Transient Receptor Potential Melastatin 8–Dependent Regulation of N-methyl-d-aspartate Receptor Phosphorylation in Dorsal Root Ganglion

AUTHORS: Su, Lin MD, PhD et al Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 794-810 BACKGROUND:  Remifentanil can induce postinfusion cold hyperalgesia. N-methyl-d-aspartate receptor (NMDAR) activation and upregulation of transient receptor potential melastatin 8 (TRPM8) membrane trafficking in dorsal root ganglion (DRG) are critical to cold hyperalgesia derived from neuropathic pain, […]

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Uncategorized Published - 1 October, 2021    By - Dr Clemens
Activation of Orexinergic Neurons Inhibits the Anesthetic Effect of Desflurane on Consciousness State via Paraventricular Thalamic Nucleus in Rats

AUTHORS: Zhao, Shiyi MD et al  Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 781-793 BACKGROUND:  Orexin, a neuropeptide derived from the perifornical area of the hypothalamus (PeFLH), promotes the recovery of propofol, isoflurane, and sevoflurane anesthesias, without influencing the induction time. However, whether the orexinergic system also plays a similar […]

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Uncategorized Published - 30 September, 2021    By - Dr Clemens
Midazolam Premedication Immediately Before Surgery Is Not Associated With Early Postoperative Delirium

AUTHORS: Wang, Man-Ling MD et al  Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 765-771 BACKGROUND:  Postoperative delirium is common among older surgical patients and may be associated with anesthetic management during the perioperative period. The aim of this study is to assess whether intravenous midazolam, a short-acting benzodiazepine used frequently […]

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Uncategorized Published - 30 September, 2021    By - Dr Clemens
Point-of-Care Lung Ultrasound Pattern in Healthy Parturients: Prevalence of Pulmonary Interstitial Syndrome Following Vaginal Delivery, Elective and Unplanned Intrapartum Cesarean Delivery

AUTHORS: Macias, Paul MD, MS, RD et al Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 739-746 BACKGROUND:  Pregnancy-related cardiovascular physiologic changes increase the likelihood of pulmonary edema, with the risk of fluid extravasating into the pulmonary interstitium being potentially at a maximum during the early postpartum period. Data on the […]

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