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Uncategorized Published - 30 December, 2020    By - Dr Clemens
Incidence of and Factors Associated With Prolonged and Persistent Postoperative Opioid Use in Children 0–18 Years of Age

AUTHORS: Ward, Andrew MS et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1237-1248 BACKGROUND:  Long-term opioid use has negative health care consequences. Opioid-naïve adults are at risk for prolonged and persistent opioid use after surgery. While these outcomes have been examined in some adolescent and teenage populations, little is […]

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Uncategorized Published - 30 December, 2020    By - Dr Clemens
Influence of an “Electroencephalogram-Based” Monitor Choice on the Delay Between the Predicted Propofol Effect-Site Concentration and the Measured Drug Effect

AUTHORS: Sahinovic, Marko M. MD, PhD et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1184-1192 BACKGROUND:  Clinicians can optimize propofol titration by using 2 sources of pharmacodynamic (PD) information: the predicted effect-site concentration for propofol (Ceprop) and the electroencephalographically (EEG) measured drug effect. Relation between these sources should […]

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Uncategorized Published - 30 December, 2020    By - Dr Clemens
ANAPHYLACTIC SHOCK

Cardiac Anesthesiologist website 1.Eliminate any allergy triggers 2.Get ready for intubation as edema can progress shortly. 3.Provide oxygen flow. 4.Provide reliable intravenous access with large bore cannula. 5.Give 20-30 mL/kg crystalloid iv. 6.Epinephrine. Try the available routs: Nebulized 5 mg standard epinephrine (5 mLs of 1 mg/mL) if patient has stridor. IM bolus 0.3-0.5 mg (use 1 mg/mL […]

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Uncategorized Published - 30 December, 2020    By - Dr Clemens
Major Short-term Complications of Arterial Cannulation for Monitoring in Children

Authors: Stephen J. Gleich, M.D. et al  Anesthesiology January 2021, Vol. 134, 26–34. Background Perioperative arterial cannulation in children is routinely performed. Based on clinical observation of several complications related to femoral arterial lines, the authors performed a larger study to further examine complications. The authors aimed to (1) describe the use patterns and incidence of […]

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Uncategorized Published - 29 December, 2020    By - Dr Clemens
The Effectiveness of High-Flow Nasal Oxygen During the Intraoperative Period

AUTHORS: Spence, Emily A. BM BCh et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1102-1110 BACKGROUND:  High-flow nasal oxygen (HFNO) is increasingly being used in intensive care units for management of hypoxemia and respiratory failure. However, the effectiveness of HFNO for preventing hypoxemia in the intraoperative period is […]

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Uncategorized Published - 29 December, 2020    By - Dr Clemens
Surgeon general urges vaccine education among communities of color

Author: Marty Johnson The Hill  Surgeon General Jerome Adams on Monday stressed the need for education about the COVID-19 vaccine in communities of color, specifically in Black communities, which have justifiably low levels of trust in health care institutions. “Having a vaccine is only the first step. We must now move from vaccines to vaccinations. And it would be […]

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Uncategorized Published - 29 December, 2020    By - Dr Clemens
Integration of the Intrinsic Surgical Risk With Patient Comorbidities and Severity of Congenital Cardiac Disease Does Not Improve Risk Stratification in Children Undergoing Noncardiac Surgery

AUTHORS: Faraoni, David MD, PhD, FAHA et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1083-1089 BACKGROUND:  The objective of this study is to estimate the surgical risk of noncardiac procedures on the incidence of 30-day mortality in children with congenital heart disease. METHODS: Children with congenital heart disease […]

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Uncategorized Published - 29 December, 2020    By - Dr Clemens
Cross-Holes on a Plastic Bag Can Prevent Droplet Spread During Extubation

AUTHORS: Sakai, Wataru MD et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p e189-e191 To the Editor We read with great interest the article on endotracheal intubation for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) patients by Orser1 and would like to add some comments related to their excellent study. […]

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Uncategorized Published - 29 December, 2020    By - Dr Clemens
Perioperative Prescribing Practices of Extended-Release Opioids in Noncancer Surgical Patients

AUTHORS: Rodriguez-Monguio, Rosa PhD, MS et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1249-1259 BACKGROUND:  Extended-release (ER) opioids are indicated for the management of persistent moderate to severe pain in patients requiring around-the-clock opioid analgesics for an extended period of time. Concerns have been raised regarding safety of […]

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Uncategorized Published - 29 December, 2020    By - Dr Clemens
A Single Prophylactic Dose of Ondansetron Given at Cessation of Postoperative Propofol Sedation Decreases Postoperative Nausea and Vomiting in Cardiac Surgery Patients

AUTHORS: Wang, Erica H. Z. PharmD et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1164-1172 BACKGROUND:  Postoperative nausea and vomiting (PONV) is a common occurrence after cardiac surgery. However, in contrast to other surgical populations, routine PONV prophylaxis is not a standard of care in cardiac surgery. We […]

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