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Mashup Score: 2Antiemetic Administration and Its Association with Race: A Retrospective Cohort Study - 11 month(s) ago
Using data from the Multicenter Perioperative Outcomes Group registry and adjusting for Apfel postoperative nausea and vomiting risk factors, Black versus White patient race was associated with less antiemetic administration.
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Mashup Score: 15Perioperative Considerations in Management of the Severely Bleeding Coagulopathic Patient - 12 month(s) ago
Inherited and acquired coagulopathy are frequently associated with major bleeding in severe trauma, cardiac surgery with cardiopulmonary bypass, and postpartum hemorrhage. Perioperative management is multifactorial and includes preoperative optimization and discontinuation of anticoagulants and antiplatelet therapy in elective procedures. Prophylactic or therapeutic use of antifibrinolytic agents…
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In a Review article on perioperative considerations for the management of severely bleeding coagulopathic patients, authors define severe bleeding and share how to identify procedures and patients with high bleeding risk. Learn more in @_Anesthesiology: https://t.co/KKpm0AYs2a https://t.co/R32TFBG2gS
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Mashup Score: 0Sign-reversed versus Orthodox Granger Causality Analysis of the Electroencephalogram in General Anesthesia: Research Letter - 12 month(s) ago
We wish to report on a serendipitous technical observation regarding the calculation of the Granger causality between electroencephalogram (EEG) channels in subjects given propofol, as reported by Pullon et al.1 From subsequent application of this analysis to a separate patient dataset in 2022, it became apparent that there is no accepted convention for the sign of the autoregressive coefficients…
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A research letter published in @_Anesthesiology compared results from a sign-reversed Granger analysis with the “corrected” orthodox Granger analysis methods for the Pullon data set. Read how the propofol-induced changes in global information flow varied: https://t.co/cLC4oLKzLi https://t.co/hCH6Gu6TPz
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Mashup Score: 0Prolonged Opioid Use and Pain Outcome and Associated Factors after Surgery under General Anesthesia: A Prospective Cohort Association Multicenter Study - 12 month(s) ago
In these prospectively collected cohort data, preoperative opioid use was identified as the strongest risk factor for opioid use at 3 months postoperatively. No correlation was found between persistent opioid use at 3 months and surgical site pain at 3 months. No association was identified between preoperative anxiety, preoperative depression, or surgery type and opioid use at 3 months in…
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Mashup Score: 5Labeled Surgical Caps: A Tool to Improve Perioperative Communication - 12 month(s) ago
Communication in the operating room is enhanced by knowing everyone’s names and roles. This is challenging among different disciplines.1 Name badges can be small, flipped, and concealed by personal protective equipment. A labeled scrub cap may make name and role more readable from a distance (fig.). Role clarity and addressing individuals by name enhance communication, teamwork, and patient…
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Mashup Score: 1Intravenous Dabigatran Provides Adequate Anticoagulation for Cardiopulmonary Bypass Using a Rabbit Model - 12 month(s) ago
The hypothesis that dabigatran would provide sufficient anticoagulation for cardiopulmonary bypass was tested in a first-use, proof-of-concept study using a rabbit model of cardiopulmonary bypass that included a comparison group receiving heparin. The dabigatran loading dose and maintenance infusions were designed after first determining its pharmacokinetics in rabbits and the target…
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Mashup Score: 1Patient-, Clinician-, and Institution-level Variation in Inotrope Use for Cardiac Surgery: A Multicenter Observational Analysis - 1 year(s) ago
Background. Conflicting evidence exists regarding the risks and benefits of inotropic therapies during cardiac surgery, and the extent of variation in clinical practice remains understudied. Therefore, the authors sought to quantify patient-, anesthesiologist-, and hospital-related contributions to variation in inotrope use.Methods. In this observational study, non-emergent adult cardiac…
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Mashup Score: 0Mouse Model of Spinal Cord Hypoperfusion with Immediate Paralysis Caused by Endovascular Repair of Thoracic Aortic Aneurysm - 1 year(s) ago
In mice, double ligation of three pairs alongside single ligation of two pairs of intercostal arteries led to reproducible spinal cord hypoperfusion and to an immediate paralysis of variable severity below the ligation level. The variable degree of deficit and the gradual improvement throughout a 2-week follow-up period in mice mimics the recovery process in humans presenting with spinal cord…
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A mouse model generated reproducible spinal cord hypoperfusion and accompanying histopathological ischemic spinal cord damage. Anatomical changes and variable behavioral deficits mimicked the variability in findings in human patients. See @_Anesthesiology: https://t.co/UrUyvyET8n https://t.co/I6dKYFWK0v
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Mashup Score: 0
This study reanalyzed the ENIGMA II data from 10 Australian centers (approximately 33% of the total multinational cohort) to compare the incidence of atelectasis in the two treatment groups. In contrast to the original ENIGMA trial, there was a lower incidence of atelectasis with use of nitrous oxide. There was no effect of nitrous oxide on the secondary outcomes of pneumonia, combined pulmonary…
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Mashup Score: 34Hungry for Change: Revisiting NPO Status during Labor - 1 year(s) ago
Complex Information for Anesthesiologists Presented Quickly and ClearlyIQR, interquartile range; NPO, nil per os.Infographic created by Jonathan P. Wanderer, Vanderbilt University Medical Center, and James P. Rathmell, Brigham and Women’s Health Care/Harvard Medical School. Illustration by Annemarie Johnson, Vivo Visuals Studio. Address correspondence to Dr. Wanderer: jon.wanderer@vumc.org.
Categories: Hem/Oncs, Latest HeadlinesTweet
Using Multicenter Perioperative Outcomes Group registry data and adjusting for postoperative nausea and vomiting risk factors, Black patient race was associated with less antiemetic administration than white patient race. Read in @_Anesthesiology: https://t.co/jBjl7KYCxs https://t.co/v6UZzfJQpF