Search

Your search keyword '"Memtsoudis, Stavros G."' showing total 658 results
Start Over Author "Memtsoudis, Stavros G." Search Limiters Full Text
658 results on '"Memtsoudis, Stavros G."'

3. Effectiveness of oral versus intravenous tranexamic acid in primary total hip and knee arthroplasty: a randomised, non-inferiority trial

Author

DeFrancesco, Christopher J., Reichel, Julia F., Gbaje, Ejiro, Popovic, Marko, Freeman, Carrie, Wong, Marisa, DeMeo, Danya, Liu, Jiabin, Gonzalez Della Valle, Alejandro, Ranawat, Amar, Cross, Michael, Sculco, Peter K., Haskins, Stephen, Kim, David, Maalouf, Daniel, Kirksey, Meghan, Jules-Elysee, Kethy, Soffin, Ellen M., Kumar, Kanupriya, Beathe, Jonathan, Figgie, Mark, Inglis, Allan, Jr., Garvin, Sean, Alexiades, Michael, DelPizzo, Kathryn, Russell, Linda A., Sideris, Alexandra, Saleh, Jawad, Zhong, Haoyan, and Memtsoudis, Stavros G.

Published
2023
Full Text
View/download PDF

7. Multimodal Analgesia and Outcomes in Hysterectomy Surgery—A Population-Based Analysis.

Author

Cozowicz, Crispiana, Gerner, Hannah D., Zhong, Haoyan, Illescas, Alex, Reisinger, Lisa, Poeran, Jashvant, Liu, Jiabin, and Memtsoudis, Stavros G.

Abstract

Objective: We aimed to investigate the impact of multimodal analgesia on postoperative complications and opioid prescription on a national level. Methods: This retrospective cross-sectional study included n = 1,307,923 hysterectomies (01/2006–12/2022, Premier Healthcare claims data). Multimodal analgesia was defined as opioid use with the addition of non-opioid analgesic modes, grouped into four categories: opioid-only and 1, 2, or 3 or more additional non-opioid analgesics. Multivariable regression models measured associations between multimodal categories and outcomes (composite/respiratory/cardiac/gastrointestinal/genitourinary, and CNS complications, oral morphine milligram equivalents [MME], and length of hospital stay [LOS]). Odds ratios (OR) and 95% confidence intervals (CI) are reported. Results: Overall, 84.3% (1,102,812/1,307,923) received multimodal analgesia, of which 58.9%, 28.0%, and 13.1% received 1, 2, or 3 or more additional non-opioid analgesics, respectively. The odds of any composite complication (any ≥1 complication) decreased with the addition of 1, 2, 3, or more analgesic modalities (versus opioid-only): OR 0.66 (CI 0.64; 0.68), OR 0.63 (CI 0.61; 0.66), OR 0.65 (CI 0.62; 0.67), respectively. Similar patterns existed for respiratory, cardiac, and genitourinary complications. Opioid prescription decreased incrementally with 1,2, 3, or more non-opioid analgesic modalities by 9.51 mg (CI 11.16; 7.86) and 15.29 mg (CI 17.21; 13.37) and 29.35 mg (CI 31.79; 26.91) cumulative MME. LOS was reduced by 0.52 days (CI 0.54; 0.51), 0.49 days (CI 0.51; 0.47), and 0.40 days (CI 0.43; 0.38), respectively. Costs were reduced by $765 (CI 817; 714) or $479 (CI 539; 419) with 1 or 2 multimodal modes. Conclusions: These findings suggest substantial benefits of multimodal analgesia, including significant decreases in serious complications (especially respiratory, cardiac, and genitourinary), opioid consumption, and hospitalizations. Multimodal analgesia may facilitate safe and efficient pain management with optimized opioid consumption. [ABSTRACT FROM AUTHOR]

Published
2024
Full Text
View/download PDF

9. Anesthesia and Analgesia Practice Pathway Options for Total Knee Arthroplasty: An Evidence-Based Review by the American and European Societies of Regional Anesthesia and Pain Medicine.

