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Uncategorized Published - 5 December, 2019    By - Dr Clemens
Grade 3 Echocardiographic Diastolic Dysfunction Is Associated With Increased Risk of Major Adverse Cardiovascular Events After Surgery

AUTHORS: Zhou, Yan MD, PhD et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 651-658 BACKGROUND: Diastolic dysfunction is common and may increase the risk of cardiovascular complications. This study investigated the hypothesis that, in patients with isolated left ventricular diastolic dysfunction, higher grade diastolic dysfunction was associated with greater […]

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Uncategorized Published - 5 December, 2019    By - Dr Clemens
Homing in on Optimal Compression Rate and Depth for CPR

 Authors: Duval S et al.  JAMA Cardiol 2019 Aug 14 Compression at a rate of 86 to 129 per minute and depth of 3.8 to 5.6 cm was associated with higher survival to discharge. Adult cardiac arrest guidelines recommend delivery of chest compressions at a rate of 100 to 120 per minute and a depth of […]

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Uncategorized Published - 4 December, 2019    By - Dr Clemens
Targeted Use of Alcohol-Based Hand Rub on Gloves During Task Dense Periods: One Step Closer to Pathogen Containment by Anesthesia Providers in the Operating Room

AUTHORS: Birnbach, David J. MD, MPH et al Anesthesia & Analgesia: December 2019 – Volume 129 – Issue 6 – p 1557-1560 BACKGROUND: Anesthesia providers’ hand hygiene practices in the operating room may contribute to the transmission of bacteria. There is a debate, however, over the best approaches for pathogen containment during task dense periods (induction […]

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Uncategorized Published - 4 December, 2019    By - Dr Clemens
10 Common Pediatric Airway Problems—And Their Solutions

Anesthesiology News Author: Christine E. Whitten, MD Dr. Whitten is the author of “Anyone Can Intubate: A Step–by–Step Guide to Intubation and Airway Management” and “Pediatric Airway Management: A Step–by–Step Guide,” both from Mooncat Publications. She also blogs about airway management at AirwayJedi.com, and has created instructional DVDs on the topic. She reported no other relevant financial […]

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Uncategorized Published - 4 December, 2019    By - Dr Clemens
Intraoperative Transfusion Targets: Avoiding the Extremes

AUTHORS: Hensley, Nadia B. MD et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 642-643 Blood transfusion can save lives when patients need it, but only increases risks and costs when they do not. In the operating room, our job is not only to decide who needs a transfusion, but […]

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Uncategorized Published - 4 December, 2019    By - Dr Clemens
Safe Anesthesia Induction in Patients With An Anterior Mediastinal Mass Undergoing Bronchoscopic Stent Placement

Anesthesiology News Mona Sarkiss, MD, PhD Professor and Anesthesiologist Department of Anesthesiology and Perioperative Medicine Department of Pulmonary Medicine Division of Anesthesiology and Critical Care Carlos Jimenez, MD Professor and Interventional Pulmonologist Department of Pulmonary Medicine Division of Internal Medicine David Ost, MD, MPH Professor and Interventional Pulmonologist Department of Pulmonary Medicine Division of Internal […]

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Uncategorized Published - 4 December, 2019    By - Dr Clemens
Rivaroxaban Ranks Highest for DVT Prophylaxis After Elective Knee Replacement

By Amy Orciari Herman Edited by André Sofair, MD, MPH Rivaroxaban monotherapy is the most effective strategy for preventing deep-venous thrombosis (DVT) after elective total knee replacement, a meta-analysis in the Lancet Haematology suggests. The analysis included 25 randomized controlled trials of venous thromboembolism prophylaxis strategies in patients aged 16 and older undergoing elective knee replacement. Strategies included […]

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Uncategorized Published - 3 December, 2019    By - Dr Clemens
Preoperative Diastolic Dysfunction and Postoperative Outcomes after Noncardiac Surgery

Authors: Mark Willingham, MD, MSCI et al Journal of Cardiothoracic and Vascular Anesthesia Objective To determine if diastolic dysfunction is independently associated with increased mortality, acute kidney injury, and hospital length of stay after noncardiac surgery. Design Retrospective observational cohort. Setting Academic referral center. Participants All patients undergoing noncardiac and nonliver-transplant surgeries at University of […]

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Uncategorized Published - 3 December, 2019    By - Dr Clemens
Perioperative intravenous low‐dose ketamine for neuropathic pain after major lower back surgery

Authors: Christoph Czarnetzki et al European Journal of Pain  Nov 2019 Background Chronic pain after major lower back surgery is frequent. We investigated in adults the effect of perioperative low‐dose ketamine on neuropathic lower back pain, assessed by the DN4 questionnaire, six and 12 months after major lower back surgery. Methods In this single‐centre randomized trial, […]

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Uncategorized Published - 3 December, 2019    By - Dr Clemens
The Value of a Post‐induction Fentanyl Test in Identifying Severe Obstructive Sleep Apnea Syndrome

Authors: Ru Wu et al Pediatric Anesthesia Nov 2019 Background Children with severe obstructive sleep apnea syndrome (OSAS) are more sensitive to opioids. Identifying such children and reducing or even eliminating opioids are necessary but difficult. We have previous shown that patients sensitive to intraoperative fentanyl require less opioids post operatively. Aim The objective of […]

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