Uncategorized

Uncategorized Published - 30 April, 2021    By - Dr Clemens
Inconsistent relationship between depth of sedation and intensive care outcome

DG Journal Club AUTHORS: Leanne M Aitken, Kalliopi Kydonaki et al. Thorax. 2021 Apr 15 PURPOSE To determine the effect of depth of sedation on intensive care mortality, duration of mechanical ventilation, and other clinically important outcomes. METHODS We searched MEDLINE, Embase, Cochrane Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature, […]

Read More
Uncategorized Published - 30 April, 2021    By - Dr Clemens
Neurons in the Nonhuman Primate Amygdala and Dorsal Anterior Cingulate Cortex Signal Aversive Memory Formation under Sedation

Authors: Nir Samuel, M.D., Ph.D. et al Anesthesiology May 2021, Vol. 134, 734–747. Background Anesthetics aim to prevent memory of unpleasant experiences. The amygdala and dorsal anterior cingulate cortex participate in forging emotional and valence-driven memory formation. It was hypothesized that this circuitry maintains its role under sedation. Methods Two nonhuman primates underwent aversive tone–odor […]

Read More
Uncategorized Published - 30 April, 2021    By - Dr Clemens
Enhanced recovery after surgery protocols improve time to return to intended oncology treatment following interval cytoreductive surgery for advanced gynecologic cancers

DG Journal Club AUTHORS: Joan Isabelle Tankou, Olivia Foley et al. Int J Gynecol Cancer. 2021 Apr 15 OBJECTIVE The objective of this study was to determine whether the implementation of an enhanced recovery after surgery (ERAS) protocol is associated with earlier return to intended oncology treatment following interval cytoreductive surgery for advanced gynecologic cancers. […]

Read More
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 […]

Read More
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 […]

Read More
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 […]

Read More
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 […]

Read More
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. […]

Read More
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 […]

Read More
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 […]

Read More