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Uncategorized Published - 10 October, 2019    By - Dr Clemens
“Modified Dynamic Needle Tip Positioning” Short-Axis, Out-of-Plane, Ultrasound-Guided Radial Artery Cannulation in Neonates

AUTHORS: Liu, Lifei MD et al Anesthesia & Analgesia: July 2019 – Volume 129 – Issue 1 – p 178-183 BACKGROUND: Radial artery cannulation is extremely challenging in neonatal patients. Herein, we compared the success rate of the modified dynamic needle tip positioning short-axis, out-of-plane, ultrasound-guided technique with that of the traditional palpation technique in neonatal […]

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Uncategorized Published - 10 October, 2019    By - Dr Clemens
Covert Stroke and Cognitive Decline Common After Noncardiac Surgery

By Amy Orciari Herman Roughly 1 in 14 older adults undergoing noncardiac surgery experiences a perioperative covert stroke, and these patients face increased risk for cognitive decline, according to an international study in The Lancet. Over 1000 adults aged 65 and older undergoing elective, noncardiac surgery had cognitive assessments before their surgery, brain MRI 2 to […]

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Uncategorized Published - 10 October, 2019    By - Dr Clemens
Hepatitis C Rates Among Pregnant Women Increased Fivefold Over 15 Years

Author: Amy Orciari Herman The rate of hepatitis C virus (HCV) infection among pregnant women at delivery increased from 0.8 to 4.1 per 1000 deliveries from 2000 to 2015, according to an analysis of national healthcare data in MMWR. HCV rates were highest among women with opioid use disorder, increasing from 87 to 217 per 1000 […]

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Uncategorized Published - 9 October, 2019    By - Dr Clemens
Transient Tachypnea of Newborns Is Associated With Maternal Spinal Hypotension During Elective Cesarean Delivery

AUTHORS: Singh, Shubhangi MD et al Anesthesia & Analgesia: July 2019 – Volume 129 – Issue 1 – p 162-167 BACKGROUND: The risk for transient tachypnea of newborns, a common cause of respiratory distress in the neonatal period, is 2- to 6-fold higher during elective cesarean delivery compared to vaginal delivery. Here, we evaluated the association […]

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Uncategorized Published - 9 October, 2019    By - Dr Clemens
The Effectiveness of Applying Soft Tissue Bonding Adhesive Composed of 2-Ethyl Cyanoacrylate to Epidural Catheter Fixations Using Film Dressings

AUTHORS: Tadokoro, Takahiro MD et al Anesthesia & Analgesia: July 2019 – Volume 129 – Issue 1 – p 149-154 BACKGROUND: Insufficient fixation of an epidural catheter may result in migration of the catheter and eventual catheter failure. However, the best fixation method remains to be established. Aron Alpha A (2-ethyl cyanoacrylate) adhesive is approved for […]

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Uncategorized Published - 9 October, 2019    By - Dr Clemens
Ultrasound-Assisted Technology Versus the Conventional Landmark Location Method in Spinal Anesthesia for Cesarean Delivery in Obese Parturients

AUTHORS: Li, Mengzhu MD et al Anesthesia & Analgesia: July 2019 – Volume 129 – Issue 1 – p 155-161 BACKGROUND: Spinal anesthesia, which is commonly used in cesarean deliveries, is often difficult to perform in obese parturients because of poorly palpable surface landmarks and positioning challenges. This study aimed to evaluate the benefits of ultrasound-assisted […]

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Uncategorized Published - 9 October, 2019    By - Dr Clemens
The Effect of Dexmedetomidine on Propofol Requirements During Anesthesia Administered by Bispectral Index-Guided Closed-Loop Anesthesia Delivery System

AUTHORS: Dutta, Amitabh MD et al Anesthesia & Analgesia: July 2019 – Volume 129 – Issue 1 – p 84-91 BACKGROUND: Dexmedetomidine, a selective α2-adrenergic agonist currently approved for continuous intensive care unit sedation, is being widely evaluated for its role as a potential anesthetic. The closed-loop anesthesia delivery system (CLADS) is a method to automatically […]

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Uncategorized Published - 9 October, 2019    By - Dr Clemens
Total Inhalation Induction and Maintenance of General Anesthesia in Adults

Author: James P. Noble, MD Anesthesiology News Background Over a 10-year period of being a solo anesthesiologist at a surgery center, I innovated a system of airway management for patients under deep sedation/total IV anesthesia (TIVA). It made use of a unique nasal continuous positive airway pressure (CPAP) interface connected to a circle circuit system […]

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Uncategorized Published - 9 October, 2019    By - Dr Clemens
Pulmonary Complications After Hip and Knee Arthroplasty in the United States, 2004–2014

AUTHORS: Malcolm, Tennison L. MD et al Anesthesia & Analgesia: June 12, 2019 BACKGROUND: Pulmonary complications after total joint arthroplasty (TJA) are uncommon but have significant cost impact. Total hip arthroplasty (THA) and total knee arthroplasty (TKA) are 2 of the 5 top procedures requiring inpatient stay within the United States. Subsequent pulmonary complications therefore may impose […]

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Uncategorized Published - 9 October, 2019    By - Dr Clemens
Health insurance premiums, deductibles rising faster than wages, inflation

By HealthDay News Family premiums for health insurance have increased 54 percent over the last decade, researchers report. Over the last decade, Americans who get their health insurance through their employer have seen both their premiums and their deductibles rise faster than either their wages or inflation, a new survey shows. “The single biggest issue […]

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