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Uncategorized Published - 16 April, 2020    By - Dr Clemens
Estimating the Impact of Carbon Dioxide Absorbent Performance Differences on Absorbent Cost During Low-Flow Anesthesia

AUTHORS: Feldman, Jeffrey M. MD, MSE et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 374-381 BACKGROUND:  Reducing fresh gas flow when using a circle anesthesia circuit is the most effective strategy for reducing both inhaled anesthetic vapor cost and waste. As fresh gas flow is reduced, the amount […]

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Uncategorized Published - 16 April, 2020    By - Dr Clemens
Effect of Sugammadex on Postoperative Myasthenic Crisis in Myasthenia Gravis Patients

AUTHORS: Mouri, Hideyuki MD et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 367-373 BACKGROUND:  In myasthenia gravis (MG) patients, postoperative myasthenic crisis, and residual neuromuscular blocking agent (NMBA) can cause respiratory failure that requires mechanical ventilation. However, it remains unclear whether the use of sugammadex for NMBA reversal […]

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Uncategorized Published - 16 April, 2020    By - Dr Clemens
Effect of Sevoflurane Versus Isoflurane on Emergence Time and Postanesthesia Care Unit Length of Stay

AUTHORS: Maheshwari, Kamal MD, MPH et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 360-366 BACKGROUND:  We previously reported that the duration of hospitalization was not different between isoflurane and sevoflurane. But more plausible consequences of using soluble volatile anesthetics are delayed emergence from anesthesia and prolonged stays in […]

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Uncategorized Published - 16 April, 2020    By - Dr Clemens
Ability of an Arterial Waveform Analysis–Derived Hypotension Prediction Index to Predict Future Hypotensive Events in Surgical Patients

AUTHORS: Davies, Simon James MD et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 352-359 BACKGROUND:  Intraoperative hypotension is associated with worse perioperative outcomes for patients undergoing major noncardiac surgery. The Hypotension Prediction Index is a unitless number that is derived from an arterial pressure waveform trace, and as […]

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Uncategorized Published - 16 April, 2020    By - Dr Clemens
Ropivacaine Activates Multiple Proapoptotic and Inflammatory Signaling Pathways That Might Subsume to Trigger Epidural-Related Maternal Fever

AUTHORS: Wohlrab, Peter MD et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 321-331 BACKGROUND:  Epidural-related maternal fever (ERMF) is an adverse effect of epidural analgesia during labor and is associated with perinatal and neonatal morbidity. Local anesthetics have been proposed to trigger ERMF via sterile inflammation. Ropivacaine is […]

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Uncategorized Published - 16 April, 2020    By - Dr Clemens
Half of working adults didn’t know what their partner’s job involved before coronavirus lockdown

This is crazy so I wanted to share it with our readers. Author: Caroline Allen Yahoo Style UK Sure, you might know your partner’s job title, you might hear snippets of information about their colleagues or big projects they’re working on, but how much do you know about the day-to-day intricacies of their job? As […]

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Uncategorized Published - 16 April, 2020    By - Dr Clemens
Shortages of PPE Continue as Workarounds Are Found

Author: Michael Vlessides Anesthesiology News As COVID-19 continues to challenge health care systems around the world, clinicians are struggling to find a way to deal with growing shortages of personal protective equipment (PPE), particularly face masks. Yet reuse strategies and ingenuity are combining to help physician anesthesiologists confront the issue head-on. In a conversation with Anesthesiology […]

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Uncategorized Published - 16 April, 2020    By - Dr Clemens
Exercise has the same effect on the brain as coffee

I thought this was interesting so I wanted to share it with our readers. Medical News Today Just 20 minutes of exercise is as good as a coffee for our working memory, according to a new, first-of-its-kind study. In a new study, which appears in Nature Scientific Reports, researchers compared the effects of caffeine and exercise […]

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Uncategorized Published - 15 April, 2020    By - Dr Clemens
Perioperatively Acquired Weakness

AUTHORS: Lachmann, Gunnar MD et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 341-351 BACKGROUND:  Skeletal muscle failure in critical illness (intensive care unit-acquired weakness) is a well-known complication developing early during intensive care unit stay. However, muscle weakness during the perioperative setting has not yet been investigated. METHODS: […]

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Uncategorized Published - 15 April, 2020    By - Dr Clemens
A Novel 3-Dimensional Approach for the Echocardiographic Evaluation of Mitral Valve Area After Repair for Degenerative Disease

AUTHORS: Karamnov, Sergey MD et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 300-306 BACKGROUND:  Currently available 2-dimensional (2D) echocardiographic methods for accurately assessing the mitral valve orifice area (MVA) after mitral valve repair (MVr) are limited due to its complex 3-dimensional (3D) geometry. We compared repaired MVAs obtained […]

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