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Uncategorized Published - 14 June, 2019    By - Dr Clemens
Focused Cardiac Ultrasound during Amniotic Fluid Embolism

Authors: Leah C. Acker, Ph.D., M.D. et al  Anesthesiology 6 2019, Vol.130, 1032-1033. In emergency and critical care medicine, focused cardiac ultrasound is well-established to rapidly narrow the differential diagnosis of hemodynamic instability.1  Although anesthesiologists have traditionally relied upon transesophageal echocardiography for this indication, perioperative providers are recognizing the advantages of focused cardiac ultrasound for crisis […]

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Uncategorized Published - 13 June, 2019    By - Dr Clemens
If We Don’t Learn from Our Critical Events, We’re Likely to Relive Them: Debriefing Should Be the Norm

Authors: May C. M. Pian-Smith, M.D., M.S. et al Anesthesiology 6 2019, Vol.130, 867-869. “…[I]nterdisciplinary team de-briefings, including members of all involved role groups, is an essential step toward narrowing the patient safety gap that still remains…” This issue of Anesthesiology includes “Failure to Debrief after Critical Events in Anesthesia Is Associated with Failures in Communication during […]

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Uncategorized Published - 13 June, 2019    By - Dr Clemens
Intravenous Lidocaine Does Not Improve Neurologic Outcomes after Cardiac Surgery: A Randomized Controlled Trial

Authors: Rebecca Y. Klinger, M.D., M.S. et al Anesthesiology 6 2019, Vol.130, 958-970. Editor’s Perspective:What We Already Know about This Topic: Preclinical and clinical studies suggest that lidocaine might be neuroprotective, which could benefit surgical patients at risk of neurologic compromise What This Article Tells Us That Is New: This multicenter trial of intravenous lidocaine administered […]

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Uncategorized Published - 13 June, 2019    By - Dr Clemens
Nasopharyngeal Tube Effects on Breathing during Sedation for Dental Procedures: A Randomized Controlled Trial

Authors: Yuuya Kohzuka, D.D.S. et al Anesthesiology 6 2019, Vol.130, 946-957. Editor’s Perspective: What We Already Know about This Topic: Dental procedures under sedation can cause hypoxic events and even death. However, the mechanism of such hypoxic events is not well understood. What This Article Tells Us That Is New: Apnea and hypopnea occur frequently during […]

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Uncategorized Published - 13 June, 2019    By - Dr Clemens
Opioid Sensitivity in Children with and without Obstructive Sleep Apnea

Authors: Michael C. Montana, M.D., Ph.D. et al Anesthesiology 6 2019, Vol.130, 936-945. Editor’s Perspective: What We Already Know about This Topic: Children with obstructive sleep apnea are at greater risk for postoperative hypoxia and other respiratory events as compared with children without this disorder There is some reason to believe that children with obstructive sleep […]

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Uncategorized Published - 13 June, 2019    By - Dr Clemens
Adverse Events and Factors Associated with Potentially Avoidable Use of General Anesthesia in Cesarean Deliveries

Authors: Jean Guglielminotti, M.D., Ph.D. et al Anesthesiology 6 2019, Vol.130, 912-922. Editor’s Perspective: What We Already Know about This Topic: Neuraxial anesthesia is recommended in lieu of general anesthesia for cesarean deliveries The association of general anesthesia without a clinical indication with adverse events in cesarean deliveries remains poorly understood What This Article Tells Us […]

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Uncategorized Published - 13 June, 2019    By - Dr Clemens
Again, No Link Found Between MMR Vaccine and Autism

I just wanted to share this with our readers even with it having no effect on anesthesia. By Amy Orciari Herman Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD A large study in the Annals of Internal Medicine adds to the evidence showing no association between measles, mumps, and rubella (MMR) vaccination and autism diagnosis. […]

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Uncategorized Published - 12 June, 2019    By - Dr Clemens
General Anesthesia for Cesarean Delivery: Occasionally Essential but Best Avoided

Authors: Jill Mhyre, M.D. et al Anesthesiology 6 2019, Vol.130, 864-866. “…[I]n the absence of contraindications, neuraxial anesthesia has been and remains the gold standard anesthetic for cesarean delivery.” Cesarean delivery is the most commonly performed operation in the United States, with more than one million women undergoing this procedure per year. Neuraxial anesthesia is widely […]

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Uncategorized Published - 12 June, 2019    By - Dr Clemens
Association between COMT polymorphism, labor anxiety, and analgesia in pregnant women

Authors: Xiaohui Ren et al Journal of Pain Research Volume 12 Background: COMT gene polymorphism is associated with mental disorders and sensitivity to pain. In this study, we investigated the association between the COMT gene polymorphism and labor anxiety and analgesia in pregnant women. Subjects and methods: A total of 425 pregnant women undergoing labor analgesia were […]

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Uncategorized Published - 12 June, 2019    By - Dr Clemens
Failure to Debrief after Critical Events in Anesthesia Is Associated with Failures in Communication during the Event

Authors: Alexander F. Arriaga, M.D., M.P.H., Sc.D. et al Anesthesiology 6 2019, Vol.130, 1039-1048. Editor’s Perspective: What We Already Know about This Topic: Debriefing after an actual critical event is an established good practice in medicine, but a gap exists between principle and implementation. What This Article Tells Us That Is New: Failure to debrief after […]

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