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Uncategorized Published - 30 September, 2021    By - Dr Clemens
Differential Perioperative Outcomes in Patients With Obstructive Sleep Apnea, Obesity, or a Combination of Both Undergoing Open Colectomy

AUTHORS: Stundner, Ottokar MD, MBA et al Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 755-764 BACKGROUND:  An increasing body of evidence demonstrates an association between obstructive sleep apnea (OSA) and adverse perioperative outcomes. However, large-scale data on open colectomies are lacking. Moreover, the interaction of obesity with OSA is unknown. […]

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Uncategorized Published - 30 September, 2021    By - Dr Clemens
Fooled by Thinking: Behavioral Economics and Medical Decision-Making

Author: John E. Fiadjoe, MD ASA Monitor September 2021, Vol. 85, 36. “The fool doth think he is wise, but the wise man knows himself to be a fool.” – William Shakespeare Behavioral economics is a field that studies the effects of environment, heuristics, social contexts, and psychological influences on decision-making. Daniel Kahneman won the […]

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Uncategorized Published - 30 September, 2021    By - Dr Clemens
Breast Regional Anesthesia Practice in the Italian Public Health System (BRA-SURVEY)

AUTHORS: Bonvicini, Daniele MD et al Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 772-780 BACKGROUND:  Breast cancer is the most common malignancy in women. Surgery is a mainstay therapy unfortunately burdened by complications as severe postoperative pain. Regional anesthesia may play a role in a multimodal strategy for prevention and […]

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Uncategorized Published - 29 September, 2021    By - Dr Clemens
Effect of Preoperative Oral Carbohydrate Loading on Body Temperature During Combined Spinal-Epidural Anesthesia for Elective Cesarean Delivery

AUTHORS: Yang, Chen MD et al Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 731-738 BACKGROUND:  Intraoperative hypothermia is a common complication after neuraxial block in cesarean delivery. At least 1 animal study has found that carbohydrate loading can maintain the body temperature of rats during general anesthesia, but it is […]

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Uncategorized Published - 29 September, 2021    By - Dr Clemens
Blunt Chest Trauma and Regional Anesthesia for Analgesia of Multitrauma Patients in French Intensive Care Units

AUTHORS: Blondonnet, Raiko MD, MSc et al Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 723-730 BACKGROUND:  Chest injuries are associated with mortality among patients admitted to the intensive care unit (ICU) and require multimodal pain management strategies, including regional anesthesia (RA). We conducted a survey to determine the current practices […]

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Uncategorized Published - 29 September, 2021    By - Dr Clemens
Ipsilateral Intravenous Catheter Placement in Breast Cancer Surgery Patients

AUTHORS: Naranjo, Julian DO et al Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 707-712 BACKGROUND:  There is a continued perception that intravenous line (IV) placement is contraindicated in the arm ipsilateral to prior breast cancer surgery to avoid breast cancer–related lymphedema (BCRL). The aim of this retrospective study was to […]

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Uncategorized Published - 29 September, 2021    By - Dr Clemens
Gastric Ultrasound Assessing Gastric Emptying of Preoperative Carbohydrate Drinks

AUTHORS: Cho, Eun-Ah PhD et al Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 690-697 BACKGROUND:  Tools for the evaluation of gastric emptying have evolved over time. The purpose of this study was to show that the risk of pulmonary aspiration is not increased with carbohydrate drink, by demonstrating that the […]

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Uncategorized Published - 29 September, 2021    By - Dr Clemens
Circle of Life or Hamster Wheel? The World of Obstetrical Anesthesia

Authors: Zachary Deutch, MD, FASA et al  ASA Monitor September 2021, Vol. 85, 1–9. Hello readers, hopefully everyone enjoyed the summer and is looking forward to an academic year with a large degree of normalcy restored. Notably, most schools look to be reconvened 100% in-person, with minimal to no masking requirements and removal of plastic […]

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Uncategorized Published - 28 September, 2021    By - Dr Clemens
A Retrospective Analysis Demonstrates That a Failure to Document Key Comorbid Diseases in the Anesthesia Preoperative Evaluation Associates With Increased Length of Stay and Mortality

AUTHORS: Hofer, Ira S. MD et al Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 698-706 BACKGROUND:  The introduction of electronic health records (EHRs) has helped physicians access relevant medical information on their patients. However, the design of EHRs can make it hard for clinicians to easily find, review, and document […]

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Uncategorized Published - 28 September, 2021    By - Dr Clemens
The Facilitatory Effects of Adjuvant Pharmaceutics to Prolong the Duration of Local Anesthetic for Peripheral Nerve Block

AUTHORS: Xuan, Chengluan MD, PhD et al Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 620-629 BACKGROUND:  Peripheral nerve block (PNB) with perineural local anesthetic is used for anesthesia or analgesia with many benefits. To extend these benefits, various adjuvant drugs have been used to prolong the duration of analgesia. We […]

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