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Uncategorized Published - 1 November, 2019    By - Dr Clemens
An Observational Study of Cerebral Blood Flow Velocity Evaluation in the Prone Position During Posterior Lumbar Surgery

AUTHORS: Bombardieri, Anna Maria MD, PhD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 487-492 BACKGROUND: Prone positioning (PP) is necessary for surgical access during posterior spine procedure. However, physiological changes occur in the PP. Typical findings are a decrease in arterial blood pressure and in cardiac output that could […]

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Uncategorized Published - 1 November, 2019    By - Dr Clemens
The Migration of Caudally Threaded Thoracic Epidural Catheters in Neonates and Infants

AUTHORS: Simpao, Allan F. MD, MBI et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 477-481 BACKGROUND: The migration of pediatric thoracic epidural catheters via a thoracic insertion site has been described. We assessed the migration of caudally threaded thoracic epidural catheters in neonates and infants at our institution. METHODS: The […]

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Uncategorized Published - 1 November, 2019    By - Dr Clemens
Resting Hemodynamics and Response to Exercise Using the 6-Minute Walk Test in Late Pregnancy

AUTHORS: Dennis, Alicia Therese MBBS, PhD, MIPH et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 450-457 BACKGROUND: Cardiac disease is the leading cause of maternal death. Assessment of cardiovascular fitness is important in pregnant women because it is linked to increased risk of cardiac disease but is rarely undertaken […]

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Uncategorized Published - 1 November, 2019    By - Dr Clemens
Heterogeneity Among Hospitals in the Percentages of All Lumbosacral Epidural Steroid Injections Where the Patient Had Received 4 or More in the Previous Year

AUTHORS: Pearson, Amy C. S. MD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 493-499 BACKGROUND: Current guidelines for the administration of therapeutic epidural injections suggest that these be limited to a maximum of 4 per year. We sought to gain an understanding of the proportion of lumbosacral epidural […]

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Uncategorized Published - 31 October, 2019    By - Dr Clemens
Cardiac Structure and Function in Morbidly Obese Parturients: An Echocardiographic Study

AUTHORS: Buddeberg, Bigna S. MD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 444-449 BACKGROUND: The increasing prevalence of obesity worldwide is a major threat to global health. Cardiac structural and functional changes are well documented for obesity as well as for pregnancy, but there is limited literature on […]

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Uncategorized Published - 31 October, 2019    By - Dr Clemens
Electronic Audit and Feedback With Positive Rewards Improve Anesthesia Provider Compliance With a Barcode-Based Drug Safety System

AUTHORS: Bowdle, T. Andrew MD, PhD, FASE et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 418-425 BACKGROUND: We implemented a previously described barcode-based drug safety system in all of our anesthetizing locations. Providers were instructed to scan the barcode on syringes using our Anesthesia Information Management System before drug administration, […]

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Uncategorized Published - 31 October, 2019    By - Dr Clemens
Oxygen Reserve Index: Validation of a New Variable

AUTHORS: Vos, Jaap Jan MD, PhD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 409-415 BACKGROUND: Pulse oximetry–derived oxygen saturation is typically >97% in normoxia and hyperoxia, limiting its clinical use. The new Oxygen Reserve Index (ORi), a relative indicator of the partial pressure of oxygen dissolved in arterial […]

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Uncategorized Published - 31 October, 2019    By - Dr Clemens
Comparison of 7 Different Sensors for Detecting Low Respiratory Rates Using a Single Breath Detection Algorithm in Nonintubated, Sedated Volunteers

AUTHORS: Ermer, Sean BS et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 399-408 BACKGROUND: Numerous technologies are used to monitor respiratory rates in nonintubated patients. No technology has emerged as the standard. The primary aim of this study was to assess the limits of agreement between a reference sensor […]

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Uncategorized Published - 31 October, 2019    By - Dr Clemens
Randomized Trial Comparing Early and Late Administration of Rocuronium Before and After Checking Mask Ventilation in Patients With Normal Airways

AUTHORS: Min, Se-Hee MD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 380-386 BACKGROUND: During induction of general anesthesia, it is common practice to delay neuromuscular blockade until the ability to deliver mask ventilation has been confirmed. However, the benefits of this approach have never been scientifically validated. We […]

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Uncategorized Published - 31 October, 2019    By - Dr Clemens
Women and men at risk of different obesity-related conditions

I thought on Halloween this was the perfect day to share this with our readers. Medical News Today New evidence from a large dataset suggests that, while obesity increases health risks for everyone, women and men with obesity are predisposed to different obesity-related conditions. Obesity is one of the most common health conditions among populations around […]

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