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Uncategorized Published - 22 October, 2020    By - Dr Clemens
Frailty Is Associated With Postoperative Delirium But Not With Postoperative Cognitive Decline in Older Noncardiac Surgery Patients

AUTHORS: Mahanna-Gabrielli, Elizabeth MD et al Anesthesia & Analgesia: June 2020 – Volume 130 – Issue 6 – p 1516-1523 BACKGROUND:  Postoperative cognitive dysfunction (POCD) and delirium are the most common perioperative cognitive complications in older adults undergoing surgery. A recent study of cardiac surgery patients suggests that physical frailty is a risk factor for […]

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Uncategorized Published - 22 October, 2020    By - Dr Clemens
Clinical Evaluation of a High-fidelity Upper Arm Cuff to Measure Arterial Blood Pressure during Noncardiac Surgery

Authors: Josef Briegel, M.D. et al  Anesthesiology November 2020, Vol. 133, 997–1006. Background In most patients having noncardiac surgery, blood pressure is measured with the oscillometric upper arm cuff method. Although the method is noninvasive and practical, it is known to overestimate intraarterial pressure in hypotension and to underestimate it in hypertension. A high-fidelity upper arm […]

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Uncategorized Published - 22 October, 2020    By - Dr Clemens
COVID-19 symptoms are prolonged during and after pregnancy, but disease course is mild for most

Author: Denise Baez DG Alerts Coronavirus disease 2019 (COVID-19) has a prolonged and nonspecific disease course during pregnancy and in the 6 weeks after pregnancy, according to a study published in Obstetrics & Gynecology. Although the majority of the symptomatic women in the study who tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) had […]

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Uncategorized Published - 22 October, 2020    By - Dr Clemens
Patients with mild, moderate COVID-19 unlikely to be infectious after day 10 of symptom onset

Author: Denise Baez DG Alert Patients with mild to moderate coronavirus disease 2019 (COVID-19) are highly unlikely to be infectious after day 10 of symptom onset, however, patients with severe disease may shed the virus for a longer period of time, according to a study published in the Journal of Infection. The findings come from […]

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Uncategorized Published - 21 October, 2020    By - Dr Clemens
Why Worry About Blood Pressure During Surgery in the Beach Chair Position?

Author: David J. Cullen MD, MS Anesthesia Patient Safety Foundation SUMMARY:In patients who are anesthetized for surgery in the beach chair position, brain blood pressure can fall to levels below the brain’s ability to autoregulate. This can result in brain damage, but an understanding of cerebral autoregulation is essential to prevent this occurrence. Cerebral blood […]

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Uncategorized Published - 21 October, 2020    By - Dr Clemens
Recommendations for Endotracheal Intubation of COVID-19 Patients

Authors: Orser, Beverley A. MD, PhD Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1109-1110 Health care workers are committed to learning from each other to optimize the management of coronavirus disease 2019 (COVID-19) patients. The World Health Organization (WHO) and the International Committee on Taxonomy of Viruses recently called […]

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Uncategorized Published - 21 October, 2020    By - Dr Clemens
Labor Epidurals Do Not Cause Autism; Safe for Mothers and Infants, say Anesthesiology, Obstetrics, and Pediatric Medical Societies

ASA Joint Statement of the Society for Obstetric Anesthesia and Perinatology, American Society of Anesthesiologists, Society for Pediatric Anesthesia, American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine The Society for Obstetric Anesthesia and Perinatology (SOAP), the American Society of Anesthesiologists (ASA), the Society for Pediatric Anesthesia (SPA), the American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal […]

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Uncategorized Published - 21 October, 2020    By - Dr Clemens
Low-Intensity Shockwave Therapy Shows Promise in Relieving Male Chronic Pelvic Pain Syndrome

Author: Shazia Qureshi DG News In a small, double-blinded randomised study of male patients with chronic pelvic pain syndrome (CPPS), 6 sessions of low-intensity shockwave therapy (LiST) applied to the perineum once per week led to improvements in pain and quality of life scores over 24 weeks, compared with sham therapy, according to a study […]

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Uncategorized Published - 21 October, 2020    By - Dr Clemens
A return to normalcy: Resuming sexual activity soon after a heart attack boosts survival

This has nothing to do with anesthesia other than we have providers who have had a MI. Author: Michael Walter Cardiovascular Business News Resuming sexual activity within a few months of an acute myocardial infarction (AMI) is associated with a significant increase in long-term survival, according to new research published in the European Journal of Preventive […]

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Uncategorized Published - 20 October, 2020    By - Dr Clemens
Production Pressure and Anesthesia Professionals

Author: Richard C. Prielipp, MD, MBA, FCCM Anesthesia Patient Safety Foundation SUMMARY:Anesthesia professionals must navigate the colliding tectonic plates of patient safety and OR efficiency. But we are not unique in facing this industrial challenge. Indeed, Erik Hollnagel describes the engineering efficiency–thoroughness trade-off (ETTO) principle13 that acknowledges the inviolate swap between efficiency on one hand and […]

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