Month: September 2018

Uncategorized Published - 28 September, 2018    By - Dr Clemens
Prediction Score for Postoperative Neurologic Complications after Brain Tumor Craniotomy: A Multicenter Observational Study

Authors: Raphaël Cinotti, M.D., Ph.D. et al                          Anesthesiology published on September 18, 2018. What We Already Know about This Topic: The authors developed a score for predicting the risk of postoperative complications What This Article Tells Us That Is New: The score was developed from […]

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Uncategorized Published - 28 September, 2018    By - Dr Clemens
Bipolar Radiofrequency Thermocoagulation for Trigeminal Neuralgia

Patients with V3 trigeminal neuralgia — particularly those with a large foramen ovale — may get greater benefit from bipolar vs unipolar radiofrequency thermocoagulation, according to research presented at the American Academy of Pain Medicine Annual Meeting, held in Vancouver, Canada. Trigeminal neuralgia is commonly treated with percutaneous radiofrequency thermocoagulation of the Gasserian ganglion. This is achieved […]

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Uncategorized Published - 28 September, 2018    By - Dr Clemens
Drug Prices Increase More Than Expected After Shortages

Expected price increase 20 percent for all drugs after shortage versus 9 percent in absence of shortage Prices for drugs under shortage increase more than twice as quickly as expected in the absence of a shortage, according to a research letter published online Sept. 18 in the Annals of Internal Medicine. Inmaculada Hernandez, Pharm.D., Ph.D., from […]

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Uncategorized Published - 28 September, 2018    By - Dr Clemens
COPD patients suffer fewer respiratory problems if treated with targeted lung denervation

EUROPEAN LUNG FOUNDATION Paris, France: First results from a clinical trial of a procedure to open obstructed airways in patients with chronic obstructive pulmonary disease (COPD) have shown that it significantly reduces problems associated with the disease and is safe. Presenting findings from the AIRFLOW 2 phase II clinical trial, the principal investigator, Dr Dirk-Jan […]

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Uncategorized Published - 27 September, 2018    By - Dr Clemens
Anesthetic Management of a Parturient With MS: The Frost Series #338

Written by: David Ermak, DO Reviewed by: Sonia Vaida, MD A 31-year-old primigravida at 39 weeks’ gestation with no prenatal care presented to the labor and delivery unit in active labor. She had been diagnosed with multiple sclerosis (MS) at 28 years of age. She was treated with glatiramer acetate, but discontinued the medication due […]

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Uncategorized Published - 27 September, 2018    By - Dr Clemens
Chiari Malformations and Moyamoya Disease: Rarities With Anesthetic Implications

Elizabeth A.M. Frost, MD Professor of Anesthesiology Mount Sinai Medical Center New York, New York   Chiari Malformations What Are They? Chiari malformations (CMs) are structural defects in the base of the skull and cerebellum. The cerebellum, and especially the cerebellar tonsils, are situated above the foramen magnum. With CMs, however, these parts of the […]

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Uncategorized Published - 27 September, 2018    By - Dr Clemens
Dexmedetomidine for the reduction of emergence delirium in children undergoing tonsillectomy with propofol anesthesia: A double‐blind, randomized study

Authors: delais G. Tsiotou et al Pediatric Anesthesia May 2018 Postanesthesia emergence delirium is a motor agitation state complicating pediatric anesthesia. We investigated the efficacy of dexmedetomidine in reducing emergence delirium in children undergoing tonsillectomy with and without adenoidectomy using total intravenous anesthesia with propofol. Methods This was a prospective, single‐center, double‐blind, randomized study. The primary […]

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Uncategorized Published - 27 September, 2018    By - Dr Clemens
In Type 2 Diabetics, Discontinuing Oral Hypoglycemics Pre-op Not Necessary

Although adults with type 2 diabetes mellitus who are taking oral hypoglycemic agents are instructed to discontinue their medications on the day of surgery, a study has concluded this strategy may not be necessary. A study found that perioperative blood glucose levels did not differ significantly between patients who did and did not discontinue oral […]

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Uncategorized Published - 27 September, 2018    By - Dr Clemens
Intermittent Sedation–Analgesia Reduces ICU Ventilation Time, Overall Medication

Sliding-scale intermittent sedation and analgesia regimens in surgical patients significantly reduced both mechanical ventilation time and the total amount of medication administered, compared with continuous infusions, according to a new study. A preliminary analysis of the first yea r of data from this two-year study also found that the number of adverse events was not […]

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Uncategorized Published - 27 September, 2018    By - Dr Clemens
Liposomal Bupivacaine Infiltration for Knee Arthroplasty: Significant Analgesic Benefits or Just a Bunch of Fat?

Authors: Brian M. Ilfeld, M.D., M.S. et al   Anesthesiology 10 2018, Vol.129, 623-626. “…use of liposomal bupivacaine was not associated with a change in billing patterns for opioids…[or] decreased use of naloxone or incidence of opioid-related… complications…” TOTAL knee arthroplasty is among the most common and painful surgical procedures, with more than 700,000 performed annually in […]

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