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Uncategorized Published - 28 May, 2021    By - Dr Clemens
Risk Factors for Intraoperative Hypoglycemia in Children

AUTHORS: Riegger, Lori Q. MD et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 1075-1083 BACKGROUND:  Intraoperative hypoglycemia can result in devastating neurologic injury if not promptly diagnosed and treated. Few studies have defined risk factors for intraoperative hypoglycemia. The authors sought to characterize children with intraoperative hypoglycemia and determine […]

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Uncategorized Published - 28 May, 2021    By - Dr Clemens
A Qualitative Assessment of Factors That Children, Parents, and Clinicians Prioritize in the Setting of Elective Anesthesia and Surgery

AUTHORS: Muhly, Wallis T. MD et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 1067-1074 BACKGROUND:  Assessing the postoperative recovery of pediatric patients is challenging as there is no validated comprehensive patient-centered recovery assessment tool for this population. A qualitative investigative approach with in-depth stakeholder interviews can provide insight into […]

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Uncategorized Published - 28 May, 2021    By - Dr Clemens
Predicting Perioperative Respiratory Adverse Events in Children With Sleep-Disordered Breathing

AUTHORS: Pehora, Carolyne RN, MN et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 1084-1091 BACKGROUND:  No evidence currently exists to quantify the risk and incidence of perioperative respiratory adverse events (PRAEs) in children with sleep-disordered breathing (SDB) undergoing all procedures requiring general anesthesia. Our objective was to determine the […]

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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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