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Uncategorized Published - 24 December, 2020    By - Dr Clemens
PULSE PRESSURE

Cardiac Anesthesiologist blog Pulse pressure mathematically  is the difference between systolic and diastolic blood pressure. Pulse pressure reflects the stroke volume and compliance of the arterial system. PULSE PRESSURE > 50 % of Systolic Blood Pressure (or > 40 mmHg): Hypertension ; Age; Aortic regurgitation; Patent ductus arteriosus; Ruptured aneurysm of the sinus of Valsalva; Fever; Anemia; Hyperthyroidism; Pregnancy; Arteriovenous fistula; Paget’s disease […]

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Uncategorized Published - 23 December, 2020    By - Dr Clemens
Is Surgical Tracheostomy Better Than Percutaneous Tracheostomy in COVID-19–Positive Patients?

AUTHORS: Bassi, Massimiliano MD et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1000-1005 During the past decades, percutaneous tracheostomy (PT) has gained popularity over surgical tracheostomy (ST) for its safety and technique; several studies were performed to compare these 2 options with conflicting results. PT appears to be […]

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Uncategorized Published - 23 December, 2020    By - Dr Clemens
Pharmacokinetics and Pharmacodynamics of 3 Doses of Oral-Mucosal Dexmedetomidine Gel for Sedative Premedication in Women Undergoing Modified Radical Mastectomy for Breast Cancer

AUTHORS: Mohamed, Sahar Abdel-Baky MD et al Anesthesia & Analgesia: September 1, 2020  BACKGROUND: Buccal dexmedetomidine (DEX) produces adequate preoperative sedation and anxiolysis when used as a premedication. Formulating the drug as a gel decreases oral losses and improves the absorption of buccal DEX. We compared pharmacokinetic and pharmacodynamic properties of 3 doses of buccal […]

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Uncategorized Published - 23 December, 2020    By - Dr Clemens
Surgical Smoke Evacuators as a Method for Reducing Risk to Personnel of COVID-19 During Endotracheal Intubation and Extubation

Author: Rene’ Miguel Gonzalez, M.D. Anesthesia Patient Safety Foundation   In the midst of the COVID-19 pandemic, anesthesia providers, intensive care unit and emergency room staff, and other health care workers (HCW’s) often find themselves in close proximity to patients’ airways. In many geographic areas in the US and worldwide, there is a shortage of […]

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Uncategorized Published - 23 December, 2020    By - Dr Clemens
Association Between Behavioral and Learning Outcomes and Single Exposures to Procedures Requiring General Anesthesia Before Age 3

AUTHORS: Warner, David O. MD et al Anesthesia & Analgesia: September 7, 2020 BACKGROUND: Two prior population-based (children born in Olmsted County, MN), retrospective cohort studies both found that multiple exposures to anesthesia before age 3 were associated with a significant increase in the frequency of attention-deficit hyperactivity disorder (ADHD) and learning disabilities (LD) later […]

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Uncategorized Published - 23 December, 2020    By - Dr Clemens
An Approach to Managing COVID-19 During Upper Endoscopy

Author: Rene’ Miguel Gonzalez, M.D. Anesthesia Patient Safety Foundation In the midst of the new COVID-19 pandemic, anesthesia personnel find themselves on the front lines, facing and combating the spread of this airborne illness, often with sub-optimal personal protective equipment (PPE) due to shortages of N-95 masks and other protective respirators, gowns, gloves, and protective […]

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Uncategorized Published - 22 December, 2020    By - Dr Clemens
Head Rotation Reduces Oropharyngeal Leak Pressure of the i-gel and LMA® Supreme™ in Paralyzed, Anesthetized Patients

AUTHORS: Chaki, Tomohiro MD, PhD et al Anesthesia & Analgesia: September 1, 2020 BACKGROUND:  Second-generation supraglottic airway (SGA) devices are useful for airway management during positive pressure ventilation in general anesthesia and emergency medicine. In some clinical settings, such as the anesthetic management of awake craniotomy, SGAs are used in the head-rotated position, which is […]

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Uncategorized Published - 22 December, 2020    By - Dr Clemens
Dexmedetomidine Provides Cardioprotection During Early or Late Reperfusion Mediated by Different Mitochondrial K+-Channels

AUTHORS: Raupach, Annika PhD et al Anesthesia & Analgesia: September 1, 2020 BACKGROUND: Cardioprotective interventions—such as pharmacological postconditioning—are a promising strategy to reduce deleterious consequences of ischemia and reperfusion injury (I/RI) in the heart, especially as timing and onset of myocardial infarction are unpredictable. Pharmacological postconditioning by treatment with dexmedetomidine (Dex), an α2-adrenoreceptor agonist, during […]

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Uncategorized Published - 22 December, 2020    By - Dr Clemens
Designing a Program for Infection Prevention in the Anesthesia Work Environment

Authors: Kuvadia, Mausam MD; Wall, Russell MD; Pehar, Andjela MD; Nishida, Kevin MD; Darling, Nellie MS Anesthesia Pateint Safety Foundation SUMMARY:Intraoperative bacterial and viral contamination of the anesthesia work environment (AWE) has been directly linked to 30-day postoperative infections. At MedStar Georgetown University Hospital, we have implemented a multi-step program to educate providers on infection […]

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Uncategorized Published - 22 December, 2020    By - Dr Clemens
Noncardiovascular Disorders Causing Chest Pain.

Cardiac Anesthesiologists blog Noncardiovascular  Disorders, special Features:     Gallbladder disease:    Right upper quadrant abdominal pain and tenderness. Peptic ulcer:    Epigastric pain worse 3 hours after eating. Gastroesophageal reflux disease (GERD):    Acid reflux; relief with antacids. Costochondritis:    Pain exacerbated with inspiration; reproduced with chest wall palpitation. Hiatal hernia:    Reflux of food; relief with antacids. Pulmonary embolus-infarction:    Tachypnea, dyspnea, […]

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