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  1. Book ; Online: Yao & Artusio's anesthesiology

    Yao, Fun-Sun F., 1942- / Malhotra, Vinod / Fontes, Manuel L.

    problem-oriented patient management

    2012  

    Title variant Yao and Artusio's anesthesiology ; Anesthesiology
    Author's details editor-in-chief, Fun-Sun F. Yao ; associate editors, Vinod Malhotra, Manuel L. Fontes
    Keywords Anesthesia - examination questions
    Language English
    Size 1 Online-Ressource (xxi, 1466 Seiten), Illustrationen
    Edition 7th ed.
    Publisher Wolters Kluwer Health/Lippincott Williams & Wilkins
    Publishing place Philadelphia
    Document type Book ; Online
    Note Includes bibliographical references and index
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    ISBN 978-1-451-10265-9 ; 1-451-10265-8
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: Sodium-glucose cotransporter-2 inhibitors: an overview and perioperative implications.

    Bardia, Amit / Wai, Mabel / Fontes, Manuel L

    Current opinion in anaesthesiology

    2018  Volume 32, Issue 1, Page(s) 80–85

    Abstract: Purpose of review: Sodium-glucose cotransporter 2 (SGLT-2) inhibitors are a relatively new class of drugs used in the management of diabetes mellitus. This review will highlight key pharmacologic characteristics of this class of drugs; discuss their ... ...

    Abstract Purpose of review: Sodium-glucose cotransporter 2 (SGLT-2) inhibitors are a relatively new class of drugs used in the management of diabetes mellitus. This review will highlight key pharmacologic characteristics of this class of drugs; discuss their potential role in management of patients with cardiac disease; and raise several perioperative concerns for anesthesiologists caring for patients on SGLT-2 inhibitors.
    Recent findings: Recent trials have shown a strong mortality benefit in diabetic patients on SGLT 2 inhibitors especially in patients with a high cardiovascular burden. In addition, there is a reduction in HbA1c levels, blood pressure, weight and readmissions secondary to heart failure in this patient population. However, these drugs have been also associated with an increased incidence of adverse events, such as euglycemic ketoacidosis, urinary tract infections, acute kidney injury and limb amputations.
    Summary: SGLT 2 inhibitors are being increasingly prescribed secondary to their significant salutatory effect in patients with type II diabetes mellitus. Although there are no perioperative consensus guidelines for management of patients on SGLT2 inhibitors, they should be discontinued at least 24-48 h prior to major surgeries. Their overall management in the perioperative period should be carried out on a case-to-case basis using a multidisciplinary approach.
    MeSH term(s) Acute Kidney Injury/chemically induced ; Acute Kidney Injury/epidemiology ; Acute Kidney Injury/prevention & control ; Diabetes Mellitus, Type 2/blood ; Diabetes Mellitus, Type 2/drug therapy ; Diabetic Ketoacidosis/chemically induced ; Diabetic Ketoacidosis/epidemiology ; Diabetic Ketoacidosis/prevention & control ; Humans ; Incidence ; Patient Safety ; Perioperative Care/standards ; Practice Guidelines as Topic ; Preoperative Period ; Sodium-Glucose Transporter 2 Inhibitors/adverse effects ; Time Factors ; Treatment Outcome ; Urinary Tract Infections/chemically induced ; Urinary Tract Infections/epidemiology ; Urinary Tract Infections/prevention & control ; Withholding Treatment/standards
    Chemical Substances Sodium-Glucose Transporter 2 Inhibitors
    Language English
    Publishing date 2018-11-26
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 645203-6
    ISSN 1473-6500 ; 0952-7907
    ISSN (online) 1473-6500
    ISSN 0952-7907
    DOI 10.1097/ACO.0000000000000674
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Predicting adrenal insufficiency in severe sepsis: the role of plasma-free cortisol.

    Kertai, Miklos D / Fontes, Manuel L

    Critical care medicine

    2015  Volume 43, Issue 3, Page(s) 715–716

    MeSH term(s) Critical Illness/therapy ; Female ; Humans ; Hydrocortisone/blood ; Hydroxymethylglutaryl-CoA Reductase Inhibitors/therapeutic use ; Male ; Sepsis/drug therapy
    Chemical Substances Hydroxymethylglutaryl-CoA Reductase Inhibitors ; Hydrocortisone (WI4X0X7BPJ)
    Language English
    Publishing date 2015-03
    Publishing country United States
    Document type Comment ; Editorial
    ZDB-ID 197890-1
    ISSN 1530-0293 ; 0090-3493
    ISSN (online) 1530-0293
    ISSN 0090-3493
    DOI 10.1097/CCM.0000000000000839
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Thrombocytopenia in the critically ill.

