Month: July 2017

Uncategorized Published - 17 July, 2017    By - Dr Clemens
Recombinant Factor VIIa Is Associated With Increased Thrombotic Complications in Pediatric Cardiac Surgery Patients

AUTHORS: Downey, Laura MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1431–1436 BACKGROUND: Recombinant factor VIIa (rFVIIa) is routinely used as an off-label hemostatic agent in children undergoing cardiac surgery. Despite evidence that rFVIIa use is associated with an increased incidence of thrombotic complications in adult cardiac surgery, […]

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Uncategorized Published - 17 July, 2017    By - Dr Clemens
Patient-Controlled Lollipop Anesthesia Effective for Awake Intubation

Patient-controlled anesthesia for the upper airway can be an effective strategy to prepare patients for awake intubation, a recent study has found. A 2% lidocaine “lollipop” helps patients cooperate using an easy, inexpensive and readily available means, the researchers said. “We recognize this technique doesn’t ensure directed local anesthetic application and requires additional topicalization techniques,” […]

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Uncategorized Published - 17 July, 2017    By - Dr Clemens
Discovery of Neural Signature for Fibromyalgia Could Aid Diagnosis

Researchers at the University of Colorado Boulder have discovered a neural signature that identified fibromyalgia with 93% accuracy, according to a 72-patient study in the journal Pain 2016 Aug 31.  “This neural measure for fibromyalgia is composed of three brain-related submeasures that together identify [individuals with] fibromyalgia,” said lead author Marina López-Solà, PhD, a postdoctoral research associate […]

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Uncategorized Published - 14 July, 2017    By - Dr Clemens
Hypotension and Adverse Perioperative Outcomes

Authors: J.P. Abenstein, M.S.E.E., M.D., FASA et al ASA Monitor 07 2017, Vol.81, 36-38. We read with interest the May 2017 ASA Monitor article written by Ken Pauker, M.D., and colleagues regarding the association of increased postoperative troponin with non-cardiac surgery, myocardial injury (MINS) and increased 30-day mortality.1  While the authors describe Type I myocardial injury as being caused by […]

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Uncategorized Published - 13 July, 2017    By - Dr Clemens
Opioids and Sleep-Disordered Breathing

Author: Anthony G. Doufas, M.D., Ph.D. ASA Monitor 07 2017, Vol.81, 24-26. Anthony G. Doufas, M.D., Ph.D., is Professor, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California.   Large, retrospective clinical cohorts suggest that preoperative diagnosis of obstructive sleep apnea (OSA) is associated with more than a two-fold increase in the […]

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Uncategorized Published - 13 July, 2017    By - Dr Clemens
Interrelationships Between Anesthesia, Sleep and Breathing

Author: David R. Hillman, M.D., FANZCA ASA Monitor 07 2017, Vol.81, 20-22. David R. Hillman, M.D., FANZCA, Centre for Sleep Science, University of Western Australia Department of Pulmonary Physiology and Sleep Medicine, Sir Charles Gairdner Hospital Nedlands, Western Australia.   Anesthesia and sleep have much in common, particularly where breathing is concerned. This relationship is based on […]

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Uncategorized Published - 13 July, 2017    By - Dr Clemens
Sleep-Disordered Breathing and Perioperative Outcomes – Current Controversies

Authors: Girish P. Joshi, M.B.B.S., M.D., FFARCSI ASA Monitor 07 2017, Vol.81, 16-18. Girish P. Joshi, M.B.B.S., M.D., FFARCSI, is Professor of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas. Sleep-disordered breathing (SDB) includes obstructive sleep apnea (OSA), central sleep apnea and obesity hypoventilation syndrome.OSA is an increasingly common disease1,2  of particular concern to […]

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Uncategorized Published - 13 July, 2017    By - Dr Clemens
Evidence-based Review and Recommendations for Intraoperative Management of Patients With Sleep Apnea

Authors: Crispiana Cozowicz, M.D.; Stavros G. Memtsoudis, M.D., Ph.D. ASA Monitor 07 2017, Vol.81, 14-15. Crispiana Cozowicz, M.D., is Research Fellow, Department of Anesthesiology, Hospital for Special Surgery, Weill Cornell Medical College, New York, New York; Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Private Medical University, Muellner Hauptstrasse, Salzburg, Austria. Stavros G. Memtsoudis, M.D., […]

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Uncategorized Published - 13 July, 2017    By - Dr Clemens
Preoperative Screening and Assessment of Patients With Obstructive Sleep Apnea: Perspectives From ASA, SAMBA and SASM

Authors: Frances Chung, M.B.B.S., FRCPC; Girish P. Joshi, M.B.B.S., M.D., FFARCSI ASA Monitor 07 2017, Vol.81, 10-12. Frances Chung, M.B.B.S., FRCPC, is Professor of Anesthesiology, University Health Network, University of Toronto, Ontario, Canada.     The management of patients with known or suspected obstructive sleep apnea (OSA) is an evolving field. It is known that patients with OSA […]

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Uncategorized Published - 12 July, 2017    By - Dr Clemens
A Contemporary Medicolegal Analysis of Implanted Devices for Chronic Pain Management

AUTHORS: Abrecht, Christopher R. MD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1304–1310 BACKGROUND: Analysis of closed malpractice claims allows the study of rare but serious complications and likely results in improved patient safety by raising awareness of such complications. Clinical studies and closed claims analyses have previously […]

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