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Uncategorized Published - 27 May, 2021    By - Dr Clemens
Echocardiogram Utilization Patterns and Association With Mortality Following Severe Traumatic Brain Injury

AUTHORS: Chen, Fangyu BA et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 1060-1066 BACKGROUND:  Severe traumatic brain injury (TBI) can result in left ventricular dysfunction, which can lead to hypotension and secondary brain injuries. Although echocardiography is often used to examine cardiovascular function in multiple clinical settings, its use […]

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Uncategorized Published - 27 May, 2021    By - Dr Clemens
Neuromuscular Blockade Monitoring in Acute Respiratory Distress Syndrome

AUTHORS: Rezaiguia-Delclaux, Saïda MD et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 1051-1059 BACKGROUND:  Whether train-of-four (TOF) monitoring is more effective than clinical monitoring to guide neuromuscular blockade (NMB) in patients with acute respiratory distress syndrome (ARDS) is unclear. We compared clinical monitoring alone or with TOF monitoring to […]

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Uncategorized Published - 27 May, 2021    By - Dr Clemens
Reflection Versus Rebreathing for Administration of Sevoflurane During Minor Gynecological Surgery

AUTHORS: Kermad, Azzeddine MD et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 1042-1050 BACKGROUND:  Contemporary anesthetic circle systems, when used at low fresh gas flows (FGF) to allow rebreathing of anesthetic, lack the ability for rapid dose titration. The small-scale anesthetic reflection device Anaesthetic Conserving Device (50mL Version; AnaConDa-S) […]

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Uncategorized Published - 27 May, 2021    By - Dr Clemens
The Effect of Mechanical Ventilation With Low Tidal Volume on Blood Loss During Laparoscopic Liver Resection

AUTHORS: Gao, Xian MD et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 1033-1041 BACKGROUND:  Control of bleeding during laparoscopic liver resection (LLR) is important for patient safety. It remains unknown what the effects of mechanical ventilation with varying tidal volumes on bleeding during LLR. Thus, this study aims to […]

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Uncategorized Published - 27 May, 2021    By - Dr Clemens
Safety and Efficacy of the Combination of Propofol and Ketamine for Procedural Sedation/Anesthesia in the Pediatric Population

AUTHORS: Hayes, Jason A. MD et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 979-992 BACKGROUND:  Drugs such as propofol and ketamine are used alone or in combination to provide sedation for medical procedures in children. The purpose of this systematic review was to compare the safety and effectiveness of […]

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Uncategorized Published - 26 May, 2021    By - Dr Clemens
Effect of Dural Puncture Epidural Technique Combined With Programmed Intermittent Epidural Bolus on Labor Analgesia Onset and Maintenance

AUTHORS: Song, Yujie MD et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 971-978 BACKGROUND:  The dural puncture epidural (DPE) technique is associated with faster onset than the conventional epidural (EP) technique for labor analgesia. The programmed intermittent epidural bolus (PIEB) mode for maintaining labor analgesia allows for lower anesthetic […]

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Uncategorized Published - 26 May, 2021    By - Dr Clemens
Association Between High Body Mass Index and Mortality Following Myocardial Injury After Noncardiac Surgery

AUTHORS: Lee, Seung-Hwa MD et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 960-968 BACKGROUND:  Despite an association between obesity and increased risks for various diseases, obesity has been paradoxically reported to correlate with improved mortality in patients with established cardiovascular disease. However, its effect has not been evaluated to […]

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Uncategorized Published - 26 May, 2021    By - Dr Clemens
Improving Adherence to Intraoperative Lung-Protective Ventilation Strategies Using Near Real-Time Feedback and Individualized Electronic Reporting

AUTHORS: Parks, Dale A. PhD et al Anesthesia & Analgesia: May 2021 – Volume 132 – Issue 5 – p 1438-1449 BACKGROUND:  Postoperative pulmonary complications can have a significant impact on the morbidity and mortality of patients undergoing major surgeries. Intraoperative lung protective strategies using low tidal volume (TV) ventilation and positive end-expiratory pressure (PEEP) have […]

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Uncategorized Published - 26 May, 2021    By - Dr Clemens
Aspirin Use Is Associated With Decreased Mechanical Ventilation, Intensive Care Unit Admission, and In-Hospital Mortality in Hospitalized Patients With Coronavirus Disease 2019

AUTHORS: Chow, Jonathan H. MD et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 930-941 BACKGROUND:  Coronavirus disease-2019 (COVID-19) is associated with hypercoagulability and increased thrombotic risk in critically ill patients. To our knowledge, no studies have evaluated whether aspirin use is associated with reduced risk of mechanical ventilation, intensive […]

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Uncategorized Published - 26 May, 2021    By - Dr Clemens
Seven-year follow up of Persistent Postsurgical Pain in cardiac surgery patients

DG Journal Club Suzanne R Harrogate, Jackie A Cooper et al. Eur J Pain. 2021 May BACKGROUND Our aim was to describe the long-term prevalence, risk factors and impact on quality of life of Persistent Postsurgical Pain (PPP) following cardiac surgery. METHODS All patients undergoing sternotomy in a single centre over a six-month period were […]

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