    Shehata, Nadine / Fontes, Manuel L

    Canadian journal of anaesthesia = Journal canadien d'anesthesie

    2013  Volume 60, Issue 7, Page(s) 621–624

    MeSH term(s) Critical Illness ; Female ; Humans ; Male ; Thrombocytopenia/epidemiology
    Language English
    Publishing date 2013-07
    Publishing country United States
    Document type Comment ; Editorial
    ZDB-ID 91002-8
    ISSN 1496-8975 ; 0832-610X
    ISSN (online) 1496-8975
    ISSN 0832-610X
    DOI 10.1007/s12630-013-9944-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Mobile Extracorporeal Membrane Oxygenation Teams: The North American Versus the European Experience.

    Nwozuzu, Adambeke / Fontes, Manuel L / Schonberger, Robert B

    Journal of cardiothoracic and vascular anesthesia

    2016  Volume 30, Issue 6, Page(s) 1441–1448

    Abstract: Objective: To evaluate differences in the inclusion of anesthesiologists in mobile extracorporeal membrane oxygenation (ECMO) teams between North American and European centers.: Design: A retrospective review of North American versus European mobile ... ...

    Abstract Objective: To evaluate differences in the inclusion of anesthesiologists in mobile extracorporeal membrane oxygenation (ECMO) teams between North American and European centers.
    Design: A retrospective review of North American versus European mobile ECMO teams. The search terms used to identify relevant articles were the following: "extracorporeal membrane transport," "mobile ECMO," and "interhospital transport."
    Setting: MEDLINE review of articles.
    Participants: None.
    Interventions: None.
    Results: Between 1986 and 2015, 25 articles were published that reported the personnel makeup of mobile ECMO teams in North America and Europe: 6 from North American centers and 19 from European centers. The included articles reported a total of 1,329 cases: 389 (29%) adult-only cohorts and 940 (71%) mixed-age cohorts. Among North American studies, 0 of 6 (0%) reported the presence of an anesthesiologist on the mobile ECMO team in contrast to European studies, in which 10 of 19 (53%) reported the inclusion of an anesthesiologist (Fisher exact p for difference = 0.05). In terms of number of cases, this discrepancy translated to 543 total cases in North America (all without an anesthesiologist) and 499 cases in Europe (37%) including an anesthesiologist on the team (Fisher exact p for difference<0.001).
    Conclusions: This study demonstrated significant geographic discrepancies in the inclusion of anesthesiologists on mobile ECMO teams, with European centers more likely to incorporate an anesthesiologist into the mobile ECMO process compared with North American centers.
    MeSH term(s) Anesthesiology/organization & administration ; Europe ; Extracorporeal Membrane Oxygenation ; Humans ; North America ; Patient Care Team/organization & administration ; Patient Transfer/organization & administration ; Retrospective Studies
    Language English
    Publishing date 2016-12
    Publishing country United States
    Document type Comparative Study ; Journal Article ; Review
    ZDB-ID 1067317-9
    ISSN 1532-8422 ; 1053-0770
    ISSN (online) 1532-8422
    ISSN 1053-0770
    DOI 10.1053/j.jvca.2016.06.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Perioperative hypertensive crisis: newer concepts.

    Fontes, Manuel L / Varon, Joseph

    International anesthesiology clinics

    2012  Volume 50, Issue 2, Page(s) 40–58

    MeSH term(s) Antihypertensive Agents/therapeutic use ; Blood Pressure ; Humans ; Hypertension/complications ; Hypertension/drug therapy ; Perioperative Care
    Chemical Substances Antihypertensive Agents
    Language English
    Publishing date 2012
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 210757-0
    ISSN 1537-1913 ; 0020-5907
    ISSN (online) 1537-1913
    ISSN 0020-5907
    DOI 10.1097/AIA.0b013e31825430fd
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Noncardiac surgery: widening the gap in pulse pressure.

    Fontes, Manuel L / Aronson, Solomon

    Anesthesia and analgesia

    2012  Volume 114, Issue 6, Page(s) 1145–1148

    MeSH term(s) Blood Pressure ; Cardiovascular Diseases/etiology ; Female ; Humans ; Hypertension/mortality ; Lower Extremity/blood supply ; Male ; Peripheral Arterial Disease/surgery ; Peripheral Vascular Diseases/surgery ; Vascular Surgical Procedures/adverse effects ; Vascular Surgical Procedures/mortality
    Language English
    Publishing date 2012-06
    Publishing country United States
    Document type Comment ; Editorial
    ZDB-ID 80032-6
    ISSN 1526-7598 ; 0003-2999
    ISSN (online) 1526-7598
    ISSN 0003-2999
    DOI 10.1213/ANE.0b013e318252eb80
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Postoperative thrombocytopenia: why you should consider antiplatelet therapy?

