Publications by authors named "E Bittner"
Analysis of The 2024 ESC/EACTS Guidelines For The Management Of Atrial Fibrillation.
J Cardiothorac Vasc Anesth
November 2024
The 2024 European Society of Cardiology guidelines for atrial fibrillation (AF) emphasize a patient-centered approach to management, structured around the AF-CARE pathway: Comorbidity and risk factor management (C), Avoiding stroke and thromboembolism (A), Reducing symptoms through rate and rhythm control (R), and Evaluation and dynamic reassessment (E). This framework ensures that comorbidities such as hypertension, heart failure, diabetes, and obesity are effectively managed to prevent disease progression and improve outcomes. A key principle of the guidelines is shared decision making involving patients, families, caregivers, and healthcare teams to ensure individualized care that reflects patient preferences.
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- A study analyzing intraoperative EEG data from 1,081 patients found that higher alpha power (8-12Hz) during surgery is associated with lower post-operative mortality and better cognitive outcomes.
- The research indicated significant correlations between alpha power and mortality within various time frames: 30, 90, 180 days, and 1 year post-surgery.
- These findings suggest that measuring intraoperative EEG alpha power could be a valuable tool for predicting patient outcomes and improving perioperative risk assessment.
Outside the United States, bromelain-based enzymatic debridement (BBED) has become an effective tool for the removal of burn eschar. A primary concern with BBED is that it is a painful procedure requiring appropriate analgesia. The purpose of this study was to describe our experience using NexoBrid (NXB), with a particular focus on pain management.
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- The use of GLP-1 receptor agonists (GLP-1 RAs) is rising for treating diabetes, heart failure, and obesity, but concerns about their potential to increase the risk of perioperative aspiration due to delayed gastric emptying are growing.
- A scoping review was conducted to gather evidence about the aspiration risk associated with GLP-1 RAs, searching multiple medical databases for relevant studies and data on gastric residual volumes and regurgitation incidents.
- Among 3,712 citations, only 24 studies met the criteria, with most reporting patients who had various confounding factors (like diabetes and other health issues) that could affect the results on retained gastric contents and aspiration risk.
We propose a quantum analogue of the Huygens clock, where the phases of two spins synchronize through their interaction with a shared environment. This environment acts like the escapement mechanism in a mechanical clock, regulating the gear train and allowing discrete timing advances. In our model, the relative phases of the two spins synchronize via a mutually correlated environment.
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