Month: March 2016

Uncategorized Published - 18 March, 2016    By - Dr Clemens
Effect of Local Anesthetic Concentration, Dose and Volume on the Duration of Single-Injection Ultrasound-Guided Axillary Brachial Plexus Block With Mepivacaine

A Randomized Controlled Trial Authors: Maaike G. E. Fenten et al BMC Anesthesiol. 2015;15(130) Background: In what way volume, concentration and dose affect block duration is controversial. The purpose of the present study is to investigate the effect of dose, volume and concentration of mepivacaine on the duration of sensory and motor blockade in ultrasound-guided single shot […]

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Uncategorized Published - 17 March, 2016    By - Dr Clemens
Assisted Mechanical Ventilation: The Future is Now!

  Authors: Robert M Kacmarek et al BMC Anesthesiol. 2015;15(110) Abstract Assisted ventilation is a highly complex process that requires an intimate interaction between the ventilator and the patient. The complexity of this form of ventilation is frequently underappreciated by the bedside clinician. In assisted mechanical ventilation, regardless of the specific mode, the ventilator’s gas delivery […]

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Uncategorized Published - 17 March, 2016    By - Dr Clemens
Dexamethasone Versus Ondansetron in the Prevention of Postoperative Nausea and Vomiting in Patients Undergoing Laparoscopic Surgery

A Meta-analysis of Randomized Controlled Trials Authors: Xian-Xue Wang et al BMC Anesthesiol. 2015;15(118) Background: Dexamethasone is an antiemetic alternative to ondansetron. We aimed to compare the effects of dexamethasone and ondansetron in preventing postoperative nausea and vomiting (PONV) in patients undergoing laparoscopic surgery. Methods: We searched PubMed, Embase, Medline and Cochrane Library (from inception to July 2014) […]

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Uncategorized Published - 17 March, 2016    By - Dr Clemens
Cerebral Oxygen Saturation After Multiple Perioperative Influential Factors Predicts the Occurrence of Postoperative Cognitive Dysfunction

Authors: Cheng Ni et al BMC Anesthesiol. 2015;15(156) Background: Postoperative cognitive dysfunction (POCD) is a frequent complication in elderly patients undergoing major non-cardiac surgery, but its etiology is still unclear. Cerebral oxygen saturation (ScO2) represents the balance of cerebral oxygen supply and demand. The aim of present study was to evaluate the relationship between perioperative ScO2 and POCD, […]

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Uncategorized Published - 17 March, 2016    By - Dr Clemens
Oral Opioids No Better Than NSAIDs for Knee OA Pain

Oral opioids, including the less potent tramadol and the more potent hydromorphone and oxycodone, do not provide better pain relief than oral nonsteroidal anti-inflammatory drugs (NSAIDs) for knee osteoarthritis (OA), according to a systematic review published February in Osteoarthritis and Cartilage. “Patients who failed NSAIDs and are considering opioids should be aware that the pain relief from […]

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Uncategorized Published - 17 March, 2016    By - Dr Clemens
Head-Elevated Patient Positioning Decreases Complications of Emergent Tracheal Intubation in the Ward and Intensive Care Unit

Anesthesia & Analgesia: February 10, 2016 AUTHORS: Khandelwal, Nita MD, MS et al BACKGROUND: Based on the data from elective surgical patients, positioning patients in a back-up head-elevated position for preoxygenation and tracheal intubation can improve patient safety. However, data specific to the emergent setting are lacking. We hypothesized that back-up head-elevated positioning would be […]

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Uncategorized Published - 16 March, 2016    By - Dr Clemens
Effect of Local Anesthetic Concentration, Dose and Volume on the Duration of Single-Injection Ultrasound-Guided Axillary Brachial Plexus Block With Mepivacaine

A Randomized Controlled Trial Authors: Maaike G. E. Fenten et al BMC Anesthesiol. 2015;15(130) Background: In what way volume, concentration and dose affect block duration is controversial. The purpose of the present study is to investigate the effect of dose, volume and concentration of mepivacaine on the duration of sensory and motor blockade in ultrasound-guided single shot […]

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Uncategorized Published - 16 March, 2016    By - Dr Clemens
Meta-analysis of the Cardioprotective Effect of Sevoflurane Versus Propofol During Cardiac Surgery

Authors: Feng Li et al BMC Anesthesiol. 2015;15(128) Background: To evaluate the cardioprotective effects of sevoflurane versus propofol anesthesia in patients undergoing cardiac surgery. Methods: Studies were retrieved through searching several databases. Study quality was evaluated by Jadad scale. Meta-analysis was performed with RevMan5.0 software. Publication bias was tested by funnel plot. Results: As a result, 15 studies were […]

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Uncategorized Published - 16 March, 2016    By - Dr Clemens
Survival after Perioperative Cardiopulmonary Resuscitation: Providing an Evidence Base for Ethical Management of Do-not-resuscitate Orders

Authors: Shona Kalkman, M.D. et al Anesthesiology 3 2016, Vol.124, 723-729. Automatic suspension of do-not-resuscitate (DNR) orders during general anesthesia does not sufficiently address a patient’s right to self-determination and is a practice still observed among anesthesiologists today. To provide an evidence base for ethical management of DNR orders during anesthesia and surgery, the authors performed […]

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Uncategorized Published - 16 March, 2016    By - Dr Clemens
Auscultation versus Point-of-care Ultrasound to Determine Endotracheal versus Bronchial Intubation: A Diagnostic Accuracy Study

Authors: Davinder Ramsingh, M.D. et al Anesthesiology published on 3 2016 Background:: Unrecognized malposition of the endotracheal tube (ETT) can lead to severe complications in patients under general anesthesia. The focus of this double-blinded randomized study was to assess the accuracy of point-of-care ultrasound in verifying the correct position of the ETT and to compare it with […]

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