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Perioperative medicine

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5 papers 0 to 25 followers
By Scott Bentley General Practitioner / GP Anaesthetist in Australia.
https://www.readbyqxmd.com/read/27799170/troponin-elevations-after-non-cardiac-non-vascular-surgery-are-predictive-of-major-adverse-cardiac-events-and-mortality-a-systematic-review-and-meta-analysis
#1
REVIEW
S Ekeloef, M Alamili, P J Devereaux, I Gögenur
BACKGROUND: Patients undergoing non-cardiac, non-vascular surgery are at risk of major cardiovascular complications. In non-cardiac surgery, troponin elevation has previously been shown to be an independent predictor of major adverse cardiac events and postoperative mortality; however, a majority of studies have focused on vascular surgery patients. The aim of this meta-analysis was to determine whether troponin elevation is a predictor of major adverse cardiac events and mortality within 30 days and 1 yr after non-cardiac, non-vascular surgery...
November 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/27775997/withholding-versus-continuing-angiotensin-converting-enzyme-inhibitors-or-angiotensin-ii-receptor-blockers-before-noncardiac-surgery-an-analysis-of-the-vascular-events-in-noncardiac-surgery-patients-cohort-evaluation-prospective-cohort
#2
Pavel S Roshanov, Bram Rochwerg, Ameen Patel, Omid Salehian, Emmanuelle Duceppe, Emilie P Belley-Côté, Gordon H Guyatt, Daniel I Sessler, Yannick Le Manach, Flavia K Borges, Vikas Tandon, Andrew Worster, Alexandra Thompson, Mithin Koshy, Breagh Devereaux, Frederick A Spencer, Robert D Sanders, Erin N Sloan, Erin E Morley, James Paul, Karen E Raymer, Zubin Punthakee, P J Devereaux
BACKGROUND: The effect on cardiovascular outcomes of withholding angiotensin-converting enzyme inhibitors or angiotensin II receptor blockers in chronic users before noncardiac surgery is unknown. METHODS: In this international prospective cohort study, the authors analyzed data from 14,687 patients (including 4,802 angiotensin-converting enzyme inhibitor/angiotensin II receptor blocker users) at least 45 yr old who had in-patient noncardiac surgery from 2007 to 2011...
October 24, 2016: Anesthesiology
https://www.readbyqxmd.com/read/27566810/new-antiplatelet-drugs-and-new-oral-anticoagulants
#3
V Koenig-Oberhuber, M Filipovic
In our daily anaesthetic practice, we are confronted with an increasing number of patients treated with either antiplatelet or anticoagulant agents. During the last decade, changes have occurred that make the handling of antithrombotic medication a challenging part of anaesthetic perioperative management. In this review, the authors discuss the most important antiplatelet and anticoagulant drugs, the perioperative management, the handling of bleeding complications, and the interpretation of some laboratory analyses related to these agents...
September 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/27283009/correlation-of-venous-blood-gas-and-pulse-oximetry-with-arterial-blood-gas-in-the-undifferentiated-critically-ill-patient
#4
Eli Zeserson, Ben Goodgame, J Daniel Hess, Kristine Schultz, Cynthia Hoon, Keith Lamb, Vinay Maheshwari, Steven Johnson, Mia Papas, James Reed, Michael Breyer
RATIONALE: Blood gas analysis is often used to assess acid-base, ventilation, and oxygenation status in critically ill patients. Although arterial blood gas (ABG) analysis remains the gold standard, venous blood gas (VBG) analysis has been shown to correlate with ABG analysis and has been proposed as a safer less invasive alternative to ABG analysis. OBJECTIVE: The purpose of this study was to evaluate the correlation of VBG analysis plus pulse oximetry (SpO2) with ABG analysis...
June 9, 2016: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/25970744/science-medicine-and-the-anesthesiologist-two-pages-to-keep-you-abreast-of-key-papers-from-outside-the-specialty-and-relevant-to-your-practice
#5
Jean Mantz, James P Rathmell, James C Eisenach
No abstract text is available yet for this article.
July 2015: Anesthesiology
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