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Uncategorized Published - 26 May, 2020    By - Dr Clemens
Effects of Inhaled Iloprost on Lung Mechanics and Myocardial Function During One-Lung Ventilation in Chronic Obstructive Pulmonary Disease Patients Combined With Poor Lung Oxygenation

AUTHORS: Kim, Namo MD, PhD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1407-1414 BACKGROUND:  The ventilation/perfusion mismatch in chronic obstructive pulmonary disease (COPD) patients can exacerbate cardiac function as well as pulmonary oxygenation. We hypothesized that inhaled iloprost can ameliorate pulmonary oxygenation with lung mechanics and myocardial […]

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Uncategorized Published - 26 May, 2020    By - Dr Clemens
Intraoperative Cardiac Arrest During Adult Liver Transplantation

Incidence and Risk Factor Analysis From 7 Academic Centers in the United States AUTHORS: Smith, Natalie K. MD et al Anesthesia & Analgesia: March 2020 BACKGROUND: Intraoperative cardiac arrest (ICA) has a reported frequency of 1 in 10,000 anesthetics but has a much higher estimated incidence in orthotopic liver transplantation (OLT). Single-center studies of ICA […]

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Uncategorized Published - 26 May, 2020    By - Dr Clemens
Case report on a patient with schizophrenia suggests COVID-19 can exacerbate symptoms of paranoia

Author: Beth Ellwood PsyPost   A recent case report suggests that the coronavirus pandemic can influence symptoms in patients with schizophrenia, triggering coronavirus-related delusions and hallucinations. The report was published in Psychiatry Research. Evidence suggests that the COVID-19 pandemic has pervasive mental health consequences, eliciting fear and anxiety responses in the public. This new report brings up […]

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Uncategorized Published - 22 May, 2020    By - Dr Clemens
Hospitals ‘Ready to Get Back to Work’ After First Wave of COVID-19

By Pat Anson Pain News Network One of the biggest ironies of the coronavirus pandemic is that – in the middle of a healthcare crisis — many hospital emergency rooms, surgery centers and waiting rooms sat empty. Elective surgeries and non-essential medical tests were cancelled to clear the decks for the first wave of COVID-19 […]

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Uncategorized Published - 22 May, 2020    By - Dr Clemens
PATIENTS: IS IT SAFE FOR YOU TO HAVE SURGERY DURING THE COVID PANDEMIC AS OF MAY 2020?

Author: Richard Novak, MD The Anesthesia Consultant An important question for many Americans is, “Is it safe for me to have surgery during this COVID pandemic?” It depends. This is a key point: Healthcare professionals are more concerned with catching COVID-19 from you, the patient, than you should be concerned with catching COVID-19 within the […]

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Uncategorized Published - 22 May, 2020    By - Dr Clemens
Anesthesia for Dental Cases: Considering All the Angles

Author: Tony Mira Summary Is dental anesthesia a service anesthesia practices should be more focused on? Probably not, as it tends to be a small part of most group practices. Still, as some practices have discovered, it can provide some additional revenue. Is dental anesthesia an untapped opportunity? As in so many anesthesia practice management […]

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Uncategorized Published - 22 May, 2020    By - Dr Clemens
1% Propofol Shortage due to COVID-19

Double Concentration 2% Propofol Becoming Available The unanticipated increased use of propofol as a sedative for ventilated patients has strained the nation’s propofol supply for intensive care units. As a result, the FDA has issued an Emergency Use Authorization (EUA) for emergency use of the Fresenius Kabi Propoven 2% Emulsion to maintain sedation via continuous […]

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Uncategorized Published - 22 May, 2020    By - Dr Clemens
Obesity Ups Odds for Dangerous Lung Clots in COVID-19 Patients May 20, 2020, at 6:43 a.m.

Author: Steven Reinberg HealthDay News Obesity makes COVID-19 worse and may lead to deadly blood clots in the lungs, a new study finds. The researchers said that obese patients with COVID-19 may have nearly three times the risk of developing what is known as a pulmonary embolism. “Clinicians can utilize our findings to aid in […]

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Uncategorized Published - 21 May, 2020    By - Dr Clemens
A Retrospective Study of Neurological Complications in Pediatric Patients With Moyamoya Disease Undergoing General Anesthesia

AUTHORS: Lang, Shih-Shan MD et al Anesthesia & Analgesia: March 2020 BACKGROUND: Moyamoya disease is a condition with potentially devastating and permanent neurological sequelae. Adequate volume status and blood pressure, tight control of carbon dioxide to achieve normocarbia, and providing postoperative analgesia to prevent hyperventilation are typical goals that are used during anesthetic care in […]

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Uncategorized Published - 21 May, 2020    By - Dr Clemens
The Influence of Hemorrhagic Shock on the Disposition and Effects of Intravenous Anesthetics

AUTHORS: Egan, Ezekiel D. BA et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1320-1330 Abstract The need to reduce the dose of intravenous anesthetic in the setting of hemorrhagic shock is a well-established clinical dogma. Considered collectively,; the body of information concerning the behavior of intravenous anesthetics during […]

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