Author

Kopp, Sandra L, Børglum, Jens, Buvanendran, Asokumar, Horlocker, Terese T, Ilfeld, Brian M, Memtsoudis, Stavros G, Neal, Joseph M, Rawal, Narinder, and Wegener, Jessica T

Subjects
Humans, Pain, Postoperative, Analgesia, Anesthesia, Conduction, Nerve Block, Arthroplasty, Replacement, Knee, Evidence-Based Medicine, Societies, Medical, United States, Europe, Pain Management, Anesthesiology, Clinical Sciences
Abstract

In 2014, the American Society of Regional Anesthesia and Pain Medicine in collaboration with the European Society of Regional Anaesthesia and Pain Therapy convened a group of experts to compare pathways for anesthetic and analgesic management for patients undergoing total knee arthroplasty in North America and Europe and to develop a practice pathway. This review is intended to be an analysis of the current literature to assist individuals and institutions in designing a pathway for total knee arthroplasty that is based on existing evidence and expert recommendation and may be customized according to individual settings.

Published
2017

16. Society of Anesthesia and Sleep Medicine Guidelines on Preoperative Screening and Assessment of Adult Patients With Obstructive Sleep Apnea

Author

Chung, Frances, Memtsoudis, Stavros G, Ramachandran, Satya Krishna, Nagappa, Mahesh, Opperer, Mathias, Cozowicz, Crispiana, Patrawala, Sara, Lam, David, Kumar, Anjana, Joshi, Girish P, Fleetham, John, Ayas, Najib, Collop, Nancy, Doufas, Anthony G, Eikermann, Matthias, Englesakis, Marina, Gali, Bhargavi, Gay, Peter, Hernandez, Adrian V, Kaw, Roop, Kezirian, Eric J, Malhotra, Atul, Mokhlesi, Babak, Parthasarathy, Sairam, Stierer, Tracey, Wappler, Frank, Hillman, David R, and Auckley, Dennis

Subjects
Biomedical and Clinical Sciences, Cardiovascular Medicine and Haematology, Sleep Research, Clinical Research, Lung, Health Services, Patient Safety, 7.3 Management and decision making, Management of diseases and conditions, Adult, Anesthesia, Anesthesiology, Consensus, Elective Surgical Procedures, Evidence-Based Medicine, Humans, Patient Selection, Postoperative Complications, Predictive Value of Tests, Preoperative Care, Risk Assessment, Risk Factors, Sleep Apnea, Obstructive, Treatment Outcome, Clinical Sciences, Neurosciences, Clinical sciences
Abstract

The purpose of the Society of Anesthesia and Sleep Medicine guideline on preoperative screening and assessment of patients with obstructive sleep apnea (OSA) is to present recommendations based on the available clinical evidence on the topic where possible. As very few well-performed randomized studies in this field of perioperative care are available, most of the recommendations were developed by experts in the field through consensus processes involving utilization of evidence grading to indicate the level of evidence upon which recommendations were based. This guideline may not be appropriate for all clinical situations and all patients. The decision whether to follow these recommendations must be made by a responsible physician on an individual basis. Protocols should be developed by individual institutions taking into account the patients' conditions, extent of interventions and available resources. This practice guideline is not intended to define standards of care or represent absolute requirements for patient care. The adherence to these guidelines cannot in any way guarantee successful outcomes and is rather meant to help individuals and institutions formulate plans to better deal with the challenges posed by perioperative patients with OSA. These recommendations reflect the current state of knowledge and its interpretation by a group of experts in the field at the time of publication. While these guidelines will be periodically updated, new information that becomes available between updates should be taken into account. Deviations in practice from guidelines may be justifiable and such deviations should not be interpreted as a basis for claims of negligence.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.

Published
2016

22. Invasive Mechanical Ventilation in California Over 2000-2009: Implications for Emergency Medicine

Author

Mudumbai, Seshadri C., Barr, Juli, Scott, Jennifer, Mariano, Edward R., Bertaccini, Edward, Nguyen, Hieu, Memtsoudis, Stavros G., Cason, Brian, Phibbs, Ciaran S., and Wagner, Todd

Subjects
invasive mechanical ventilation, intensive care unit, emergency department, epidemiology, outcomes, health policy, California
Abstract

