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Uncategorized Published - 28 December, 2020    By - Dr Clemens
Comparison of Supraglottic Airway Devices With Endotracheal Intubation in Low-Risk Patients for Cesarean Delivery

AUTHORS: White, Leigh D. MBBS et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1092-1101 BACKGROUND:  The safety and adverse event rate of supraglottic airway (SGA) devices for cesarean delivery (CD) is poorly characterized. The primary aims of this review were to determine whether the first-pass success was higher […]

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Uncategorized Published - 28 December, 2020    By - Dr Clemens
Risk of Major Complications After Perioperative Norepinephrine Infusion Through Peripheral Intravenous Lines

AUTHORS: Pancaro, Carlo MD et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1060-1065 BACKGROUND:  Continuous infusions of norepinephrine to treat perioperative hypotension are typically administered through a central venous line rather than a peripheral venous catheter to avoid the risk of localized tissue necrosis in case of drug extravasation. […]

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Uncategorized Published - 28 December, 2020    By - Dr Clemens
Preoperative Screening for Obstructive Sleep Apnea Using Alternative Scoring Models of the Sleep Tiredness Observed Pressure-Body Mass Index Age Neck Circumference Gender Questionnaire

AUTHORS: Seguin, Ludovic MD et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1025-1031 BACKGROUND:  The Sleep Tiredness Observed Pressure-Body mass index Age Neck circumference Gender (STOP-Bang) questionnaire is a validated preoperative screening tool for identifying patients with obstructive sleep apnea (OSA). Although it has a high sensitivity at […]

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Uncategorized Published - 28 December, 2020    By - Dr Clemens
The Effects of a Shoulder Roll During Laryngoscopy in Infants

AUTHORS: Alfahel, Waseem MD et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1210-1216 BACKGROUND:  The use of a shoulder roll to view the glottic opening during direct laryngoscopy in infants has been recommended but is not evidence based. METHODS: Twenty infants with normal airways, <6 months of age […]

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Uncategorized Published - 28 December, 2020    By - Dr Clemens
Moderate-to-Deep Sedation Using Target-Controlled Infusions of Propofol and Remifentanil

AUTHORS: Barends, Clemens R. M. MD et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1173-1183 BACKGROUND:  In the University Medical Center Groningen in Groningen, the Netherlands, moderate-to-deep sedation is provided by nursing staff trained and supervised by the anesthesia department using protocol-based target-controlled infusions (TCIs) of propofol and […]

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Uncategorized Published - 25 December, 2020    By - Dr Clemens
MERRY CHRISTMAS

We at Anesthesia Experts wants to wish all of our readers a very Merry Christmas and please be safe.

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Uncategorized Published - 24 December, 2020    By - Dr Clemens
An Electroencephalogram Metric of Temporal Complexity Tracks Psychometric Impairment Caused by Low-dose Nitrous Oxide

Authors: Xavier C. E. Vrijdag, M.Sc. et al  Anesthesiology Newly Published on December 2020. Background Nitrous oxide produces non–γ-aminobutyric acid sedation and psychometric impairment and can be used as scientific model for understanding mechanisms of progressive cognitive disturbances. Temporal complexity of the electroencephalogram may be a sensitive indicator of these effects. This study measured psychometric […]

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Uncategorized Published - 24 December, 2020    By - Dr Clemens
Managing Spinal Anesthesia-Induced Hypotension in Obstetrics

Radius Anesthesia Blog  Prevention and management of spinal anesthesia-induced hypotension is essential for preventing complications in the perioperative/peripartum period. In 2018, an international consensus statement was published that detailed guidelines for managing hypotension related to neuraxial anesthesia for cesarean sections. In summary, the publication recommended the following: vasopressors should be used routinely and preemptively, alpha-agonist drugs such as phenylephrine are preferred as first-line agent due to abundance of data on their use, left uterine displacement […]

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Uncategorized Published - 24 December, 2020    By - Dr Clemens
Prediction of Opioid-Induced Respiratory Depression on Inpatient Wards Using Continuous Capnography and Oximetry

AUTHORS: Khanna, Ashish K. MD et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1012-1024 BACKGROUND:  Opioid-related adverse events are a serious problem in hospitalized patients. Little is known about patients who are likely to experience opioid-induced respiratory depression events on the general care floor and may benefit from improved […]

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Uncategorized Published - 24 December, 2020    By - Dr Clemens
Poor Physician Sleep Associated with More Medical Errors

By Amy Orciari Herman Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD NEJM Journal Watch Physicians who report insufficient sleep are more likely to report medical errors, according to a JAMA Network Open study. Over 11,000 physicians across 11 U.S. institutions completed a questionnaire that assessed tiredness, alertness, and functional impairment related to insufficient sleep. […]

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