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Uncategorized Published - 30 April, 2021    By - Dr Clemens
Added value of subjective assessed functional capacity before non-cardiac surgery in predicting postoperative myocardial injury

DG Journal Club AUTHORS: Marije Marsman, Judith A R van Waes et al. Eur J Prev Cardiol. 2021 Apr 23; 28(3): 262-269 BACKGROUND Functional capacity is used as an indicator for cardiac testing before non-cardiac surgery and is often performed subjectively. However, the value of subjectively estimated functional capacity in predicting cardiac complications is under […]

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Uncategorized Published - 29 April, 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 - 29 April, 2021    By - Dr Clemens
Postoperative Morbidity and Mortality in Diabetic Patients After Fast-Track Hip and Knee Arthroplasty

AUTHORS: Ortved, Milla MD et al Anesthesia & Analgesia: November 20, 2020 – Volume – Issue – 10.1213 BACKGROUND: Diabetes increases the risk of adverse outcomes in surgical procedures, including total hip and knee arthroplasty (THA/TKA), and the prevalence of diabetic patients undergoing these procedures is high, ranging from approximately 8% to 20%. However, there is […]

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Uncategorized Published - 29 April, 2021    By - Dr Clemens
Efficiency Metrics at an Academic Freestanding Ambulatory Surgery Center

AUTHORS: Reeves, J. Jeffery MD et al Anesthesia & Analgesia: November 18, 2020 – Volume – Issue – 10.1213 BACKGROUND: Understanding the impact of key metrics on operating room (OR) efficiency is important to optimize utilization and reduce costs, particularly in freestanding ambulatory surgery centers. The aim of this study was to assess the association between […]

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Uncategorized Published - 29 April, 2021    By - Dr Clemens
Attenuation of Muscle Mass and Density Is Associated With Poor Outcomes Among Patients Undergoing Major Gynecologic Surgery

AUTHORS: Che, Lu MD et al Anesthesia & Analgesia: January 25, 2021 – Volume – Issue – 10.1213 BACKGROUND: The aim of this study was to explore the associations of preoperative sarcopenia (muscle mass depletion) and myosteatosis (muscle quality attenuation) with the incidence of postinduction hypotension (PIH) and postoperative complications among patients undergoing major gynecologic surgery. […]

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Uncategorized Published - 29 April, 2021    By - Dr Clemens
Transforaminal epidural steroid injection combined with radio frequency for the treatment of lumbar disc herniation

AUTHORS: Wen-Bo Wei, Sha-Jie Dang et al. BMC Musculoskelet Disord. 2021 Apr 12; 22(1): 347 BACKGROUND To assess the therapeutic efficacy of transforaminal epidural steroid injection (TFESI) combined with radio frequency (RF) for the treatment of lumbar disc herniation (LDH). METHODS A total of 230 patients participated in the study: TFESI (Group T, n = 110), TFESI […]

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Uncategorized Published - 28 April, 2021    By - Dr Clemens
The 2014 New York State Medicaid Expansion and Severe Maternal Morbidity During Delivery Hospitalizations

AUTHORS: Guglielminotti, Jean MD, PhD et al Anesthesia & Analgesia: January 29, 2021 – Volume – Issue – 10.1213 BACKGROUND: Medicaid expansions under the Affordable Care Act have increased insurance coverage and prenatal care utilization in low-income women. However, it is not clear whether they are associated with any measurable improvement in maternal health outcomes. In […]

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Uncategorized Published - 28 April, 2021    By - Dr Clemens
Effect of Different Positions During Surgical Preparation With Combined Spinal-Epidural Anesthesia for Elective Cesarean Delivery

AUTHORS: Liu, Tianyu BSc et al Anesthesia & Analgesia: December 21, 2020 – Volume – Issue – 101213 BACKGROUND: The intraoperative 15° left-tilt position during cesarean delivery has more recently been questioned regarding its effect on fetal acid-base balance and is a frequent source of complaints by surgeons. We hypothesized that a 30° left-tilt position during […]

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Uncategorized Published - 28 April, 2021    By - Dr Clemens
Clinical Outcomes of Pregnant and Postpartum Extracorporeal Membrane Oxygenation Patients

AUTHORS: Lankford, Allison S. MD et al Anesthesia & Analgesia: March 2021 – Volume 132 – Issue 3 – p 777-787 BACKGROUND:  The use of extracorporeal membrane oxygenation (ECMO) as a rescue therapy for cardiopulmonary failure is expanding in critical care medicine. In this case series, we describe the clinical outcomes of 21 consecutive pregnant or […]

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Uncategorized Published - 28 April, 2021    By - Dr Clemens
Anatomical In Vitro Investigations of the Pediatric Larynx: A Call for Manufacturer Redesign of Tracheal Tube Cuff Location and Perhaps a Call to Reconsider the Use of Uncuffed Tracheal Tubes

AUTHORS: Isa, Malaak MD et al Anesthesia & Analgesia: April 26, 2021 – Volume – Issue – 10.1213 BACKGROUND: Some in vivo studies question the traditional “funnel-shaped” infant larynx; further anatomic examinations were warranted. Examination of fixative free fresh autopsy laryngeal and upper tracheal specimens and multiple measurements was needed to determine consistency between current tracheal […]

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