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Uncategorized Published - 3 October, 2018    By - Dr Clemens
Machine-learning Algorithm to Predict Hypotension Based on High-fidelity Arterial Pressure Waveform Analysis

Authors: Feras Hatib, Ph.D. et al  Anesthesiology 10 2018, Vol.129, 663-674. What We Already Know about This Topic: The ability to predict intraoperative hypotension may advance the ability to prevent hypotension-associated complications effectively The extent to which advanced waveform analysis of invasive arterial lines may provide meaningful forewarning remains unknown What This Article Tells Us That […]

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Uncategorized Published - 3 October, 2018    By - Dr Clemens
Hospital-, Anesthesiologist-, and Patient-level Variation in Primary Anesthesia Type for Hip Fracture Surgery: A Population-based Cross-sectional Analysis

Authors: Daniel I. McIsaac, M.D., M.P.H., F.R.C.P.C. Anesthesiology published September 2018. What We Already Know about This Topic: Neuraxial anesthesia use for hip fracture surgery has wide variation in use across hospitals, and hospitals using it for less than 25% of patients may have increased 30-day mortality The proportion of the variation in use attributable to […]

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Uncategorized Published - 3 October, 2018    By - Dr Clemens
Ultrasound Is Superior to Palpation in Identifying the Cricothyroid Membrane in Subjects with Poorly Defined Neck Landmarks: A Randomized Clinical Trial

Authors: Naveed Liquidize, M.D., M.Sc. et al  Anesthesiology published September 2018. What We Already Know about This Topic: Accurate identification of the cricothyroid membrane is key for success of emergency cricothyrotomy Ultrasound has been reported to identify the cricothyroid membrane more accurately than external palpation in patients with normal neck anatomy What This Article Tells Us […]

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Uncategorized Published - 2 October, 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. Editor’s Perspective: 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 […]

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Uncategorized Published - 2 October, 2018    By - Dr Clemens
Non–steady State Modeling of the Ventilatory Depressant Effect of Remifentanil in Awake Patients Experiencing Moderate-to-severe Obstructive Sleep Apnea

Authors: Anthony G. Doufas, M.D., Ph.D. et al Anesthesiology published September 2018. What We Already Know about This Topic: Patients with obstructive sleep apnea are often said to have increased sensitivity to opioid-induced ventilatory depression What This Article Tells Us That Is New: The hypothesis that patients with moderate-to-severe obstructive sleep apnea are more sensitive to […]

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Uncategorized Published - 2 October, 2018    By - Dr Clemens
Oropharyngeal Bacterial Colonization after Chlorhexidine Mouthwash in Mechanically Ventilated Critically Ill Patients

Authors: Béatrice La Combe, M.D., M.Sc. et al Anesthesiology published September 2018. What We Already Know about This Topic: Chlorhexidine is frequently used to reduce oropharyngeal bacterial colonization in mechanically ventilated patients. How effective the drug is remains unclear. What This Article Tells Us That Is New: Bacterial colonization was evaluated in 30 mechanically ventilated patients […]

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Uncategorized Published - 2 October, 2018    By - Dr Clemens
Standardized Unloading of Respiratory Muscles during Neurally Adjusted Ventilatory Assist: A Randomized Crossover Pilot Study

Authors: Francesca Campoccia Jalde, M.D., Ph.D. et al Anesthesiology 10 2018, Vol.129, 769-777. What We Already Know about This Topic: Neurally adjusted ventilatory assist matches the mechanical pressure from the ventilator to the patient’s respiratory drive sensed from the electrical activity of the diaphragm, but the optimal degree of diaphragm unloading is uncertain What This Article […]

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Uncategorized Published - 1 October, 2018    By - Dr Clemens
Early Resumption of β Blockers Is Associated with Decreased Atrial Fibrillation after Noncardiothoracic and Nonvascular Surgery: A Cohort Analysis

Authors: Ashish K. Khanna, M.D., F.C.C.P., F.C.C.M. et al  Anesthesiology published October 8, 2018. What We Already Know about This Topic: Use of beta (β) blockers in the perioperative period is associated with reduced incidence of postoperative atrial fibrillation In chronic β-blocker users, optimal timing for β-blocker resumption in the postoperative setting is unclear What This […]

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Uncategorized Published - 1 October, 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 - 1 October, 2018    By - Dr Clemens
Anesthesia Care Team Composition and Surgical Outcomes

Authors: Eric C. Sun, M.D., Ph.D. et al Anesthesiology 10 2018, Vol.129, 700-709. What We Already Know about This Topic: Both nurse anesthetists and anesthesiologist assistants work together with physician anesthesiologists as part of care teams It is unknown whether the specific anesthesia care team composition (physician anesthesiologist plus nurse anesthetist or anesthesiologist assistant) is associated […]

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