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Uncategorized Published - 6 May, 2020    By - Dr Clemens
Timing and Risk Factors Associated With Postoperative Stroke in Vascular Surgery Patients Using Time-Varying Coefficients From a Cox Model

AUTHORS: Moore, Laurel E. MD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 673-684 BACKGROUND:  Mechanisms of postoperative stroke are poorly understood, particularly for strokes occurring after uneventful emergence from anesthesia. We sought to create a model to study retrospectively the timing and associations for stroke in a […]

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Uncategorized Published - 6 May, 2020    By - Dr Clemens
A Population-Based Analysis of Intraoperative Cardiac Arrest in the United States

AUTHORS: Fielding-Singh, Vikram MD, JD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 627-634 BACKGROUND:  A new billable code for intraoperative cardiac arrest was introduced with the International Classification of Diseases, Tenth Revision, classification system. Using a national administrative database, we performed a retrospective analysis of intraoperative cardiac arrest in […]

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Uncategorized Published - 6 May, 2020    By - Dr Clemens
ASHP Survey: Mechanical Ventilation Rx Shortages Remain a Challenge

Author: Bruce Buckley Anesthesiology News Five medications used to sedate or immobilize intubated COVID-19 patients on mechanical ventilation were cited most often by U.S. hospital pharmacy leaders as being in critically short supply, according to ASHP’s latest survey on the status of hospital and health-system pharmacy resources during the pandemic. The five IV drugs—cisatracurium, fentanyl, […]

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Uncategorized Published - 5 May, 2020    By - Dr Clemens
The ASA and APSF Joint Statement on Perioperative Testing for the COVID-19 Virus

Patients who are infected with SARS-CoV-2, the virus responsible for the COVID-19 disease, have higher perioperative morbidity and mortality.(1-3)  Unexpected progression to acute respiratory distress syndrome, cardiac injury, kidney failure and even deaths has been observed in patients infected with SARS-CoV-2 who have undergone surgical procedures.(1,4)  Additionally, aerosolizing procedures place operating room staff at greater risk of […]

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Uncategorized Published - 5 May, 2020    By - Dr Clemens
Epidural Analgesia During Childbirth and Postpartum Depressive Symptoms

AUTHORS: Eckerdal, Patricia PhD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 615-624 BACKGROUND:  Severe pain has been linked to depression, which raises the question of whether epidural analgesia (EDA) during childbirth is associated with a reduced risk of postpartum depression (PPD). This association has been explored previously, […]

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Uncategorized Published - 5 May, 2020    By - Dr Clemens
Prevention of Early Postoperative Decline: A Randomized, Controlled Feasibility Trial of Perioperative Cognitive Training

AUTHORS: O’Gara, Brian P. MD, MPH et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 586-595 BACKGROUND:  Postoperative delirium and postoperative cognitive dysfunction (POCD) are common after cardiac surgery and contribute to an increased risk of postoperative complications, longer length of stay, and increased hospital mortality. Cognitive training (CT) […]

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Uncategorized Published - 5 May, 2020    By - Dr Clemens
COVID-19 Brings Cytokine Storm

Author: Gina Shaw Anesthesiology News Some of the most severe cases of COVID-19—and many of those seen in younger patients—appear to be linked to a severe immune system overreaction called “cytokine release syndrome” or “cytokine storm,” and clinicians are scrambling to find treatments that can slow its deadly occurrence. A massive release of cytokine immune […]

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Uncategorized Published - 5 May, 2020    By - Dr Clemens
Survival Rate of COVID-19 Patients on ECMO Machines are Three Times Higher Than On Ventilators

The Science Time The survival rate of patients with the Coronavirus Disease 2019 (COVID-19) placed on Extracorporeal Membrane Oxygenation (ECMO) machines was three times higher than those who are a ventilator, according to a study. An ECMO machine allows the heart and lungs of a patient to rest by pumping and oxygenating a patient’s blood […]

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Uncategorized Published - 5 May, 2020    By - Dr Clemens
Converting Peri-Anesthesia Care Units Into COVID-19 Critical Care Units

Anesthesiology News One Community Hospital’s Response Elisa Lund, MD Angela Whitten, CRNA, MSNA Rick Middleton, CRNA, MSN Jill Phlippeau, RN, MSN David N. Flynn, MD, MBA Wayne UNC Health Care Goldsboro, N.C. On April 11, 2020, the United States celebrated a major victory. Based on public health models,1 April 11 was predicted to be the peak […]

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Uncategorized Published - 5 May, 2020    By - Dr Clemens
Glucose metabolism may play key role in illness with flu, COVID-19

Author: Brian Dunleavy Some influenza strains may trigger the same over-active immune system responses as COVID-19, and it may be determined by how the body metabolizes sugar, a new analysis, published Wednesday by the journal Science Advances, suggests. If true, the findings add to the similarities between the two viruses, which are both highly contagious and […]

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