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Uncategorized Published - 28 February, 2020    By - Dr Clemens
The midline approach for endotracheal intubation using GlideScope video laryngoscopy could provide better glottis exposure in adults

AUTHORS: Lianxiang Jiang et al BMC Anesthesiology volume 19, Article number: 200 (2019) Background Previous studies have demonstrated that the common laryngoscopic approach (right-sided) and midline approach are both used for endotracheal intubation by direct laryngoscopy. Although the midline approach is commonly recommended for video laryngoscopy (VL) in the clinic, there is a lack of published evidences to support this […]

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Uncategorized Published - 28 February, 2020    By - Dr Clemens
Intraoperative Ketamine for Analgesia Post-Coronary Artery Bypass Surgery

AUTHORS: Cameron M et al J Cardiothorac Vasc Anesth. 2020 Mar;34(3):586-591. OBJECTIVES: To determine whether the administration of ketamine during coronary artery bypass grafting (CABG) surgery leads to a reduction in the quantity of opioids required over the first 48 hours after surgery. DESIGN: Randomized, controlled, double-blind clinical trial. SETTING: Single university academic center. PARTICIPANTS: Patients […]

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Uncategorized Published - 28 February, 2020    By - Dr Clemens
Predictors Listed of Prolonged Extubation After General Anesthesia

Author: Michael Vlessides Anesthesiology News Researchers have confirmed a series of independent patient-, procedure- and anesthesia-related predictors of prolonged extubation after general anesthesia. The study also showed that patients who experience prolonged extubation are at significantly greater risk for immediate reintubation. Andrea Vannucci, MD, and his colleagues at the University of Mississippi Medical Center and […]

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Uncategorized Published - 28 February, 2020    By - Dr Clemens
Aviation Management Tool Identifies Hazardous Perioperative Attitudes

Author: Michael Vlessides Anesthesiology News Anesthesiology has long valued the aviation industry’s adherence to strict safety protocols. Now, researchers have employed a modified crew resource management tool to help residents identify hazardous attitudes and their potentially negative effects during perioperative crises. “Crew resource management is a systemization of crisis management,” said Adam Schiavi, PhD, MD, […]

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Uncategorized Published - 28 February, 2020    By - Dr Clemens
Kidney Function May Affect Risks Associated With Prescription Opioids

This is for our readers who treat chronic pain patients along with those who perform an anesthetic on chronic pain patients. Receiving an opioid prescription is linked with higher risks of death and hospitalisation compared with receiving other pain medications, and the risk of death is especially high in individuals with lower kidney function, according […]

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Uncategorized Published - 27 February, 2020    By - Dr Clemens
Opioid Use Less Using TAP Catheters Rather Than Epidural Catheters for Colorectal Surgery

Author: Bob Kronemyer Anesthesiology News Transversus abdominis plane (TAP) catheters were associated with significantly less use of morphine milligram equivalents (MMEs) compared with epidural catheters in patients undergoing open colorectal surgery who were part of an enhanced recovery after surgery (ERAS) program, according to a retrospective chart review. “Our TAP catheter group received an average […]

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Uncategorized Published - 27 February, 2020    By - Dr Clemens
Trends in Central Venous Catheter Insertions by Anesthesia Providers

AUTHORS: Rubin, Daniel S. MD, MS et al Anesthesia & Analgesia: November 11, 2019 – BACKGROUND: Central line insertion is a core skill for anesthesiologists. Although recent technical advances have increased the safety of central line insertion and reduced the risk of central line–associated infection, noninvasive hemodynamic monitoring and improved intravenous access techniques have also reduced […]

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Uncategorized Published - 27 February, 2020    By - Dr Clemens
Association Between Perioperative Hypotension and Delirium in Postoperative Critically Ill Patients

AUTHORS: Maheshwari, Kamal MD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 636-643 BACKGROUND:  Postoperative delirium is common in critically ill patients, with a reported incidence of 11%–43%, and is associated with significant morbidity and cost. Perioperative hypotension and consequent brain hypoperfusion may contribute. We, therefore, tested the […]

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Uncategorized Published - 27 February, 2020    By - Dr Clemens
Effect of Intravenous Ondansetron on the Effective Dose in 50% of Subjects of Prophylactic Phenylephrine Infusions for Preventing Spinal Anesthesia–Induced Hypotension During Cesarean Delivery

AUTHORS:  Xiao, Fei MD et al Anesthesia & Analgesia: November 11, 2019  BACKGROUND:  Ondansetron has been shown to reduce the incidence of hypotension and vasopressor requirement during spinal anesthesia for obstetric and nonobstetric surgery. However, the magnitude of this effect has not been fully quantified. In this parallel-group, randomized, double-blinded study, we determined the effective dose […]

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Uncategorized Published - 27 February, 2020    By - Dr Clemens
Bedside Diagnostic Tests Unreliable for Predicting Difficult Airways

Author: Bob Kronemyer Anesthesiology News Screening tests performed at the bedside to identify patients at high risk for an unanticipated difficult airway may be largely inaccurate. This startling finding comes from an abridged Cochrane Review of these diagnostic tests. The review consisted of 133 published studies, of which 127 were cohort trials and six were […]

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