    Raso Vasquez, Andres O / Kertai, Miklos D / Fontes, Manuel L

    Current opinion in anaesthesiology

    2017  Volume 31, Issue 1, Page(s) 61–66

    Abstract: Purpose of review: This review addresses the role of platelets in perioperative ischemic complications involving the brain, kidneys, and gastrointestinal tract, and long-term survival in patients undergoing coronary artery bypass grafting surgery. ... ...

    Abstract Purpose of review: This review addresses the role of platelets in perioperative ischemic complications involving the brain, kidneys, and gastrointestinal tract, and long-term survival in patients undergoing coronary artery bypass grafting surgery. Importantly, findings of several recent clinical studies will be discussed with emphasis on platelet activation and leukocyte inflammatory responses as important mediators of vascular microthrombosis and ischemic injury.
    Recent findings: Our recent findings suggest that in some patients, the hemostatic balance during and after surgery may shift toward a hypercoagulable state and contribute to acute organ failure.
    Summary: For over 6 decades, major postoperative complications after cardiac surgery have remained unchanged. The potential influence of microthrombosis involving platelets has been underappreciated and use of perioperative antiplatelet therapy remains very limited - primarily because of a culture of fear of bleeding.
    MeSH term(s) Acute Kidney Injury/etiology ; Coronary Artery Bypass/adverse effects ; Coronary Artery Bypass/mortality ; Humans ; Platelet Aggregation Inhibitors/therapeutic use ; Postoperative Complications/prevention & control ; Stroke/etiology ; Thrombocytopenia/prevention & control
    Chemical Substances Platelet Aggregation Inhibitors
    Language English
    Publishing date 2017-12-11
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 645203-6
    ISSN 1473-6500 ; 0952-7907
    ISSN (online) 1473-6500
    ISSN 0952-7907
    DOI 10.1097/ACO.0000000000000551
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Comparison Between the 2007 and 2014 American College of Cardiology/American Heart Association Guidelines on Perioperative Evaluation for Noncardiac Surgery.

    Oprea, Adriana D / Fontes, Manuel L / Onaitis, Mark W / Kertai, Miklos D

    Journal of cardiothoracic and vascular anesthesia

    2015  Volume 29, Issue 6, Page(s) 1639–1650

    MeSH term(s) Aged ; American Heart Association ; Cardiology/standards ; Esophagectomy/standards ; Humans ; Male ; Perioperative Care/standards ; Practice Guidelines as Topic/standards ; United States
    Language English
    Publishing date 2015-12
    Publishing country United States
    Document type Case Reports ; Comparative Study ; Journal Article ; Review
    ZDB-ID 1067317-9
    ISSN 1532-8422 ; 1053-0770
    ISSN (online) 1532-8422
    ISSN 1053-0770
    DOI 10.1053/j.jvca.2015.04.021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Management of Patients on Abuse-Deterrent Opioids in the Ambulatory Surgery Setting.

    Vadivelu, Nalini / Chang, Daniel / Lumermann, Leandro / Suchy, Thomas / Burg, Matthew M / Fontes, Manuel L

    Current pain and headache reports

    2017  Volume 21, Issue 2, Page(s) 10

    Abstract: Purpose of review: The use of prescription opioids for acute and chronic pain has become more prevalent than ever, and concurrent with the increased prescribing of opioids, there has been a steady increase in opioid abuse. Abuse is commonly associated ... ...

    Abstract Purpose of review: The use of prescription opioids for acute and chronic pain has become more prevalent than ever, and concurrent with the increased prescribing of opioids, there has been a steady increase in opioid abuse. Abuse is commonly associated with physical or chemical manipulation of the original opiate to provide more rapid onset of the active ingredient.
    Recent findings: This growing national public health concern has led to the development of various abuse-deterring opioids with the intent of decreasing the diversion of opioids from their prescribed use. Given the ever-increasing percentage of surgeries performed in the ambulatory surgery setting, anesthesia providers will inevitably encounter more and more patients taking these new opioid formulations with abuse-deterring properties. Consequently, a thorough understanding of these medications is vital for optimal anesthetic management. This article reviews the scope of the problem of prescription opiate abuse, summarizes the currently available abuse-deterring opioids, and discusses the anesthetic management of patients who are taking these new medications in the outpatient setting.
    MeSH term(s) Ambulatory Surgical Procedures/methods ; Analgesics, Opioid/administration & dosage ; Humans ; Opioid-Related Disorders
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2017-02
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2055062-5
    ISSN 1534-3081 ; 1531-3433
    ISSN (online) 1534-3081
    ISSN 1531-3433
    DOI 10.1007/s11916-017-0612-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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