Month: October 2015

Uncategorized Published - 22 October, 2015    By - Dr Clemens
Effects of Parecoxib on Analgesia Benefit and Blood Loss Following Open Prostatectomy A Multicentre Randomized Trial

Authors: Daniel Dirkmann et al BMC Anesthesiol. 2015;15(31) Background This multi-centre, prospective, randomized, double-blind, placebo-controlled study was designed to test the hypotheses that parecoxib improves patients’ postoperative analgesia without increasing surgical blood loss following radical open prostatectomy. Methods 105 patients (64 ± 7 years old) were randomized to receive either parecoxib or placebo with concurrent morphine patient […]

Read More
Uncategorized Published - 22 October, 2015    By - Dr Clemens
The Comparison of Intrathecal Morphine and IV Morphine PCA on Pain Control, Patient Satisfaction, Morphine Consumption, and Adverse Effects in Patients Undergoing Reduction Mammoplasty

Authors: Mehtap Karamese, MD et al ePlasty. 2015;15 Background Following breast reduction procedures, the level of postoperative pain can be severe, and sufficient pain control influences a patient’s physiological, immunological, and psychological status. Objective The aim of this study was to examine the use of intrathecal morphine (ITM) in breast reduction surgery with patient-controlled analgesia […]

Read More
Uncategorized Published - 22 October, 2015    By - Dr Clemens
‘Stratified’ Approach to Individualized Anaesthetic Care

Authors: S. Munirama et Br J Anaesth. 2015;114(4):543-545. Anaesthetists provide personalized care. Preoperative assessment guides decision-making, and awareness of risk based on clinical experience allows anaesthesia to be conducted in a way that aims to achieve the best possible clinical outcome for each patient while minimizing side-effects. This traditional approach has led to the use […]

Read More
Uncategorized Published - 22 October, 2015    By - Dr Clemens
Ultrasound Assessment of Gastric Contents in the Perioperative Period

Why Is This Not Part of Our Daily Practice? Authors: D. Benhamou Br J Anaesth. 2015;114(4):545-548. Joint Assessment using Bedside Ultrasonography In 1946, Mendelson[1] showed that pulmonary complications and death could arise in pregnant women because of aspiration of gastric contents. Since then, prevention of aspiration of gastric contents has contributed significantly to a decrease […]

Read More
Uncategorized Published - 22 October, 2015    By - Dr Clemens
Preoperative Smoking Cessation Counseling Activities of Anesthesiologists

Authors: Matilde Zaballos et al BMC Anesthesiol. 2015;15(60) Background: Smokers undergoing surgery are at a higher risk of complications than non-smokers. Preoperative evaluation by an anesthesiologist could provide an excellent opportunity to promote smoking cessation. Previous surveys of anesthesiologists have found that self-reported smoking cessation counseling rates have room for improvement, but no study has […]

Read More
Uncategorized Published - 21 October, 2015    By - Dr Clemens
A New Approach to Pathogen Containment in the Operating Room: Sheathing the Laryngoscope After Intubation

AUTHORS: Birnbach D et al; Anesthesia & Analgesia (Jul 2015) BACKGROUND Anesthesiologists may contribute to postoperative infections by means of the transmission of blood and pathogens to the patient and the environment in the operating room (OR). Our primary aims were to determine whether contamination of the IV hub, the anesthesia work area, and the […]

Read More
Uncategorized Published - 21 October, 2015    By - Dr Clemens
One-year outcome of the sevoflurane in acute myocardial infarction randomized trial.

Can J Anaesth. 2015 Aug 22. AUTHORS: Lavi S1 et al     BACKGROUND: Sevoflurane is an inhalation anesthetic that has cardioprotective effects. There is limited information regarding its use outside of the operating room and its potential protective effect for patients presenting with myocardial infarction. METHODS: In the Sevoflurane In Acute Myocardial Infarction trial, patients […]

Read More
Uncategorized Published - 21 October, 2015    By - Dr Clemens
Managing the Unanticipated Difficult Intubation Due to Epiglottic Cyst

David J. Kim, MD, MS Department of Anesthesia, Critical Care and Pain Medicine Massachusetts General Hospital Harvard Medical School Boston, Massachusetts Epiglottic cysts are rare and constitute only 5% of all benign laryngeal lesions.1 However, the true incidence of epiglottic cysts is unknown as many can be asymptomatic and discovered incidentally during workup of other […]

Read More
Uncategorized Published - 21 October, 2015    By - Dr Clemens
Communicating Difficult-To-Intubate Status Throughout a Health Care System

Joseph Loskove, MD Chief of Anesthesia Memorial Healthcare System Hollywood, Florida Patients designated as “difficult to intubate” (DTI) are more at risk for losing their lives during both emergency and routine surgeries. Surprisingly, it is not the difficult airway itself that is most life–threatening; modern medical technology allows anesthesiologists to intubate even the most difficult […]

Read More
Uncategorized Published - 21 October, 2015    By - Dr Clemens
Successful Tracheal Intubation In Children With Difficult Airways: Seven Secret Techniques Every Anesthesiologist Should Know

John E. Fiadjoe, MD Assistant Professor of Anesthesiology and Critical Care Hospital of the University of Pennsylvania The Children’s Hospital of Philadelphia Philadelphia, Pennsylvania Madhankumar Sathyamoorthy, MBBS, MS Assistant Professor Department of Anesthesiology University of Mississippi Medical Center Jackson, Mississippi Vikram Patel, MD Assistant Professor of Clinical Anesthesiology Division of Pediatric Anesthesiology Vanderbilt University Medical […]

Read More