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Uncategorized Published - 11 December, 2018    By - Dr Clemens
Study Determines Risk Factors for Opioid Misuse Following Surgery, Trauma

Certain prescribing patterns, surgical procedures, and patient characteristics increase patients’ risk of long-term opioid use following surgery or trauma, according to a study published in the Journal of Bone and Joint Surgery. “Approximately 4% of the general population will use prescribed opioids for an extended time after surgery, but, among patients with a history of prescription […]

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Uncategorized Published - 11 December, 2018    By - Dr Clemens
High-Frequency Jet Ventilation Safe, Effective in Cardiac Cath Lab

Author: Chase Doyle Anesthesiology News A retrospective chart review has found high-frequency jet ventilation (HFJV) to be a safe and effective means of ventilating patients in the cardiac catheterization lab. In the new study, only two of 123 patients had to convert to traditional methods of ventilation over a 13-month implementation period. The transition to the […]

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Uncategorized Published - 11 December, 2018    By - Dr Clemens
The Current State of Airway Management: Are We Doing Better?

Author: Lauren Berkow, MD President-Elect, Society for Airway Management Professor of Neuroanesthesiology University of Florida College of Medicine Gainesville, Florida Anesthesiology News Welcome to the special annual Airway Management issue from Anesthesiology News! Included in this issue are a variety of important airway topics and an airway management roundtable discussion of current airway-related controversies. As patients become older, […]

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Uncategorized Published - 11 December, 2018    By - Dr Clemens
Three Diseases Linked To Opioid-Induced Respiratory Depression

Author: Michael Vlessides Anesthesiology News Existing cardiac disease, pulmonary disease and obstructive sleep apnea are all significantly associated with an increased risk for postoperative opioid-induced respiratory depression. The findings, from a recent systematic review and meta-analysis, may help in the development of strategies to mitigate the risk for this complication. “Postoperative opioid-induced respiratory depression is associated […]

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Uncategorized Published - 10 December, 2018    By - Dr Clemens
Effect of Equipotent Doses of Propofol versus Sevoflurane Anesthesia on Regulatory T Cells after Breast Cancer Surgery

Authors: Chung-Sik Oh, M.D., Ph.D. et al   Anesthesiology 11 2018, Vol.129, 921-931. What We Already Know about This Topic: Cluster of differentiation enzymes on regulatory T cells are immunosuppressive and promote cancer recurrence The investigators tested the hypothesis that cluster of differentiation 39 and 73 expression is increased less with propofol than sevoflurane What This […]

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Uncategorized Published - 10 December, 2018    By - Dr Clemens
Preoperative Epoetin-α with Intravenous or Oral Iron for Major Orthopedic Surgery: A Randomized Controlled Trial

Authors: Philippe Biboulet, M.D. et al  Anesthesiology 10 2018, Vol.129, 710-720. What We Already Know about This Topic: Epoetin-α is often given to patients scheduled for major orthopedic surgery It remains unknown whether it is best to accompany epoetin-α with oral or intravenous iron What This Article Tells Us That Is New: Hemoglobin level the day […]

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Uncategorized Published - 10 December, 2018    By - Dr Clemens
Supervised Machine-learning Predictive Analytics for Prediction of Postinduction Hypotension

Authors: Samir Kendale, M.D. et al  Anesthesiology 10 2018, Vol.129, 675-688. What We Already Know about This Topic: The ability to predict postinduction hypotension remains limited and challenging due to the multitude of data elements that may be considered Novel machine-learning algorithms may offer a systematic approach to predict postinduction hypotension, but are understudied What This […]

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Uncategorized Published - 10 December, 2018    By - Dr Clemens
Complications in Pediatric Regional Anesthesia: An Analysis of More than 100,000 Blocks from the Pediatric Regional Anesthesia Network

Authors: Benjamin J. Walker, M.D. et al  Anesthesiology 10 2018, Vol.129, 721-732. What We Already Know about This Topic: Regional anesthesia is associated with a low but poorly quantified incidence of complications. What This Article Tells Us That Is New: In a prospective multicenter cohort of more than 100,000 blocks in children, there were no cases […]

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Uncategorized Published - 10 December, 2018    By - Dr Clemens
Migraine Associated With Increased Risk for Postsurgical 30-Day Hospital Readmission for Pain

Patients with migraine headaches—particularly those accompanied by aura—may be at significantly increased risk for 30-day hospital readmission because of pain after surgery when compared with individuals without migraines, according to a study published in Cephalalgia. Although migraines are thought to increase the chance for postoperative readmission to the hospital, the specific reasons underlying this phenomenon are not […]

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Uncategorized Published - 7 December, 2018    By - Dr Clemens
Cuff Leak Test Good at Ruling In Post-Extubation Airway Obstruction

Author: Thomas Rosenthal Anesthesiology News Because of its high specificity, a cuff leak test is better at ruling in than ruling out post-extubation airway obstruction in adults who are mechanically ventilated, a meta-analysis has concluded. The analysis of 21 studies included 3,772 patients and was presented at the 2018 annual meeting of the Society of Critical […]

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