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Uncategorized Published - 17 June, 2021    By - Dr Clemens
Cerebral Hypoxia: Its Role in Age-Related Chronic and Acute Cognitive Dysfunction

Authors: Snyder, Brina PhD et al Anesthesia & Analgesia: June 2021 – Volume 132 – Issue 6 – p 1502-1513 Abstract Postoperative cognitive dysfunction (POCD) has been reported with widely varying frequency but appears to be strongly associated with aging. Outside of the surgical arena, chronic and acute cerebral hypoxia may exist as a result of […]

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Uncategorized Published - 17 June, 2021    By - Dr Clemens
The Role of Anesthesiologists in Perioperative Limitation of Potentially Life-Sustaining Medical Treatments

Authors: Cushman, Tera MD, MPH et al  Abstract No patient arrives at the hospital to undergo general anesthesia for its own sake. Anesthesiology is a symbiont specialty, with the primary mission of preventing physical and psychological pain, easing anxiety, and shepherding physiologic homeostasis so that other care may safely progress. For most elective surgeries, the […]

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Uncategorized Published - 17 June, 2021    By - Dr Clemens
Man had heart attack after consuming 12 energy drinks per day—now he’s warning others

Author: Michael Walter Cardiovascular Business A bar owner in the U.K. suffered an acute myocardial infarction after drinking approximately 12 energy drinks every day for a year. According to a new report from HullLive, Lee Kaman, 53, is now warning others about these drinks and advocating for them to be banned altogether. Kamen emphasized that […]

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Uncategorized Published - 16 June, 2021    By - Dr Clemens
A Systematic Review and Meta-Analysis of Preoperative Frailty Instruments Derived From Electronic Health Data

AUTHORS: Alkadri, Jamal MD et al Anesthesia & Analgesia: May 2021 BACKGROUND: Frailty is a strong predictor of adverse outcomes in the perioperative period. Given the increasing availability of electronic medical data, we performed a systematic review and meta-analysis with primary objectives of describing available frailty instruments applied to electronic data and synthesizing their prognostic value. […]

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Uncategorized Published - 16 June, 2021    By - Dr Clemens
Emergency Front-of-Neck Airway Rescue Via the Cricothyroid Membrane

AUTHORS: Fennessy, Paul MB, BCh, BAO et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 187-195 BACKGROUND:  Emergency front-of-neck airway rescue is recommended in a can’t intubate, can’t oxygenate clinical scenario. Cannula cricothyroidotomy has been reported as having a high failure rate. Our primary aim was to estimate the angle […]

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Uncategorized Published - 16 June, 2021    By - Dr Clemens
Impact of Intraoperative Cell Salvage on Blood Coagulation Factor Concentrations in Patients Undergoing Cardiac Surgery

AUTHORS: Adam, Elisabeth H. MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1389-1395 BACKGROUND:  Cardiothoracic surgery is associated with major blood loss and allogeneic transfusion of red blood cell concentrates. To minimize allogeneic red blood cell (RBC) transfusion, intraoperative cell salvage has been effectively used for years. The […]

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Uncategorized Published - 16 June, 2021    By - Dr Clemens
Maternal Intensive Care Unit Admission as an Indicator of Severe Acute Maternal Morbidity

AUTHORS: Godeberge, Charlotte MD et al Anesthesia & Analgesia: May 2021 BACKGROUND: Severe acute maternal morbidity (SAMM) accounts for any life-threatening complication during pregnancy or after delivery. Measuring and monitoring SAMM seem critical to assessing the quality of maternal health care. The objectives were to explore the validity of intensive care unit (ICU) admission as an […]

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Uncategorized Published - 16 June, 2021    By - Dr Clemens
Preoperative Vancomycin Administration for Surgical Site Prophylaxis: Plasma and Soft-Tissue Concentrations in Pediatric Neurosurgical and Orthopedic Patients

AUTHORS: Brooks Peterson, Melissa MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1435-1444 BACKGROUND:  Vancomycin is used for antibiotic prophylaxis in pediatric surgical patients without a complete understanding of plasma and soft-tissue pharmacokinetics. Guidelines recommend incision within 60 minutes after administration; however, tissue vancomycin concentrations at that early […]

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Uncategorized Published - 15 June, 2021    By - Dr Clemens
Is Supraclavicular Block as Good as Interscalene Block for Acute Pain Control Following Shoulder Surgery?

AUTHORS: Hussain, Nasir MD, MSc et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1304-1319 BACKGROUND:  Interscalene block (ISB) is the acute pain management technique of choice for shoulder surgery, but its undesirable respiratory side effects have prompted seeking alternatives. Supraclavicular block (SCB) is proposed as an ISB alternative, but […]

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Uncategorized Published - 15 June, 2021    By - Dr Clemens
BOSTN Bundle Intervention for Perioperative Screening and Management of Patients With Suspected Obstructive Sleep Apnea

AUTHORS: Raub, Dana Cand Med et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1415-1424 BACKGROUND:  We developed and implemented a perioperative guideline for obstructive sleep apnea (OSA), comprising a preoperative screening tool (BOSTN) and clinical management pathways. OSA was suspected with 2 or more of the following: body mass […]

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