Uncategorized

Uncategorized Published - 30 March, 2020    By - Dr Clemens
Interim CDC Recs to Preserve PPE Supplies

Author: Ethan Covey Anesthesiology News As concern over shortages of personal protective equipment (PPE) at U.S. hospitals grows, the CDC has updated interim recommendations for health care professionals (HCPs) managing the COVID-19 outbreak. The information highlights recommendations for HCPs working in health care facilities, as well as providing strategies to address shortages of key supplies. Although U.S. […]

Read More
Uncategorized Published - 30 March, 2020    By - Dr Clemens
Introduction of a Novel System for Quantitating Blood Loss After Vaginal Delivery

AUTHORS: Lumbreras-Marquez, Mario I. MBBS, MMSc et al Anesthesia & Analgesia: April 2020 – Volume 130 – Issue 4 – p 857-868 BACKGROUND:  Postpartum hemorrhage (PPH) is a leading cause of maternal mortality worldwide. While volumetric and gravimetric blood loss measurement techniques have been shown to increase PPH detection compared to visual estimation of blood […]

Read More
Uncategorized Published - 30 March, 2020    By - Dr Clemens
Hydroxychloroquine and azithromycin as a treatment of COVID-19

Authors: Philippe Gautret et al International Journal of Antimicrobial Agents March 2020 Background Chloroquine and hydroxychloroquine have been found to be efficient on SARS-CoV-2, and reported to be efficient in Chinese COV-19 patients. We evaluate the role of hydroxychloroquine on respiratory viral loads. Patients and methods French Confirmed COVID-19 patients were included in a single […]

Read More
Uncategorized Published - 30 March, 2020    By - Dr Clemens
Myocardial Injury After Noncardiac Surgery

Authors: Ruetzler, Kurt MD et al Anesthesia & Analgesia: December 26, 2019 Myocardial injury after noncardiac surgery (MINS) differs from myocardial infarction in being defined by troponin elevation apparently from cardiac ischemia with or without signs and symptoms. Such myocardial injury is common, silent, and strongly associated with mortality. MINS is usually asymptomatic and only detected […]

Read More
Uncategorized Published - 30 March, 2020    By - Dr Clemens
How fish oil might reduce inflammation

This has nothing to do with anesthesia however I thought it was interesting Medical News Today Recent research has revealed a mechanism through which fish oil, which contains omega-3 fatty acids, might reduce inflammation. A study that tested an enriched fish oil supplement found that it increased blood levels of certain anti-inflammatory molecules. The anti-inflammatory […]

Read More
Uncategorized Published - 27 March, 2020    By - Dr Clemens
Anesthetic Management of HELLP Syndrome

Author: Jansie Prozesky, MBChB The Frost Series #357 Case Presentation A 36-year-old woman, weighing 110 kg and gravida 3, para 2, presented to the labor and delivery unit at 34 weeks gestation with epigastric pain radiating to the right shoulder, severe nausea and vomiting, headache and thrombocytopenia. At admission, her blood pressure was 130/90 mm […]

Read More
Uncategorized Published - 27 March, 2020    By - Dr Clemens
Lumbar Decompression Relieves Spinal Stenosis Pain More Than Epidural Injection

Author: David Holzman Anesthesiology News Minimally invasive lumbar decompression (MILD) reduced back pain caused by lumbar stenosis, and decreased opioid use, in patients far more effectively than epidural steroid injection, in a new study. These findings were reported in a research poster presented at the 2019 annual meeting of the American Society of Interventional Pain […]

Read More
Uncategorized Published - 27 March, 2020    By - Dr Clemens
Collaborative Guidelines Help Slash Post-op Opioid Use

Author: Sherree Geyer Anesthesiology News Evidence-based prescribing guidelines reduced postoperative opioid consumption for nine general surgeries by roughly 30%, according to primary outcomes reported in a research letter in The New England Journal of Medicine (2019;381[7]:680-682). Researchers at the University of Michigan (UM) analyzed data from 11,716 patients at 43 state hospitals to find mean prescription size […]

Read More
Uncategorized Published - 27 March, 2020    By - Dr Clemens
Better Sedation With Dexmedetomidine For Patients After Cardiac Surgery

Author: Naveed Saleh MD MS Anesthesiology News Transitioning to a dexmedetomidine-based sedation strategy should decrease mortality rates in post–cardiac surgery patients, according to a new study, and delirium in patients receiving dexmedetomidine was also found to be reduced. “At our institution, we use dexmedetomidine as the first-line sedative medication for patients in the CTICU [cardiothoracic […]

Read More
Uncategorized Published - 27 March, 2020    By - Dr Clemens
Latest research on novel coronavirus disease

I just wanted to share this since many of our readers are taking care of pts in the ICU. Here is some of the latest research on novel coronavirus disease (COVID-19): Prone Position: A study of 12 patients in Wuhan, China, with COVID-19-related acute respiratory distress syndrome suggests that alternating patients’ body position — in particular, […]

Read More