Introduction: Patients who require invasive mechanical ventilation (IMV) often represent a sequence of care between the emergency department (ED) and intensive care unit (ICU). Despite being the most populous state, little information exists to define patterns of IMV use within the state of California.Methods: We examined data from the masked Patient Discharge Database of California’s Office of Statewide Health Planning and Development from 2000-2009. Adult patients who received IMV during their stay were identified using the International Classification of Diseases 9th Revision and Clinical Modification procedure codes (96.70, 96.71, 96.72). Patients were divided into age strata (18-34yr, 35-64yr, and >65yr). Using descriptive statistics and regression analyses, for IMV discharges during the study period, we quantified the number of ED vs. non-ED based admissions; changes in patient characteristics and clinical outcome; evaluated the marginal costs for IMV; determined predictors for prolonged acute mechanical ventilation (PAMV, i.e. IMV>96hr); and projected the number of IMV discharges and ED-based admissions by year 2020.Results: There were 696,634 IMV discharges available for analysis. From 2000–2009, IMV discharges increased by 2.8%/year: n=60,933 (293/100,000 persons) in 2000 to n=79,868 (328/100,000 persons) in 2009. While ED-based admissions grew by 3.8%/year, non-ED-based admissions remained stable (0%). During 2000-2009, fastest growth was noted for 1) the 35–64 year age strata; 2) Hispanics; 3) patients with non-Medicare public insurance; and 4) patients requiring PAMV. Average total patient cost-adjusted charges per hospital discharge increased by 29% from 2000 (from $42,528 to $60,215 in 2014 dollars) along with increases in the number of patients discharged to home and skilled nursing facilities. Higher marginal costs were noted for younger patients (ages 18-34yr), non-whites, and publicly insured patients. Some of the strongest predictors for PAMV were age 35-64 years (OR=1.12; 95% CI [1.09-1.14], p

Published
2015

23. Anaesthetic care of patients undergoing primary hip and knee arthroplasty: consensus recommendations from the International Consensus on Anaesthesia-Related Outcomes after Surgery group (ICAROS) based on a systematic review and meta-analysis

Author

Memtsoudis, Stavros G., Cozowicz, Crispiana, Bekeris, Janis, Bekere, Dace, Liu, Jiabin, Soffin, Ellen M., Mariano, Edward R., Johnson, Rebecca L., Hargett, Mary J., Lee, Bradley H., Wendel, Pamela, Brouillette, Mark, Go, George, Kim, Sang J., Baaklini, Lila, Wetmore, Douglas, Hong, Genewoo, Goto, Rie, Jivanelli, Bridget, Argyra, Eriphyli, Barrington, Michael J., Borgeat, Alain, De Andres, Jose, Elkassabany, Nabil M., Gautier, Philippe E., Gerner, Peter, Gonzalez Della Valle, Alejandro, Goytizolo, Enrique, Kessler, Paul, Kopp, Sandra L., Lavand’Homme, Patricia, MacLean, Catherine H., Mantilla, Carlos B., MacIsaac, Daniel, McLawhorn, Alexander, Neal, Joseph M., Parks, Michael, Parvizi, Javad, Pichler, Lukas, Poeran, Jashvant, Poultsides, Lazaros A., Sites, Brian D., Stundner, Otto, Sun, Eric C., Viscusi, Eugene R., Votta-Velis, Effrossyni G., Wu, Christopher L., Ya Deau, Jacques T., and Sharrock, Nigel E.

Published
2019
Full Text
View/download PDF

29. Corrigendum to “Effectiveness of oral versus intravenous tranexamic acid in primary total hip and knee arthroplasty: a randomised, non-inferiority trial” (Br J Anaesth 2023; 130: 234–241)

Author

DeFrancesco, Christopher J., primary, Reichel, Julia F., additional, Gbaje, Ejiro, additional, Popovic, Marko, additional, Freeman, Carrie, additional, Wong, Marisa, additional, DeMeo, Danya, additional, Liu, Jiabin, additional, Della Valle, Alejandro Gonzalez, additional, Ranawat, Amar, additional, Cross, Michael, additional, Sculco, Peter K., additional, Haskins, Stephen, additional, Kim, David, additional, Maalouf, Daniel, additional, Kirksey, Meghan, additional, Jules-Elysee, Kethy, additional, Soffin, Ellen M., additional, Kumar, Kanupriya, additional, Beathe, Jonathan, additional, Figgie, Mark, additional, Inglis, Allan, additional, Garvin, Sean, additional, Alexiades, Michael, additional, DelPizzo, Kathryn, additional, Russell, Linda A., additional, Sideris, Alexandra, additional, Saleh, Jawad, additional, Zhong, Haoyan, additional, and Memtsoudis, Stavros G., additional

Published
2023
Full Text
View/download PDF

47. In Reply

Author

Poeran, Jashvant, Memtsoudis, Stavros G., Mazumdar, Madhu, and Leibowitz, Andrew B.

Published
2019
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results