Month: February 2017

Uncategorized Published - 22 February, 2017    By - Dr Clemens
Assessment of Risk Factors for Cerebral Oxygen Desaturation During Neonatal and Infant General Anesthesia

An Observational, Prospective Study Authors: Ilona Razlevice et al BMC Anesthesiol. 2016;16(107) Background: Cerebral oxygen saturation (rSO2c) decrease from baseline greater than 20 % during infant cardiac surgery was associated with postoperative neurologic changes and neurodevelopmental impairment at 1 year of age. So far, there is no sufficient evidence to support the routine monitoring of rSO2c during […]

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Uncategorized Published - 22 February, 2017    By - Dr Clemens
Does Your Patient Need Both an Opioid and Benzodiazepine?

John J. Whyte, MD, MPH Hello. I’m Dr John Whyte, director of Professional Affairs and Stakeholder Engagement (PASE) at the US Food and Drug Administration (FDA) Center for Drug Evaluation and Research. You’re watching this video commentary as part of the FDA’s collaboration with Medscape. I’d like to talk to you about a serious safety […]

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Uncategorized Published - 22 February, 2017    By - Dr Clemens
Incidence of left over sponges in patients

Incidences of retained surgical objects are extremely rare, occurring maybe once in every 5,000 operations. But when it happens — and it does happen, thousands of times per year — the economic consequences can be profound, often running into hundreds of thousands of dollars in readmissions, litigation, settlements and damaged reputations. So be extremely careful and watch […]

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Uncategorized Published - 22 February, 2017    By - Dr Clemens
Post-Operative Pain Control Program Reduces Narcotic Use After Gastric Bypass

The implementation of an evidence-based, multimodal pain regimen after Roux-en-Y gastric bypass (LRYGB) was associated with a significant decrease in narcotic requirements as well as maximum postoperative pain scores, according to a study presented here on November 1 at Obesity Week 2016, the Annual Meetings of the American Society for Metabolic & Bariatric Surgery (ASMBS) […]

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Uncategorized Published - 22 February, 2017    By - Dr Clemens
Small Association of Surgical Anaesthesia Before Age 4, Later Academic Performance

A study of children born in Sweden suggests a small association between exposure to anesthesia for surgery before the age 4 with slightly lower school grades at age 16 and slightly lower IQ scores at 18. For the study, published online by JAMA Pediatrics, Pia Glatz, MD, Karolinska Institutet, Stockholm, Sweden, and colleagues conducted a […]

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Uncategorized Published - 21 February, 2017    By - Dr Clemens
Long-Term Use of Opioid Patches Common Among Persons With Alzheimer’s Disease

Approximately 7% of people with Alzheimer’s disease use opioids for non-cancer pain for a period longer than 6 months, according to a study published in the journal Pain. One third of people initiating opioid use became long-term users, and long-term use was heavily associated with transdermal opioid patches. Researchers from the University of Eastern Finland, […]

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Uncategorized Published - 21 February, 2017    By - Dr Clemens
Acute transverse myelitis of the cervical spine secondary to psoas abscess

Authors: He H et al BMC Infectious Diseases 16 (1), 579 (Oct 2016) BACKGROUND Acute transverse myelitis is uncommon and presumably results from an autoimmune process or a preceding infection. Most cases of bacterial myelitis are due to hematogenous dissemination from urinary or respiratory tract infections or contiguous spreading from a neighboring infected structure. A […]

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Uncategorized Published - 21 February, 2017    By - Dr Clemens
The Association Between Body Mass Index (BMI) and Back or Leg Pain in Patients With Spinal Conditions: Results from the Genodisc Study

Authors:  Segar A et al   Spine 41 (20), E1237-E1243 (Oct 2016) STUDY DESIGN A prospective observational study. OBJECTIVE The aim of this study was to identify the relationship between obesity, quantified by body mass index (BMI), and both back and leg pain in spinal patients. SUMMARY OF BACKGROUND DATA Obesity and back pain are […]

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Uncategorized Published - 21 February, 2017    By - Dr Clemens
Phrenic Nerve Block Caused by Interscalene Brachial Plexus Block

Breathing Effects of Different Sites of Injection Autors: Lars Bergmann et al BMC Anesthesiol. 2016;16(45) Background: Interscalene brachial plexus (ISB) block is often associated with phrenic nerve block and diaphragmatic paresis. The goal of our study was to test if the anterior or the posterior ultrasound guided approach of the ISB is associated with a lower incidence […]

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Uncategorized Published - 21 February, 2017    By - Dr Clemens
Neonatal Injury and Resuscitation: A Liability for Anesthesiologists? An Update From the Anesthesia Closed Claims Project

Authors: Karen B. Domino, M.D., M.P.H.; Joanna M. Davies, M.B.B.S., FRCA ASA Monitor 02 2017, Vol.81, 16-17. An anesthesiologist was called STAT for an emergency cesarean section for severe fetal bradycardia. The anesthesiologist rapidly anesthetized the mother using a rapid-sequence induction and a floppy, pale, non-responsive baby was delivered. An obstetric nurse and family practitioner attempted to […]

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