In this 130 patient randomized trial, noninvasive hemoglobin monitoring led to significantly lower rates of hemoglobin deviation outside the target range in patients having major noncardiac surgery.

🔗doi.org/10.1016/j.jcli…

New retrospective study on recovery and safety with prolonged high-frequency jet ventilation for catheter ablation of atrial fibrillation finds:

↗️PACU length of stay
↗️abnormal CO2
↗️hypotension

🔗doi.org/10.1016/j.jcli…

Post-hoc analysis of the 350 patient OPHIQUE trial determines risk factors of postoperative complications in high-risk noncardiac surgery patients optimized with hemodynamic treatment strategies.

Forest plot with risk factors shown in picture below⬇️

🔗doi.org/10.1016/j.jcli…

Our systematic review looking at the role of neuraxial analgesia in robotic abdominal surgery is now available online:

sciencedirect.com/science/articl…

Should we be offering spinals routinely for this kind of surgery?

Journal of Clinical Anesthesia

Discover JCA Advances today!
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#Anesthesia #Anesthesiology #NewJournal #Openaccess #JCA Advances #JCA

In this 130 patient randomized trial, noninvasive hemoglobin monitoring led to significantly lower rates of hemoglobin deviation outside the target range in patients having major noncardiac surgery.

🔗doi.org/10.1016/j.jcli…

Dexmedetomidine administration during thoracic surgery may potentially reduce the risk of postoperative atelectasis and hypoxemia.

New meta analysis by Chelsea Messinger, PhD and colleagues.

🔗doi.org/10.1016/j.jcli…

The August issue is now online!

🔓This month’s cover article - now with free access for one month - discusses if cefazolin can be given to patients with penicillin allergy label.

🔗article: doi.org/10.1016/j.jcli…

🔗graphical abstract: doi.org/10.1016/j.jcli…

In the new randomized trial on 600 patients having meningioma resection, a single intraoperative dose of #TXA was non-inferior with respect to postoperative seizures - but did not significantly reduce bleeding.

🔗doi.org/10.1016/j.jcli…

Perioperative cefazolin for antimicrobial prophylaxis in patients with pre-existing penicillin allergy did not increase the incidence of anaphylaxis as compared to those who didn't have penicillin allergy.

The August issue is now online!

🔓This month’s cover article - now with free access for one month - discusses if cefazolin can be given to patients with penicillin allergy label.

🔗article: doi.org/10.1016/j.jcli…

🔗graphical abstract: doi.org/10.1016/j.jcli…

'Guide to perioperative checklist design, implementation, and integration' in Journal of Clinical Anesthesia
by Aubrey Samost-Williams, Srikanth Sridhar, Eric J. Thomas McGovern Med School UTHealth Houston
pubmed.ncbi.nlm.nih.gov/38413327/

Catheter-based thrombectomy of acute pulmonary embolism is becoming common.

Check out this new narrative review by Julian Rössler, MD & Kurt Ruetzler on the complex anesthetic management in these high-risk patients and procedures.

🔗doi.org/10.1016/j.jcli…

JCA Advances, the open access partner journal to JCA, was launched on March 1st. We welcome submissions of case reports, clinical research protocols, quality improvement studies, editorials and other opinion articles.
www2.cloud.editorialmanager.com/jcadva/default…

Postoperative delirium can have profound implications for patients and their families, including the need for extended, costly care.

In our latest podcast we discuss how Kamal Maheshwari & Julian Rössler, MD explore various approaches to delirium prediction models.

In this this substudy of the #Probese RCT, Marcelo Gama de Abreu & the PROVE Network Official analyze respiratory mechanics and mechanical power during low vs. high positive end-expiratory pressure in obese surgical patients.

🔗doi.org/10.1016/j.jcli…

This new cohort study suggests that low doses of midazolam can be safely used to pre-medicate elective surgical patients 70 years or older before non-cardiac surgery, without significant effect on the risk of developing postoperative #delirium .

🔗doi.org/10.1016/j.jcli…

New meta-analysis of 12 RCTs in Journal of Clinical Anesthesia: Thoracic surgery patients who received #dexmedetomidine during one-lung ventilation were less likely to develop postoperative pulmonary complications versus placebo, specifically atlectasis & hypoxemia.

sciencedirect.com/science/articl…