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Uncategorized Published - 14 May, 2021    By - Dr Clemens
Sex-Specific Associations Between Preoperative Anemia and Postoperative Clinical Outcomes in Patients Undergoing Cardiac Surgery

AUTHORS: Ripoll, Juan G. MD et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 1101-1111 BACKGROUND: Preoperative anemia is common in cardiac surgery, yet there were limited data describing the role of sex in the associations between anemia and clinical outcomes. Understanding these relationships may guide preoperative optimization efforts. METHODS: […]

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Uncategorized Published - 14 May, 2021    By - Dr Clemens
Epidural Use at Birth Not Linked to Autism Risk

DG News Having an epidural during childbirth was not associated with a greater risk of autism in the child, according to a study published in JAMA Pediatrics. “We did not find evidence for any genuine link between having an epidural and putting your baby at increased risk of autism spectrum disorder,” said senior author Alexander Butwick, […]

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Uncategorized Published - 14 May, 2021    By - Dr Clemens
A Retrospective Analysis Demonstrates That a Failure to Document Key Comorbid Diseases in the Anesthesia Preoperative Evaluation Associates With Increased Length of Stay and Mortality

AUTHORS: Hofer, Ira S. MD et al Anesthesia & Analgesia: January 15, 2021  BACKGROUND: The introduction of electronic health records (EHRs) has helped physicians access relevant medical information on their patients. However, the design of EHRs can make it hard for clinicians to easily find, review, and document all of the relevant data, leading to documentation […]

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Uncategorized Published - 13 May, 2021    By - Dr Clemens
Patient Involvement in Anesthesia Decision-making: A Qualitative Study of Knee Arthroplasty

Authors:  Veena Graff, M.D. et al Anesthesiology April 2021. Background Calls to better involve patients in decisions about anesthesia—e.g., through shared decision-making—are intensifying. However, several features of anesthesia consultation make it unclear how patients should participate in decisions. Evaluating the feasibility and desirability of carrying out shared decision-making in anesthesia requires better understanding of preoperative […]

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Uncategorized Published - 13 May, 2021    By - Dr Clemens
Intraoperative Hypotension and Myocardial Infarction Development Among High-Risk Patients Undergoing Noncardiac Surgery

AUTHORS: Hallqvist, Linn MD, PhD Student, DESA et al Anesthesia & Analgesia: February 5, 2021 – Volume – Issue – 10.1213/ BACKGROUND: Hemodynamic instability during anesthesia and surgery is common and associated with cardiac morbidity and mortality. Information is needed regarding optimal blood pressure (BP) threshold in the perioperative period. Therefore, the effect of intraoperative hypotension […]

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Uncategorized Published - 13 May, 2021    By - Dr Clemens
Study highlights new heart failure diagnoses among patients hospitalised for COVID-19

DG Alerts Patients hospitalised with coronavirus disease 2019 (COVID-19) may be at risk of developing heart failure even if they do not have a previous history of heart disease or cardiovascular risk factors, according to a study published in the Journal of the American College of Cardiology. For the study, researchers led by Jesus Alvarez-Garcia MD, […]

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Uncategorized Published - 13 May, 2021    By - Dr Clemens
Presence of heart failure with preserved ejection fraction in COVID-19 patients

DG Alerts Patients hospitalised with coronavirus disease 2019 (COVID-19) frequently showed high likelihood of presence of heart failure with preserved ejection fraction (HFpEF) that was associated with cardiac structural and functional alterations, and myocardial injury, according to a study published in the European Journal of Heart Failure. The study included 64 hospitalised COVID-19 patients (mean age […]

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Uncategorized Published - 13 May, 2021    By - Dr Clemens
A Case Report From the Anesthesia Incident Reporting System

ASA Monitor November 2018, Vol. 82, 50–51. Case 2018-11: ACDF A 45-year-old male with cervical radiculopathy presented for anterior cervical discectomy and fusion (ACDF) at C5-C6. Somatosensory-evoked potential monitoring (SSEP), motor-evoked potential monitoring (MEP) and continuous electromyography (EMG) were used. Plan was to limit sevoflurane to about one-half MAC, to avoid the use of neuromuscular […]

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Uncategorized Published - 12 May, 2021    By - Dr Clemens
Gastric Ultrasound Assessing Gastric Emptying of Preoperative Carbohydrate Drinks

AUTHORS: Cho, Eun-Ah PhD et al Anesthesia & Analgesia: January 15, 2021 – V BACKGROUND: Tools for the evaluation of gastric emptying have evolved over time. The purpose of this study was to show that the risk of pulmonary aspiration is not increased with carbohydrate drink, by demonstrating that the gastric antral cross-sectional area (CSA) of […]

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Uncategorized Published - 12 May, 2021    By - Dr Clemens
Slow Dynamics of Acute Postoperative Pain Intensity Time Series Determined via Wavelet Analysis Are Associated With the Risk of Severe Postoperative Day 30 Pain

AUTHORS: Baharloo, Raheleh MS et al Anesthesia & Analgesia: May 2021 – Volume 132 – Issue 5 – p 1465-1474 BACKGROUND:  Evidence suggests that increased early postoperative pain (POP) intensities are associated with increased pain in the weeks following surgery. However, it remains unclear which temporal aspects of this early POP relate to later pain experience. […]

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