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AUTHORS: Mathis, Michael R. MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1188-1200 BACKGROUND: Heart failure with reduced ejection fraction (HFrEF) is a condition imposing significant health care burden. Given its syndromic nature and often insidious onset, the diagnosis may not be made until clinical manifestations prompt […]
Read MoreAUTHORS: Lakha, Sameer MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1167-1175 BACKGROUND: Reimbursement for anesthesia services has been shifting from a fee-for-service model to a value-based model that ties payment to quality metrics. The Centers for Medicare & Medicaid Service’s (CMS) value-based payment program includes a […]
Read MoreAUTHORS: Cherifa, Ményssa MSc et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1157-1166 BACKGROUND: Acute hypotensive episodes (AHE), defined as a drop in the mean arterial pressure (MAP) <65 mm Hg lasting at least 5 consecutive minutes, are among the most critical events in the intensive care unit […]
Read MoreNEJM Journal Watch Carlos del Rio, MD reviewing Li L et al. JAMA 2020 Jun 3 In a multicenter, open-label study in patients with severe or life-threatening COVID-19, convalescent plasma did not provide added clinical benefit to standard treatment. Convalescent plasma has been suggested as a possible treatment option for COVID-19. Now, investigators from China have conducted a multicenter, […]
Read MoreCocaine and alcohol can produce dangerous side effects when people combine them. In some cases, the effects of cocaine and alcohol can cause life threatening complications. In this article, we look at the effects of combining cocaine and alcohol. We also explain what precautions to take and the treatment options. What is cocaine? Cocaine is a powerful stimulant […]
Read MoreAUTHORS: Wang, Shen-Chih MD, PhD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1244-1254 BACKGROUND: Cardiovascular waveforms contain information for clinical diagnosis. By learning and organizing the subtle change of waveform morphology from large amounts of raw waveform data, unsupervised manifold learning helps delineate a high-dimensional structure and […]
Read MoreAUTHORS: Ghamri, Yassine MSc et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1222-1233 BACKGROUND: Intraoperative hypotension is associated with postoperative complications and death. Oscillometric brachial cuffs are used to measure arterial pressure (AP) in most surgical patients but may miss acute changes in AP. We hypothesized that pulse […]
Read MoreAUTHORS: Pinsky, Michael R. MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1176-1187 BACKGROUND: Individualized hemodynamic monitoring approaches are not well validated. Thus, we evaluated the discriminative performance improvement that might occur when moving from noninvasive monitoring (NIM) to invasive monitoring and with increasing levels of featurization […]
Read MoreAUTHORS: Ermer, Sean C. BS et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1147-1156 BACKGROUND: Opioid-induced respiratory depression (OIRD) is traditionally recognized by assessment of respiratory rate, arterial oxygen saturation, end-tidal CO2, and mental status. Although an irregular or ataxic breathing pattern is widely recognized as a manifestation […]
Read MoreThis is so important in today’s world with Covid 19. Medical News Today It can be difficult to know what to say to someone who is experiencing depression. Statistics show that about 17.3 million adults (7.1% of the population) and 1.9 million children aged 3–17 experience depression each year in the United States. For some people, […]
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