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Uncategorized Published - 25 October, 2019    By - Dr Clemens
Aviation-Style Computerized Surgical Safety Checklist Displayed on a Large Screen and Operated by the Anesthesia Provider Improves Checklist Performance

AUTHORS: Jelacic, Srdjan MD, FASE et al Anesthesia & Analgesia: July 9, 2019 BACKGROUND: Many hospitals have implemented surgical safety checklists based on the World Health Organization surgical safety checklist, which was associated with improved outcomes. However, the execution of the checklists is frequently incomplete. We reasoned that aviation-style computerized checklist displayed onto large, centrally located screen […]

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Uncategorized Published - 25 October, 2019    By - Dr Clemens
Factors Associated With Failure of Spinal Anesthetic An 8-Year Retrospective Analysis of Patients Undergoing Elective Hip and Knee Joint Arthroplasty

AUTHORS: Colish, Jane FRCPC et al Anesthesia & Analgesia: July 9, 2019 The primary outcome of this 8-year retrospective review was the failure of spinal anesthetic (SA) in elective hip and knee joint arthroplasty surgery. Of 3542 SAs, a total of 135 failures were identified (3.8%). Factors associated with increased odds of failure were younger age […]

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Uncategorized Published - 25 October, 2019    By - Dr Clemens
When Giving Negative Feedback, Stick to the Facts

I just wanted to share this with our readers who are in management. Everyone needs feedback to grow. But if you deliver it in a way that feels like an attack, your employees will probably get defensive and shut down. Here’s how to give negative feedback more productively: Start the conversation by noting when and […]

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Uncategorized Published - 25 October, 2019    By - Dr Clemens
Viscoelastic Signals for Optimal Resuscitation in Trauma Kaolin Thrombelastography Cutoffs for Diagnosing Hypofibrinogenemia (VISOR Study)

AUTHORS: Chow, Jonathan H. MD et al Anesthesia & Analgesia: July 9, 2019 BACKGROUND: Acute traumatic coagulopathy is common in trauma patients. Prompt diagnosis of hypofibrinogenemia allows for early treatment with cryoprecipitate or fibrinogen concentrate. At present, optimal cutoffs for diagnosing hypofibrinogenemia with kaolin thrombelastography (TEG) have not been established. We hypothesized that kaolin kaolin-TEG parameters, such […]

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Uncategorized Published - 24 October, 2019    By - Dr Clemens
Comparison of 3 Methods to Assess Occupational Sevoflurane Exposure in Abdominal Surgeons

AUTHORS: Herzog-Niescery, Jennifer MD et al Anesthesia & Analgesia: July 5, 2019 BACKGROUND: Studies demonstrated that operating room personnel are exposed to anesthetic gases such as sevoflurane (SEVO). Measuring the gas burden is essential to assess the exposure objectively. Air pollution measurements and the biological monitoring of urinary SEVO and its metabolite hexafluoroisopropanol (HFIP) are possible approaches. […]

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Uncategorized Published - 24 October, 2019    By - Dr Clemens
Initial Postoperative Hemoglobin Values and Clinical Outcomes in Transfused Patients Undergoing Noncardiac Surgery

AUTHORS: Will, Nicholas D. MD et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 819-829 BACKGROUND: Intraoperative red blood cell (RBC) transfusion is common, yet transfusion strategies remain controversial as pretransfusion hemoglobin triggers are difficult to utilize during acute bleeding. Alternatively, postoperative hemoglobin values may provide useful information regarding transfusion […]

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Uncategorized Published - 24 October, 2019    By - Dr Clemens
Learning curve of ultrasound measurement of subglottic diameter for endotracheal tube selection in pediatric patients

Authors: Mukadder Orhan‐Sungur et al Pediatric Anesthesia 04 Oct 2019 Background Endotracheal tube size can be predicted according to ultrasound measurement of subglottic airway diameter. The learning curve for this method is not yet established. The aim was to evaluate the learning curve of anesthesiology residents in ultrasound measurement of subglottic airway diameter for prediction […]

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Uncategorized Published - 24 October, 2019    By - Dr Clemens
Delivery Hospital Characteristics and Postpartum Maternal Mortality

AUTHORS: Saucedo, Monica MD, PhD et al Anesthesia & Analgesia: July 2, 2019 BACKGROUND: The variability in resources for managing critical events among maternity hospitals may impact maternal safety. Our main objective was to assess the risk of postpartum maternal death according to hospitals’ organizational characteristics. A secondary objective aimed to assess the specific risk of death […]

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Uncategorized Published - 24 October, 2019    By - Dr Clemens
Comparison of Standard and Enhanced Pulse Oximeter Auditory Displays of Oxygen Saturation: A Laboratory Study With Clinician and Nonclinician Participants

AUTHORS: Paterson, Estrella BPsySc(Hons) et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 997-1004 BACKGROUND: When engaged in visually demanding tasks, anesthesiologists depend on the auditory display of the pulse oximeter (PO) to provide information about patients’ oxygen saturation (Spo2). Current auditory displays are not always effective at providing Spo2 information. […]

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Uncategorized Published - 23 October, 2019    By - Dr Clemens
Effects of Perioperative Administration of Acetaminophen on Postoperative Shivering

AUTHORS: Kinjo, Takehiro MD et al Anesthesia & Analgesia: June 24, 2019 BACKGROUND: In this randomized, triple-blind, placebo-controlled trial, we tested the hypothesis that perioperative acetaminophen administration has a prophylactic effect on postoperative shivering. METHODS: Forty-five women scheduled for gynecological laparotomy were randomized to either the acetaminophen or the placebo groups. After induction of general anesthesia, the test […]

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