Publications by authors named "S Ziemann"

Study Objective: We hypothesize that personalized perioperative blood pressure management maintaining intraoperative mean arterial pressure (MAP) above the preoperative mean nighttime MAP reduces perfusion-related organ injury compared to maintaining intraoperative MAP above 65 mmHg in patients having major non-cardiac surgery. Before testing this hypothesis in a large-scale trial, we performed this bicentric pilot trial to determine a) if performing preoperative automated nighttime blood pressure monitoring to calculate personalized intraoperative MAP targets is feasible; b) in what proportion of patients the preoperative mean nighttime MAP clinically meaningfully differs from a MAP of 65 mmHg; and c) if maintaining intraoperative MAP above the preoperative mean nighttime MAP is feasible in patients having major non-cardiac surgery.

Design: Bicentric pilot randomized trial.

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Background: Anesthesia contributes significantly to a hospital's carbon footprint. Climate-smart actions have the potential to reduce greenhouse gas emissions. Prerequisites for sustainable behavior of providers are knowledge and awareness.

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Article Synopsis
  • The study investigates the impact of oral midazolam on patient satisfaction in older adults (ages 65-80) undergoing elective surgery, as its effects have been unclear.
  • Conducted in 9 German hospitals from October 2017 to May 2019, it was a double-blind, placebo-controlled trial with 616 patients randomized to receive either midazolam or a placebo before anesthesia.
  • Results showed no significant difference in global patient satisfaction between the midazolam group and the placebo group, indicating that midazolam may not improve satisfaction in this demographic.
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Introduction: Transparent and complete reporting of randomized controlled trials (RCTs) is essential for critical scientific appraisal of the results. It has been argued whether publications during the COVID-19 pandemic have met reporting standards. In this study, we assessed reporting adherence of RCTs on treatment interventions in COVID-19 patients to the CONSORT checklist and discuss which lessons can be learned to improve reporting in the future.

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