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Uncategorized Published - 13 May, 2019    By - Dr Clemens
Drone delivers kidney for transplant at U of Maryland

I thought this was very interesting so wanted to share. Author: Jackie Drees An unmanned aircraft system transported a donor kidney for the first time to Baltimore-based University of Maryland Medical Center for a transplantation surgery. The drone flew 2.8 miles from a location in southwest Baltimore April 19 to deliver the donor organ, which came […]

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Uncategorized Published - 11 May, 2019    By - Dr Clemens
Surgical approach and the impact of epidural analgesia on survival after esophagectomy for cancer: A population-based retrospective cohort study

Authors: Kenneth C. Cummings III et al  PLOS ONE Jan 2019 Background Esophagectomy for esophageal cancer carries high morbidity and mortality, particularly in older patients. Transthoracic esophagectomy allows formal lymphadenectomy, but leads to greater perioperative morbidity and pain than transhiatal esophagectomy. Epidural analgesia may attenuate the stress response and be less immunosuppressive than opioids, potentially […]

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Uncategorized Published - 10 May, 2019    By - Dr Clemens
The Effects of Postoperative Residual Neuromuscular Blockade on Hospital Costs and Intensive Care Unit Admission

AUTHORS: Grabitz, Stephanie D., MD et al Anesthesia & Analgesia: January 8, 2019 BACKGROUND: Postoperative residual neuromuscular blockade continues to be a frequent occurrence with a reported incidence rate of up to 64%. However, the effect of postoperative residual neuromuscular blockade on health care utilization remains unclear. We conducted a retrospective cohort study to investigate the effects […]

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Uncategorized Published - 10 May, 2019    By - Dr Clemens
Comparing Nasal End-Tidal Carbon Dioxide Measurement Variation and Agreement While Delivering Pulsed and Continuous Flow Oxygen in Volunteers and Patients

AUTHORS: Burk, Kyle M., MS et al Anesthesia & Analgesia: January 8, 2019  BACKGROUND: Supplemental oxygen is administered during procedural sedation to prevent hypoxemia. Continuous flow oxygen, the most widespread method, is generally adequate but distorts capnography. Pulsed flow oxygen is novel and ideally will not distort capnography. We have developed a prototype oxygen administration system designed […]

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Uncategorized Published - 10 May, 2019    By - Dr Clemens
Conditions for laryngeal mask airway placement in terms of oropharyngeal leak pressure: a comparison between blind insertion and laryngoscope-guided insertion

Authors: Go Wun Kim et al BMC Anesthesiology 2019 19:4 Background Insertion under laryngoscopic guidance has been used to achieve ideal positioning of the laryngeal mask airway (LMA). However, to date, the efficacy of this technique has been evaluated only using fiberoptic evaluation, and the results have been conflicting. Other reliable tests to evaluate the […]

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Uncategorized Published - 10 May, 2019    By - Dr Clemens
Safety of 80% vs 30–35% fraction of inspired oxygen in patients undergoing surgery: a systematic review and meta-analysis

Authors: Katharina Mattishent et al British Journal of Anesthesia March 2019 Volume 122, Issue 3, Pages 311–324 Background Evidence-based guidelines from the World Health Organization (WHO) have recommended a high (80%) fraction of inspired oxygen (FiO2) to reduce surgical site infection in adult surgical patients undergoing general anaesthesia with tracheal intubation. However, there is ongoing debate […]

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Uncategorized Published - 10 May, 2019    By - Dr Clemens
Dexamethasone added to local anesthetics in ultrasound-guided transversus abdominis plain (TAP) block for analgesia after abdominal surgery

Authors: Donghang Zhang et al  PLOS ONE Jan 2019  To evaluate the analgesic efficacy of dexamethasone added to local anesthetics in ultrasound-guided transversus abdominis plane (TAP) block for the patients after abdominal surgery. Methods PubMed, CENTRAL, EMBASE, Web of science were searched to identify eligible randomized controlled trials (RCTs) that compared dexamethasone added to local […]

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Uncategorized Published - 10 May, 2019    By - Dr Clemens
Perioperative Epidural Use and Risk of Delirium in Surgical Patients

Authors: Vlisides, Phillip E., MD et al Anesthesia & Analgesia: May 2019 – Volume 128 – Issue 5 – p 944–952 BACKGROUND: Postoperative delirium is an important public health concern without effective prevention strategies. This study tested the hypothesis that perioperative epidural use would be associated with decreased risk of delirium through postoperative day 3. METHODS: This […]

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Uncategorized Published - 10 May, 2019    By - Dr Clemens
Obesity: Could fat cell differences predict diabetes risk?

I wanted to share with our readers. By Catharine Paddock PhD Medical News Today Differences in the cells that store fat in the body could explain why some people are more prone to obesity-related conditions, such as type 2 diabetes. Scientists at the University of Melbourne, in Australia, led an investigation that examined human white fat […]

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Uncategorized Published - 10 May, 2019    By - Dr Clemens
Blood test may predict cardiovascular disease

I wanted to share this because I thought it was very interesting. By Ana Sandoiu Medical News Today New research suggests that a simple blood test, which doctors currently use to diagnose heart attacks, may be useful in predicting the risk of cardiovascular disease. New research suggests a simple blood test could accurately predict who will […]

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