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Uncategorized Published - 30 October, 2019    By - Dr Clemens
Outcomes and Safety Among Patients With Obstructive Sleep Apnea Undergoing Cancer Surgery Procedures in a Freestanding Ambulatory Surgical Facility

AUTHORS: Szeto, Betsy MPH et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 360-368 BACKGROUND: Patients with obstructive sleep apnea (OSA) may be at increased risk for serious perioperative complications. The suitability of ambulatory surgery for patients with OSA remains controversial, and several national guidelines call for more evidence that […]

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Uncategorized Published - 30 October, 2019    By - Dr Clemens
Postoperative Myocardial Injury in Middle-Aged and Elderly Patients Following Curative Resection of Esophageal Cancer With Aggressive or Standard Body Temperature Management

AUTHORS: Zhang, Zuojing MM et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 352-359 BACKGROUND: Risk of intraoperative hypothermia is relatively high in middle-aged and elderly patients undergoing curative resection of esophageal cancer, which may cause myocardial ischemia during the early postoperative period. The objective of this study was to compare […]

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Uncategorized Published - 30 October, 2019    By - Dr Clemens
Prohemostatic Activity of Factor X in Combination With Activated Factor VII in Dilutional Coagulopathy

AUTHORS: Takeshita, Shusuke MD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 339-345 BACKGROUND: Recombinant activated factor VII (rFVIIa) concentrate reduces allogeneic blood transfusions, but it may increase thromboembolic complications in complex cardiac surgery. The mixture of activated factor VII (FVIIa) and factor X (FX) (FVIIa/FX) (FVIIa:FX = 1:10) […]

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Uncategorized Published - 30 October, 2019    By - Dr Clemens
Anticoagulation Management and Heparin Resistance During Cardiopulmonary Bypass: A Survey of Society of Cardiovascular Anesthesiologists Members

Authors: Sniecinski, Roman M. MD, MSc et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p e41-e44 We surveyed Society of Cardiovascular Anesthesiologists members regarding anticoagulation practices for cardiopulmonary bypass and attitudes on heparin resistance. Of 550 respondents (18.5% response rate), 74.9% (95% CI, 71.3%–78.5%) used empiric weight-based dosing of heparin, […]

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Uncategorized Published - 30 October, 2019    By - Dr Clemens
Defining and Reducing the Risk of Persistent Postoperative Opioid Use

Authors: Anderson, T. Anthony PhD, MD*; Ahmad, Shireen MD† Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 324-326 Editorial It is now well understood by physicians and laypersons that opioid misuse has reached epidemic proportions in the United States. Indeed, in 2017, 4.2% of the population over 12 years of age […]

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Uncategorized Published - 29 October, 2019    By - Dr Clemens
Respiratory muscle activity after spontaneous, neostigmine- or sugammadex-enhanced recovery of neuromuscular blockade

Authors: Tom Schepens et al BMC Anesthesiology volume 19, Article number: 187 (2019) Background The use of neostigmine after neuromuscular blockade (NMB) has been associated with postoperative respiratory complications. In previous studies, we found lower diaphragmatic activity after neostigmine reversal of NMB, compared to sugammadex. It is still unclear whether the adequate use of neostigmine guarantees normal respiratory muscle function […]

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Uncategorized Published - 29 October, 2019    By - Dr Clemens
Impact of natural light exposure on delirium burden in adult patients receiving invasive mechanical ventilation in the ICU

Authors: Roland Smonig et al Annals of Intensive Care volume 9, Article number: 120 (2019) Objective To determine whether potential exposure to natural light via windows is associated with reduced delirium burden in critically ill patients admitted to the ICU in a single room. Design Prospective single-center study. Setting Medical ICU of a university hospital, Paris, France. Patients Adult patients […]

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Uncategorized Published - 29 October, 2019    By - Dr Clemens
Complications of Anesthesia Services in Gastrointestinal Endoscopic Procedures

Authors: Sarah R. Lieber, MD MSCR et al Clinical Gastroenterology and Hepatology Oct 19 Background & Aims Despite the increased use of anesthesia services for endoscopic procedures in the United States, the risks of anesthesia-directed sedation (ADS) are unclear. We analyzed national data from multiple centers to determine patterns of use of anesthesia services and […]

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Uncategorized Published - 29 October, 2019    By - Dr Clemens
Potential Unintended Effects of Standardized Pain Questionnaires

Authors: Theresa De Silva et al  Pain Medicine 16 October 2019 Objective Low back pain is a common musculoskeletal condition with substantial individual and societal costs. Standardized self-report questionnaires are commonly used in clinical practice to identify prognostic risk factors and tailor interventions for low back pain. However, most of these low back pain questionnaires […]

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Uncategorized Published - 29 October, 2019    By - Dr Clemens
Ultrasound-guided quadratus lumborum block for postoperative pain control in patients undergoing unilateral inguinal hernia repair,

Authors: Abeer Ahmed et al BMC Anesthesiology volume 19, Article number: 184 (2019) Background Early postoperative ambulation and reduction of hospital stay necessitate efficient postoperative analgesia. Quadrates Lumborum Block (QLB) has been described to provide adequate postoperative analgesia after abdominal surgery. This randomized comparative trial was designed to compare the duration of analgesia provided by two different QLB approaches; the […]

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