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Uncategorized Published - 23 July, 2021    By - Dr Clemens
Association Between Behavioral and Learning Outcomes and Single Exposures to Procedures Requiring General Anesthesia Before Age 3

AUTHORS: Warner, David O. MD et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 160-167 BACKGROUND:  Two prior population-based (children born in Olmsted County, MN), retrospective cohort studies both found that multiple exposures to anesthesia before age 3 were associated with a significant increase in the frequency of attention-deficit hyperactivity […]

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Uncategorized Published - 22 July, 2021    By - Dr Clemens
Difficulty in Advancing Flexible Epidural Catheters When Establishing Labor Analgesia

AUTHORS: Pancaro, Carlo MD et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 151-159 BACKGROUND:  While flexible epidural catheters reduce the risk of paresthesia and intravascular cannulation, they may be more challenging to advance beyond the tip of a Tuohy needle. This may increase placement time, number of attempts, and […]

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Uncategorized Published - 22 July, 2021    By - Dr Clemens
The Effect of High-Flow Nasal Oxygen on Carbon Dioxide Accumulation in Apneic or Spontaneously Breathing Adults During Airway Surgery

AUTHORS: Booth, Anton W. G. FANZCA et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 133-141 BACKGROUND:  High-flow nasal oxygen (HFNO) is an emerging technology that has generated interest in tubeless anesthesia for airway surgery. HFNO has been shown to maintain oxygenation and CO2 clearance in spontaneously breathing patients and is […]

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Uncategorized Published - 22 July, 2021    By - Dr Clemens
Association Between Preoperative Statin Use and Respiratory Complications After Noncardiac Surgery

AUTHORS: Komatsu, Ryu MD, MS et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 123-132 BACKGROUND:  Statins possess pleiotropic effects, which potentially benefit noncardiovascular conditions. Previous work suggests that statins reduce inflammation and prevent acute respiratory distress syndrome and infections. However, there is a paucity of data regarding potential benefits […]

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Uncategorized Published - 22 July, 2021    By - Dr Clemens
Competence in Decision Making: Setting Performance Standards for Critical Care

AUTHORS: Murray, David J. MD et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 142-150 BACKGROUND:  Health care professionals must be able to make frequent and timely decisions that can alter the illness trajectory of intensive care patients. A competence standard for this ability is difficult to establish yet assuring […]

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Uncategorized Published - 22 July, 2021    By - Dr Clemens
Postoperative Morbidity and Mortality in Diabetic Patients After Fast-Track Hip and Knee Arthroplasty

AUTHORS: Ortved, Milla MD et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 115-122 BACKGROUND:  Diabetes increases the risk of adverse outcomes in surgical procedures, including total hip and knee arthroplasty (THA/TKA), and the prevalence of diabetic patients undergoing these procedures is high, ranging from approximately 8% to 20%. However, […]

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Uncategorized Published - 21 July, 2021    By - Dr Clemens
Blood Conservation and Hemostasis in Cardiac Surgery

AUTHORS: Joshi, Ravi V. MD, FASE et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 104-114 BACKGROUND:  Blood conservation and hemostasis are integral parts of reducing avoidable blood transfusions and the associated morbidity and mortality. Despite the publication of blood conservation guidelines for cardiac surgery, evidence suggests persistent variability in […]

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Uncategorized Published - 21 July, 2021    By - Dr Clemens
Comparative Efficacy of 6 Topical Pharmacological Agents for Preventive Interventions of Postoperative Sore Throat After Tracheal Intubation

AUTHORS: Wang, Ge MScN et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 58-67 BACKGROUND:  Topical pharmacological agents typically used to treat postoperative sore throat (POST) after tracheal intubation include nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, lidocaine, Glycyrrhiza (licorice), and N-methyl-d-aspartate (NMDA) receptor antagonists (including ketamine and magnesium). However, the optimal prophylactic drug remains […]

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Uncategorized Published - 21 July, 2021    By - Dr Clemens
Hemodynamic Changes via the Lung Recruitment Maneuver Can Predict Fluid Responsiveness in Stroke Volume and Arterial Pressure During One-Lung Ventilation

AUTHORS: Kimura, Aya MD et al    Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 44-52 BACKGROUND:  We aimed to evaluate the ability of lung recruitment maneuver–induced hemodynamic changes to predict fluid responsiveness in patients undergoing lung-protective ventilation during one-lung ventilation (OLV). METHODS: Thirty patients undergoing thoracic surgery with OLV (tidal […]

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Uncategorized Published - 21 July, 2021    By - Dr Clemens
Trends in Peripheral Nerve Block Usage in Mastectomy and Lumpectomy

AUTHORS: Lam, Stephanie MS et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 32-40 BACKGROUND:  Compared to general anesthesia, regional anesthesia confers several benefits including improved pain control and decreased postoperative opioid consumption. While the benefits of peripheral nerve blocks (PNB) have been well studied, there are little epidemiological data […]

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