Month: March 2016

Uncategorized Published - 25 March, 2016    By - Dr Clemens
Capnographic Parameters in Ventilated Patients: Correspondence with Airway and Lung Tissue Mechanics

Anesthesia & Analgesia: February 29, 2016 AUTHORS: Csorba, Zsofia MD et al BACKGROUND: Although the mechanical status of the lungs affects the shape of the capnogram, the relations between the capnographic parameters and those reflecting the airway and lung tissue mechanics have not been established in mechanically ventilated patients. We, therefore, set out to characterize […]

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Uncategorized Published - 25 March, 2016    By - Dr Clemens
Esmolol Reduces Anesthetic Requirements Thereby Facilitating Early Extubation

A Prospective Controlled Study in Patients Undergoing Intracranial Surgery Authors: Irene Asouhidou et al BMC Anesthesiol. 2015;15(172) Background: Adequate cerebral perfusion pressure with quick and smooth emergence from anesthesia is a major concern of the neuroanesthesiologist. Anesthesia techniques that minimize anesthetic requirements and their effects may be beneficial. Esmolol, a short acting hyperselective β-adrenergic blocker is effective […]

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Uncategorized Published - 25 March, 2016    By - Dr Clemens
Attending Handoff Is Correlated with the Decision to Delay Extubation After Surgery

Anesthesia & Analgesia: March 2016 – Volume 122 – Issue 3 – p 758–764 AUTHORS: Anastasian, Zirka H. MD et al BACKGROUND: Factors including ASA physical status, blood loss, and case length have been described as correlating with the decision to delay tracheal extubation after specific surgical procedures. In this retrospective study, we investigated whether […]

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Uncategorized Published - 25 March, 2016    By - Dr Clemens
Continuous Adductor Canal Blocks: Does Varying Local Anesthetic Delivery Method (Automatic Repeated Bolus Doses Versus Continuous Basal Infusion) Influence Cutaneous Analgesia and Quadriceps Femoris Strength? A Randomized, Double-Masked, Controlled, Split-Body Volunteer Study

Anesthesia & Analgesia: February 9, 2016 AUTHORS: Monahan, Amanda M. MD et al BACKGROUND: It remains unknown whether continuous or scheduled intermittent bolus local anesthetic administration is preferable for adductor canal perineural catheters. Therefore, we tested the hypothesis that scheduled bolus administration is superior or noninferior to a continuous infusion on cutaneous knee sensation in […]

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Uncategorized Published - 25 March, 2016    By - Dr Clemens
Positive Long-term Results for Back Pain Procedure

A procedure that involves radiofrequency ablation of sensory nerves in the degenerated lumbar disc may give many patients with chronic low back pain significant relief. Researchers have now collected up to 12 months of data on patients undergoing the procedure — called intradiscal biacuplasty (IDB) — and it shows improved pain scores, functioning, and quality of […]

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Uncategorized Published - 24 March, 2016    By - Dr Clemens
Health Care Disparities Affecting Regional Anesthesia Identified

Patients of color and individuals on Medicaid have consistently lower odds for receiving neuraxial anesthesia and peripheral nerve blocks than their counterparts. Well founded in other specialties of medicine, care disparities that are based on race and socioeconomic status also exist in the delivery of anesthesia care, new research has shown. “Although we know from […]

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Uncategorized Published - 24 March, 2016    By - Dr Clemens
In-Hospital-Arrest Survival Up at Centers Following Guidelines

Patients treated for in-hospital cardiac arrest at centers more apt to follow the relevant guidelines are likelier to survive and have better neurologic outcomes than those managed at hospitals with poorer guideline adherence, suggests an analysis based on registry data[1]. “We know that hospital care is variable . . . and we’ve also shown that […]

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Uncategorized Published - 24 March, 2016    By - Dr Clemens
The Association Between Rheumatoid Arthritis and Adverse Postoperative Outcomes: A Retrospective Analysis

Anesthesia & Analgesia: Post Author Corrections: February 23, 2016 AUTHORS: Sun, Zhuo MD et al BACKGROUND: Patients with rheumatoid arthritis have a high overall incidence of mortality, primarily because of cardiovascular complications. Thus, we tested the primary hypothesis that rheumatoid arthritis is independently associated with increased postoperative cardiovascular complications. Second, we determined whether rheumatoid arthritis […]

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Uncategorized Published - 24 March, 2016    By - Dr Clemens
Palliative Patients Under Anaesthesiological Care

A Single-Centre Retrospective Study on Incidence, Demographics and Outcome Authors: Christoph L. Lassen et al BMC Anesthesiol. 2015;15(164) Background: While anesthesiologist’s involvement in palliative care has been widely researched, extensive data on palliative patients under anesthesiological care in the operating room is missing. This study was performed to assess the incidence, demographics, and outcome of […]

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Uncategorized Published - 24 March, 2016    By - Dr Clemens
Neuraxial vs General Anaesthesia for Total Hip and Total Knee Arthroplasty A Systematic Review of Comparative-Effectiveness Research

Authors: R. L. Johnson et al Br J Anaesth. 2016;116(2):163-176. Background: This systematic review evaluated the evidence comparing patient-important outcomes in spinal or epidural vs general anaesthesia for total hip and total knee arthroplasty. Methods: MEDLINE, Ovid EMBASE, EBSCO CINAHL, Thomson Reuters Web of Science, and the Cochrane Central Register of Controlled Trials from inception […]

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