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AUTHORS: Kim, Namo MD, PhD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1407-1414 BACKGROUND: The ventilation/perfusion mismatch in chronic obstructive pulmonary disease (COPD) patients can exacerbate cardiac function as well as pulmonary oxygenation. We hypothesized that inhaled iloprost can ameliorate pulmonary oxygenation with lung mechanics and myocardial function […]
Read MoreAUTHORS: Jia, Yuan MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1396-1406 BACKGROUND: Mechanical ventilation with low tidal volumes appears to provide benefit in patients having noncardiac surgery; however, whether it is beneficial in patients having cardiac surgery is unclear. METHODS: We retrospectively examined patients having elective cardiac […]
Read MoreAUTHORS: Nam, Karam MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1381-1388 BACKGROUND: Inadvertent perioperative hypothermia is common in patients undergoing off-pump coronary artery bypass grafting (OPCAB). We investigated the association between early postoperative body temperature and all-cause mortality in patients undergoing OPCAB. METHODS: We reviewed the electronic […]
Read MoreAUTHORS: Funcke, Sandra MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1264-1273 BACKGROUND: This pilot study investigated the effect of sufentanil titration by 3 different analgesia monitoring devices or clinical signs during general anesthesia. METHODS: Forty-eight patients undergoing radical retropubic prostatectomy with sevoflurane/sufentanil anesthesia were randomly assigned into […]
Read MoreAUTHORS: Ghamri, Yassine MSc et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1222-1233 BACKGROUND: Intraoperative hypotension is associated with postoperative complications and death. Oscillometric brachial cuffs are used to measure arterial pressure (AP) in most surgical patients but may miss acute changes in AP. We hypothesized that pulse oximeter […]
Read MoreAUTHORS: Belur Nagaraj, Sunil PhD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1211-1221 BACKGROUND: Brain monitors tracking quantitative brain activities from electroencephalogram (EEG) to predict hypnotic levels have been proposed as a labor-saving alternative to behavioral assessments. Expensive clinical trials are required to validate any newly developed processed […]
Read MoreAUTHORS: Solomon, Stuart C. MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1201-1210 BACKGROUND: Predictive analytics systems may improve perioperative care by enhancing preparation for, recognition of, and response to high-risk clinical events. Bradycardia is a fairly common and unpredictable clinical event with many causes; it may be […]
Read MoreAUTHORS: Mathis, Michael R. MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1188-1200 BACKGROUND: Heart failure with reduced ejection fraction (HFrEF) is a condition imposing significant health care burden. Given its syndromic nature and often insidious onset, the diagnosis may not be made until clinical manifestations prompt […]
Read MoreAUTHORS: Lakha, Sameer MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1167-1175 BACKGROUND: Reimbursement for anesthesia services has been shifting from a fee-for-service model to a value-based model that ties payment to quality metrics. The Centers for Medicare & Medicaid Service’s (CMS) value-based payment program includes a quality […]
Read MoreAUTHORS: Pinsky, Michael R. MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1176-1187 BACKGROUND: Individualized hemodynamic monitoring approaches are not well validated. Thus, we evaluated the discriminative performance improvement that might occur when moving from noninvasive monitoring (NIM) to invasive monitoring and with increasing levels of featurization associated […]
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