Month: February 2016

Uncategorized Published - 19 February, 2016    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 […]

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Uncategorized Published - 19 February, 2016    By - Dr Clemens
Opioid Overdose Deaths Hit Record High

More people died from drug overdoses in the United States in 2014 than during any previous year on record, with increases in opioid overdose deaths the driving factor, according to new statistics released today by the US Centers for Disease Control and Prevention (CDC). In 2014, opioid overdose deaths, including deaths from the use of […]

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Uncategorized Published - 19 February, 2016    By - Dr Clemens
Complications Higher With Regional Than General Anesthesia in Hip Fracture Surgery

Patients administered regional anesthesia for hip fracture surgery are significantly more likely to experience complications than those who received general anesthesia, a study has found. The 7,764-patient review of information from the American College of Surgeons’ National Surgical Quality Improvement Program (NSQIP) database yielded an adjusted odds ratio (OR) of 1.43 for minor complications and […]

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Uncategorized Published - 19 February, 2016    By - Dr Clemens
Nerve Injury After Peripheral Nerve Block: Best Practices and Medical-Legal Protection Strategies

David Hardman, MD, MBA Professor of Anesthesiology Vice Chair for Professional Affairs Department of Anesthesiology University of North Carolina at Chapel Hill Chapel Hill, North Carolina Dr. Hardman reports no relevant financial conflicts of interest. The risk for permanent or severe nerve injury after peripheral nerve blocks (PNBs) is extremely low, irrespective of its etiology […]

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Uncategorized Published - 19 February, 2016    By - Dr Clemens
Obesity – A Risk Factor for Postoperative Complications in General Surgery?

BMC Anesthesiol. 2015;15(112) Authors: Elke E K M et al Background: Obesity is generally believed to be a risk factor for the development of postoperative complications. Although being obese is associated with medical hazards, recent literature shows no convincing data to support this assumption. Moreover a paradox between body mass index and survival is described. This study […]

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Uncategorized Published - 18 February, 2016    By - Dr Clemens
Shingles Increases Risk for Stroke and Myocardial Infarction

An episode of shingles, caused by the herpes zoster virus, temporarily increases the risk for stroke and potentially myocardial infarction (MI) in the months after the infection, according to two recent studies. One study published December 15 in PLOS Medicine, using a self-controlled case series design, identified a twofold greater risk for ischemic stroke and nearly […]

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Uncategorized Published - 18 February, 2016    By - Dr Clemens
Perioperative Medicine Consultation Can Reduce Postoperative Pain

A properly timed perioperative medicine consultation by an anesthesiologist can reduce postoperative pain and increase overall patient satisfaction. Indeed, nearly 60% of anticipated pain cases could have been averted with adequate preoperative preparation with adjuvant analgesics, a study suggests. “Opioid use and psychological illness were the biggest predictors of anticipated postoperative pain,” said Janora M. […]

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Uncategorized Published - 18 February, 2016    By - Dr Clemens
Vaginal Delivery Preferred for Women With Pulmonary Hypertension

Pregnant women with pulmonary hypertension (PHT) have better postpartum outcomes with vaginal delivery, a new study suggests. There is a high risk for mortality during pregnancy among women with PHT, and the incidence of most cardiovascular disease is increasing among women of childbearing age, according to researchers from Columbia University, in New York City. They […]

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Uncategorized Published - 18 February, 2016    By - Dr Clemens
AAP Guidelines Address Perioperative Anesthesia Environment

New American Academy of Pediatrics (AAP) guidelines, published November 30 in Pediatrics, identify key components for the pediatric perioperative anesthesia environment to optimize anesthetic care and reduce adverse events. “[T]he pediatric perioperative anesthesia environment is defined as areas of a patient care facility in which the patient preparation for, performance of, and recovery from surgical procedures occur […]

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Uncategorized Published - 18 February, 2016    By - Dr Clemens
Liberal Transfusion Strategy Improves Survival in Perioperative but not in Critically Ill Patients A Meta-Analysis of Randomised Trials

Br J Anaesth. 2015;115(4):511-519. Authors: E. Fominskiy et al Background: Guidelines support the use of a restrictive strategy in blood transfusion management in a variety of clinical settings. However, recent randomized controlled trials (RCTs) performed in the perioperative setting suggest a beneficial effect on survival of a liberal strategy. We aimed to assess the effect of liberal […]

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