Month: November 2015

Uncategorized Published - 5 November, 2015    By - Dr Clemens
Effects of sevoflurane and desflurane on otoacoustic emissions in humans.

Published in Eur Arch Otorhinolarygol, 2015 Sep;272(9):2193-9 Authors: Gungor G, et al Abstract Otoacoustic emissions (OAEs) are non-invasive, easy to apply and objective test methods which are widely used to determine the presence of hearing in audiology clinics. Under certain circumstances, the study should be applied under general anesthesia. The aim of this study was to determine […]

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Uncategorized Published - 5 November, 2015    By - Dr Clemens
A Randomized Controlled Trial Comparing Intranasal Midazolam and Chloral Hydrate for Procedural Sedation in Children.

Otolaryngol Head Neck Surg, 2015 Aug 18. Authors: Stephen MC et al OBJECTIVES: To evaluate the efficacy and safety of intranasal midazolam and chloral hydrate syrup for procedural sedation in children. STUDY DESIGN: Prospective randomized placebo-controlled trial (double blind, double dummy). SETTING: Tertiary care hospital over 18 months. SUBJECTS AND METHODS: Eighty-two children, 1 to 6 years […]

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Uncategorized Published - 5 November, 2015    By - Dr Clemens
Cerebral Autoregulation Monitoring with Ultrasound-Tagged Near-Infrared Spectroscopy in Cardiac Surgery Patients

Anesthesia & Analgesia: November 2015 Volume 121 Issue 5 p 1187-1193 Authors: Hori, Daijiro MD et al BACKGROUND: Individualizing mean arterial blood pressure (MAP) based on cerebral blood flow (CBF) autoregulation monitoring during cardiopulmonary bypass (CPB) holds promise as a strategy to optimize organ perfusion. The purpose of this study was to evaluate the accuracy […]

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Uncategorized Published - 5 November, 2015    By - Dr Clemens
Intraoperative Lung-Protective Ventilation Trends and Practice Patterns: A Report from the Multicenter Perioperative Outcomes Group

Anesthesia & Analgesia: November 2015 Volume 121 Issue 5 p 1231-1239 Authors: Bender, S. Patrick MD et al BACKGROUND: The use of an intraoperative lung-protective ventilation strategy through tidal volume (TV) size reduction and positive end-expiratory pressure (PEEP) has been increasingly investigated. In this article, we describe the current intraoperative lung-protective ventilation practice patterns and […]

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Uncategorized Published - 4 November, 2015    By - Dr Clemens
Dexmedetomidine as a Rapid Bolus for Treatment and Prophylactic Prevention of Emergence Agitation in Anesthetized Children

Anesthesia & Analgesia: November 2015 Volume 121 Issue 5 p 1308-1315 Authors: Hauber, John A. BS et al BACKGROUND: Administration of dexmedetomidine (DEX) in the pediatric population for its sedative, analgesic, and anxiolytic properties has been widely reported, despite there being no label indication approved by the U.S. Food and Drug Administration for pediatric patients. […]

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Uncategorized Published - 4 November, 2015    By - Dr Clemens
What Anaesthesia Works Best During Endovascular Therapy for Stroke?

In carefully selected patients, minimally invasive surgery is enabling physicians to stop strokes in their tracks. As more patients undergo such procedures, physicians are debating the best way to anesthetise them. Should patients be put under general anaesthesia or should they undergo conscious sedation? In the September, 2015 issue of the Journal of Stroke and […]

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Uncategorized Published - 4 November, 2015    By - Dr Clemens
The Effect of Intravenous Midazolam on Postoperative Nausea and Vomiting: A Meta-Analysis.

Anesthesia & Analgesia: September 2015 Authors: Grant, Michael C. MD et al BACKGROUND: Research has shown that high-risk surgical patients benefit from a multimodal therapeutic approach to prevent postoperative nausea and vomiting (PONV). Our group sought to investigate the effect of administering IV midazolam on PONV. METHODS: This meta-analysis included 12 randomized controlled trials (n […]

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Uncategorized Published - 4 November, 2015    By - Dr Clemens
Study Show Effectiveness of Non-Surgical Treatment of Lumbar Spinal Stenosis

Patients with spinal stenosis (SS) experienced good short-term benefit, lasting from weeks to months, after receiving epidural steroid injections (ESI), according to a study published in the journal Pain Medicine. The study findings contradict a previously published study, published in 2014 in the New England Journal Medicine (NEJM), which found epidural steroid injections were not […]

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Uncategorized Published - 3 November, 2015    By - Dr Clemens
WHO Survey Found Effective for Post-op Disability Assessment

A World Health Organization (WHO) survey used to measure general disability can accurately gauge the specific challenges that many patients face postoperatively, a multinational team of researchers has reported. The finding is important because there has been no universal way to assess the level of disability that patients may experience postoperatively. Fully 20% of elderly […]

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Uncategorized Published - 3 November, 2015    By - Dr Clemens
BMI Still Best and Simplest Pediatric Adiposity Index for Predicting Respiratory Adverse Events

Although other indices of adiposity have gained momentum in terms of their ability to diagnose children who may develop perioperative respiratory complications, a study from the University of Michigan has found that body mass index (BMI) actually outperforms its competitors. This finding is buoyed by the fact that BMI is easier to calculate than the […]

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