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Uncategorized Published - 25 March, 2020    By - Dr Clemens
Characteristics of Dexmedetomidine Postconditioning in the Field of Myocardial Ischemia–Reperfusion Injury

Authors: Bunte, Sebastian MD et al Anesthesia & Analgesia: January 2020 – Volume 130 – Issue 1 – p 90-98 BACKGROUND:  Timing and onset of myocardial ischemia are mostly unpredictable. Therefore, postconditioning could be an effective cardioprotective intervention. Because ischemic postconditioning is an invasive and not practicable treatment, pharmacological postconditioning would be a more suitable […]

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Uncategorized Published - 25 March, 2020    By - Dr Clemens
Benefits Seen With Use of Regional Blocks For Bilateral Mastectomy With Reconstruction

Author: Michael Vlessides Anesthesiology News Regional blocks appear to offer benefits in patients undergoing bilateral mastectomy with immediate reconstruction that extend well beyond the ambulatory surgery setting. “Over the past decad e, we’ve seen a significant increase in breast reconstruction after mastectomy, a lot of which is happening in the outpatient setting,” said Hanae K. […]

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Uncategorized Published - 25 March, 2020    By - Dr Clemens
Ventilator Mode Does Not Influence Blood Loss or Transfusion Requirements During Major Spine Surgery

Authors: Dunn, Lauren K. MD, PhD et al Anesthesia & Analgesia: January 2020 – Volume 130 – Issue 1 – p 100-110 BACKGROUND:  Blood loss during adult spinal deformity surgery is multifactorial. Anesthetic-related factors, such as mode of mechanical ventilation, may contribute to intraoperative blood loss. The aim of this study was to determine the […]

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Uncategorized Published - 25 March, 2020    By - Dr Clemens
Development of a Risk Score to Predict Postoperative Delirium in Patients With Hip Fracture

Authors: Kim, Eun Mi MD, PhD et al Anesthesia & Analgesia: January 2020 – Volume 130 – Issue 1 – p 79-86 BACKGROUND:  Post–hip fracture surgery delirium (PHFD) is a significant clinical problem in older patients, but an adequate, simple risk prediction model for use in the preoperative period has not been developed. METHODS: The […]

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Uncategorized Published - 25 March, 2020    By - Dr Clemens
Role culture plays in feeling sick

I thought this was interesting so wanted to share with our readers. Author: Milady Nazir Science Daily Summary: Scientists think that a person’s values may shape views on ”socially appropriate sickness.” This has implications for how individuals may take more action in dealing with illness rather than spreading further disease. According to the researchers, stoics […]

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Uncategorized Published - 24 March, 2020    By - Dr Clemens
Persistent Post-op Opioid Use Jumps in Adolescence

Author: Michael Vlessides Anesthesiology News Mimicking results in adults, new research has found that opioid-naive children are at increased risk for persistent opioid use after surgery. According to a team of investigators at Stanford University School of Medicine, in California, while persistent postoperative opioid use was relatively infrequent among patients less than 12 years of […]

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Uncategorized Published - 24 March, 2020    By - Dr Clemens
Emergent airway management outside of the operating room – a retrospective review of patient characteristics, complications and ICU stay

Authors: Uzung Yoon et al BMC Anesthesiology volume 19, Article number: 220 (2019) Background Emergent airway management outside of the operating room is a high-risk procedure. Limited data exists about the indication and physiologic state of the patient at the time of intubation, the location in which it occurs, or patient outcomes afterward. Methods We retrospectively collected data on all […]

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Uncategorized Published - 24 March, 2020    By - Dr Clemens
Rate, Rhythm, and Risk: Perioperative New-Onset Atrial Fibrillation

Author: Nathan, Naveen MD Anesthesia & Analgesia: January 2020 – Volume 130 – Issue 1 – p 1 The development of new-onset atrial fibrillation (NOAF) represents the most common arrhythmia managed by anesthesiologists in the perioperative period. Although in many cases this entity is self-limited or is quickly ameliorated with therapy, NOAF originates an independent […]

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Uncategorized Published - 24 March, 2020    By - Dr Clemens
Hypoxemia Within the First 3 Postoperative Days Is Associated With Increased 1-Year Postoperative Mortality After Adjusting for Perioperative Opioids and Other Confounders

AUTHORS: Bartels, Karsten MD, PhD et al Anesthesia & Analgesia: December 6, 2019  BACKGROUND:  Postoperative hypoxemia (POH) is common and primarily treated with temporary oxygen supplementation. Because the clinical impact of POH is sometimes presumed as minor, efforts to better understand and minimize it have been limited. Here, we hypothesized that, after adjusting for opioids […]

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Uncategorized Published - 24 March, 2020    By - Dr Clemens
People Suffering from Stress-Related Disorders Have a Higher Risk of Developing Neurodegenerative Diseases

By Robert Dillard doc wire People suffering from stress-related disorders, such as posttraumatic stress disorder (PTSD) have an increased risk of developing neurodegenerative diseases, according to a new study published in JAMA Neurology. In this population-matched and sibling cohort study, researchers compared 61,748 individuals diagnosed with stress-related disorders (PTSD, acute stress reaction, adjustment disorder, and other stress reactions) […]

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