Uncategorized

Uncategorized Published - 21 June, 2021    By - Dr Clemens
Phrenic Nerve Block at the Azygos Vein Level Versus Sham Block for Ipsilateral Shoulder Pain After Video-Assisted Thoracoscopic Surgery

AUTHORS: Kimura Kuroiwa, Kaori MD, PhD et al Anesthesia & Analgesia: June 2021 – Volume 132 – Issue 6 – p 1594-1602 BACKGROUND:  Ipsilateral shoulder pain (ISP) is a common problem after pulmonary surgery. We hypothesized that phrenic nerve block (PNB) at the azygos vein level, near the location of the surgical operation, would be effective […]

Read More
Uncategorized Published - 21 June, 2021    By - Dr Clemens
Free Hemoglobin Ratio as a Novel Biomarker of Acute Kidney Injury After On-Pump Cardiac Surgery

AUTHORS: Hu, Jie MD, PhD et al Anesthesia & Analgesia: June 2021 – Volume 132 – Issue 6 – p 1548-1558 BACKGROUND:  Cardiac surgery with cardiopulmonary bypass (CPB) is associated with a high risk of postoperative acute kidney injury (AKI). Due to limitations of current diagnostic strategies, we sought to determine whether free hemoglobin (fHb) ratio […]

Read More
Uncategorized Published - 21 June, 2021    By - Dr Clemens
A Survey of the Society for Pediatric Anesthesia on the Use, Monitoring, and Antagonism of Neuromuscular Blockade

AUTHORS: Faulk, Debra J. MD et al Anesthesia & Analgesia: June 2021 – Volume 132 – Issue 6 – p 1518-1526 BACKGROUND:  Although the package insert clearly states that “the safety and efficacy of sugammadex in pediatric patients have not been established,” we hypothesized that sugammadex is used widely in pediatric anesthetic practice supplanting neostigmine as […]

Read More
Uncategorized Published - 21 June, 2021    By - Dr Clemens
Quantitative Pupillometry as a Predictor of Pediatric Postoperative Opioid–Induced Respiratory Depression

AUTHORS: Packiasabapathy, Senthil MD et al Anesthesia & Analgesia: May 2021 BACKGROUND: Safe postoperative pain relief with opioids is an unmet critical medical need in children. There is a lack of objective, noninvasive bedside tool to assess central nervous system (CNS) effects of intraoperative opioids. Proactive identification of children at risk for postoperative respiratory depression (RD) […]

Read More
Uncategorized Published - 21 June, 2021    By - Dr Clemens
Predictive Performance of Oximetry to Detect Sleep Apnea in Patients Taking Opioids

AUTHORS:  Waseem, Rida MA et al Anesthesia & Analgesia: May 2021 BACKGROUND: Long-term use of opioids for treatment of chronic pain is associated with significant risks including worsening unrecognized or untreated sleep apnea that may increase morbidity and mortality. Overnight oximetry has been validated for predicting sleep apnea in surgical and sleep clinic patients. The objective […]

Read More
Uncategorized Published - 18 June, 2021    By - Dr Clemens
Invasiveness of Treatment Is Gender Dependent in Intensive Care

AUTHORS: Blecha, Sebastian MD et al Anesthesia & Analgesia: June 2021 – Volume 132 – Issue 6 – p 1677-1683 BACKGROUND:  Health care and outcome of critically ill patients are marked by gender-related differences. Several studies have shown that male patients in intensive care units (ICU) more often receive mechanical ventilation, dialysis, pulmonary arterial catheterization (PAC), […]

Read More
Uncategorized Published - 18 June, 2021    By - Dr Clemens
Emerging Role of Long Noncoding RNAs in Perioperative Neurocognitive Disorders and Anesthetic-Induced Developmental Neurotoxicity

Authors: Pant, Tarun PhD et al Anesthesia & Analgesia: June 2021 – Volume 132 – Issue 6 – p 1614-1625 Abstract Preclinical investigations in animal models have consistently demonstrated neurobiological changes and life-long cognitive deficits following exposure to widely used anesthetics early in life. However, the mechanisms by which these exposures affect brain function remain poorly […]

Read More
Uncategorized Published - 18 June, 2021    By - Dr Clemens
Developing a Clinical Prediction Score: Comparing Prediction Accuracy of Integer Scores to Statistical Regression Models

Authors: Subramanian, Vigneshwar BA et al Anesthesia & Analgesia: June 2021 – Volume 132 – Issue 6 – p 1603-1613 Abstract Researchers often convert prediction tools built on statistical regression models into integer scores and risk classification systems in the name of simplicity. However, this workflow discards useful information and reduces prediction accuracy. We, therefore, investigated […]

Read More
Uncategorized Published - 18 June, 2021    By - Dr Clemens
Systematic Review of Intraoperative Anesthesia Handoffs and Handoff Tools

Authors: Abraham, Joanna PhD et al Anesthesia & Analgesia: June 2021 – Volume 132 – Issue 6 – p 1563-1575 Abstract Intraoperative handoffs between anesthesia clinicians are critical for care continuity. However, such handoffs pose a significant threat to patient safety. This systematic review synthesizes the empirical evidence on the (a) effect of intraoperative handoffs on […]

Read More
Uncategorized Published - 18 June, 2021    By - Dr Clemens
The Society for Obstetric Anesthesia and Perinatology Interdisciplinary Consensus Statement on Neuraxial Procedures in Obstetric Patients With Thrombocytopenia

Authors: Bauer, Melissa E DO et al Anesthesia & Analgesia: June 2021 – Volume 132 – Issue 6 – p 1531-1544 Abstract Because up to 12% of obstetric patients meet criteria for the diagnosis of thrombocytopenia in pregnancy, it is not infrequent that the anesthesiologist must decide whether to proceed with a neuraxial procedure in an […]

Read More