Uncategorized

Uncategorized Published - 31 March, 2021    By - Dr Clemens
The Attributable Mortality of Postoperative Bleeding Exceeds the Attributable Mortality of Postoperative Venous Thromboembolism

AUTHORS: Bellomy, Melissa L. MD et al Anesthesia & Analgesia: January 2021 – Volume 132 – Issue 1 – p 82-88 Background:  Bleeding and venous thromboembolic disease are considered important sources of postoperative morbidity and mortality. Clinically, treatment of these 2 disorders is often competing. We sought to better understand the relative contributions of bleeding […]

Read More
Uncategorized Published - 31 March, 2021    By - Dr Clemens
Effectiveness of Prone Positioning in Nonintubated Intensive Care Unit Patients With Moderate to Severe Acute Respiratory Distress Syndrome by Coronavirus Disease 2019

AUTHORS: Taboada, Manuel MD, PhD et al Anesthesia & Analgesia: January 2021 – Volume 132 – Issue 1 – p 25-30 Background:  In the treatment for severe acute respiratory distress syndrome (ARDS) from coronavirus disease 2019 (COVID-19), the World Health Organization (WHO) recommends prone positioning (PP) during mechanical ventilation for periods of 12–16 h/d to […]

Read More
Uncategorized Published - 31 March, 2021    By - Dr Clemens
Neuromuscular and Clinical Recovery in Thoracic Surgical Patients Reversed With Neostigmine or Sugammadex

AUTHORS: Murphy, Glenn S. MD et al Anesthesia & Analgesia: December 10, 2020 – Volume – Issue – 10 BACKGROUND: Patients undergoing thoracoscopic procedures may be at high-risk for incomplete neuromuscular recovery and associated complications. The aim of this clinical investigation was to assess the incidence of postoperative residual neuromuscular blockade in adult thoracic surgical […]

Read More
Uncategorized Published - 31 March, 2021    By - Dr Clemens
A Bayesian Comparison of Frailty Instruments in Noncardiac Surgery

AUTHORS: McIsaac, Daniel I. MD, MPH, FRCPC et al Anesthesia & Analgesia: November 30, 2020 – Volume – Issue – 10 BACKGROUND: Frailty—a multidimensional syndrome related to age- and disease-related deficits—is a key risk factor for older surgical patients. However, it is unknown which frailty instrument most accurately predicts postoperative outcomes. Our objectives were to […]

Read More
Uncategorized Published - 31 March, 2021    By - Dr Clemens
Fiber-Needle Swept-Source Optical Coherence Tomography for the Real-Time Visualization of the Transversus Abdominis Plane Block Procedure in a Swine Model

AUTHORS: Teng, Wei-Nung MD, PhD et al Anesthesia & Analgesia: November 30, 2020 – Volume – Issue – 10.1213/ANE.0000000000005288 BACKGROUND:  Fascia blocks (eg, the transversus abdominis plane [TAP] block) target the intermuscular fascia layers. Ultrasound techniques have allowed peripheral blocks to be performed with accuracy and safety, however, with limitations. Optical coherence tomography (OCT) is […]

Read More
Uncategorized Published - 30 March, 2021    By - Dr Clemens
Incidence, Mortality, and Characteristics of 18 Pediatric Perioperative Cardiac Arrests: An Observational Trial From 22,650 Pediatric Anesthesias

AUTHORS: Jansen, Gerrit Dr med et al Anesthesia & Analgesia: November 30, 2020 – Volume – Issue – 10. BACKGROUND: Recently, a very low incidence of 3 per 10,000 and a mortality of 30% were reported for pediatric perioperative cardiac arrest (POCA). However, high-risk patients, namely children already anesthetized on the intensive care unit (ICU), […]

Read More
Uncategorized Published - 30 March, 2021    By - Dr Clemens
Do Elderly Patients With Diastolic Dysfunction Require Higher Doses of Norepinephrine During General Anesthesia for Noncardiac Surgeries?

AUTHORS: Kahl, Ursula MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 420-429 BACKGROUND:  Diastolic dysfunction is a risk factor for postoperative major cardiovascular events. During anesthesia, patients with diastolic dysfunction might experience impaired hemodynamic function and worsening of diastolic function, which in turn, might be associated with […]

Read More
Uncategorized Published - 30 March, 2021    By - Dr Clemens
Nonopioid GTS-21 Mitigates Burn Injury Pain in Rats by Decreasing Spinal Cord Inflammatory Responses

AUTHORS: Zhou, Yinhui MD et al Anesthesia & Analgesia: January 2021 – Volume 132 – Issue 1 – p 240-252 Background:  Burn injury (BI) pain consists of inflammatory and neuropathic components and activates microglia. Nicotinic alpha 7 acetylcholine receptors (α7AChRs) expressed in microglia exhibit immunomodulatory activity during agonist stimulation. Efficacy of selective α7AChR agonist GTS-21 […]

Read More
Uncategorized Published - 30 March, 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. 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 […]

Read More
Uncategorized Published - 30 March, 2021    By - Dr Clemens
Real-Time Injection Pressure Sensing and Minimal Intensity Stimulation Combination During Ultrasound-Guided Peripheral Nerve Blocks

AUTHORS: Varobieff, Maxime MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 556-565 BACKGROUND:  Nerve damage can occur after peripheral nerve block (PNB). Ultrasound guidance does not eliminate the risk of intraneural injection or nerve injury. Combining nerve stimulation and injection pressure (IP) monitoring with ultrasound guidance has […]

Read More