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Uncategorized Published - 5 February, 2021    By - Dr Clemens
Influence of Levobupivacaine Regional Scalp Block on Hemodynamic Stability, Intra- and Postoperative Opioid Consumption in Supratentorial Craniotomies

AUTHORS: Carella, Michele MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 500-511 BACKGROUND:  The anesthetic management of supratentorial craniotomy (CR) necessitates tight intraoperative hemodynamic control. This type of surgery may also be associated with substantial postoperative pain. We aimed at evaluating the influence of regional scalp block […]

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Uncategorized Published - 5 February, 2021    By - Dr Clemens
Atrial fibrillation is an independent predictor for in-hospital mortality in patients with COVID-19

DG Alerts Findings from a study published in HeartRhythm showed that atrial fibrillation (AF) occurred in 17.6% of patients hospitalised with coronavirus disease 2019 (COVID-19) and that AF, particularly new-onset AF, was an independent predictor of in-hospital mortality. The study, conducted at 13 hospitals in the Northwell Health system, included 9,564 patients admitted between March 1 and […]

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Uncategorized Published - 5 February, 2021    By - Dr Clemens
Cancellation of Elective Surgery and Intensive Care Unit Capacity in New York State

AUTHORS: Poeran, Jashvant MD, PhD et al  Anesthesia & Analgesia: November 2020 – Volume 131 – Issue 5 – p 1337-1341 BACKGROUND:  In response to the coronavirus disease 2019 (COVID-19) pandemic, New York State ordered the suspension of all elective surgeries to increase intensive care unit (ICU) bed capacity. Yet the potential impact of suspending elective […]

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Uncategorized Published - 5 February, 2021    By - Dr Clemens
Intensive Care Unit Capacity, Cancellation of Elective Surgery, and the US Pandemic Response

AUTHORS: Nurok, Michael MBChB, PhD et al Anesthesia & Analgesia: November 2020 – Volume 131 – Issue 5 – p 1334-1336 Until recently, conventional wisdom held that the United States had more intensive care unit (ICU) beds than it really needed. With higher supply of ICU beds per capita than other high-income countries, it appeared […]

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Uncategorized Published - 4 February, 2021    By - Dr Clemens
Blood Pressure Management by Anesthesia Professionals

AUTHORS: Sessler, Daniel I. MD et al Anesthesia & Analgesia: October 2020  Evaluating Clinician Skill From Electronic Medical Records BACKGROUND: Avoiding intraoperative hypotension might serve as a measure of clinician skill. We, therefore, estimated the range of hypotension in patients of nurse anesthetists, and whether observed differences were associated with a composite of serious complications. […]

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Uncategorized Published - 4 February, 2021    By - Dr Clemens
Epidural Administration of Ropivacaine Reduces the Amplitude of Transcranial Electrical Motor–Evoked Potentials

AUTHORS: Furutani, Kenta MD, PhD et al Anesthesia & Analgesia: October 2020 BACKGROUND: An epidurally administered local anesthetic acts primarily on the epidural nerve roots and can act directly on the spinal cord through the dural sleeve. We hypothesized that epidurally administered ropivacaine would reduce the amplitude of transcranial electrical motor–evoked potentials by blocking nerve […]

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Uncategorized Published - 4 February, 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: October 2020 – 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 investigate whether mechanical ventilation with low tidal […]

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Uncategorized Published - 4 February, 2021    By - Dr Clemens
Association of Anesthesiologist Handovers With Short-term Outcomes for Patients Undergoing Cardiac Surgery

AUTHORS: Hannan, Edward L. PhD et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1883-1889 BACKGROUND:  Complete handover of anesthesia care to a second anesthesiologist has been demonstrated to be associated with worse short-term adverse outcomes among cardiac surgery patients, but little information from multi-institutional studies is available. METHODS: […]

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Uncategorized Published - 4 February, 2021    By - Dr Clemens
Study shows transplacental transfer of maternal SARS-CoV-2 IgG antibodies

DG Alerts Maternal immunoglobulin (Ig)G antibodies to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were transferred across the placenta after asymptomatic as well as symptomatic infection during pregnancy, according to a study published in JAMA Pediatrics. The study also found that cord blood antibody concentrations correlated with maternal antibody concentrations and with duration between onset of […]

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Uncategorized Published - 3 February, 2021    By - Dr Clemens
Liver function test abnormalities at admission associated with severe course of SARS-CoV-2 infection

DG Alerts Liver function test (LFT) abnormalities at hospital admission, in particular gamma-glutamyltransferase (GGT) and albumin, were associated with a severe course of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, according to a study published in Gut. “In our prospective coronavirus disease 2019 (COVID-19) cohort, 58% of patients had LFT abnormalities at the time of […]

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