Month: February 2019

Uncategorized Published - 11 February, 2019    By - Dr Clemens
Amisulpride for the Rescue Treatment of Postoperative Nausea or Vomiting in Patients Failing Prophylaxis: A Randomized, Placebo-controlled Phase III Trial

Authors: Ashraf S. Habib, M.B., B.Ch. et al  Anesthesiology 2 2019, Vol.130, 203-212. Background: Although antiemetics are commonly used to prevent postoperative nausea or vomiting, the failure rate is appreciable and there is currently no generally accepted standard for rescue treatment of postoperative nausea or vomiting after failed prophylaxis. This prospective, randomized, double-blind, parallel-group, placebo-controlled, multicenter study […]

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Uncategorized Published - 11 February, 2019    By - Dr Clemens
A Basic Review of Pain Pathways and Analgesia

Anesthesiology News Pain and the Brain Joseph F. Answine, MD, FASA Clinical Associate Professor Department of Anesthesiology and Perioperative Medicine Penn State College of Medicine Hershey, Pennsylvania Partner, Riverside Anesthesia Associates Staff Anesthesiologist UPMC Pinnacle Hospital System Harrisburg, Pennsylvania   Pain is not only difficult to treat but difficult to understand because it involves many […]

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Uncategorized Published - 11 February, 2019    By - Dr Clemens
2019 President’s Report: Taking Action – APSF’s Renewed Commitment to Implementation of Changes That Can Improve Perioperative Patient Safety

Author: Mark Warner MD Improving patient safety seems so simple since we all share, to various degrees, the desire to help our patients—to guide, escort, and usher them through the perils that come with surgeries and other procedures. APSF’s vision that “no patient shall be harmed by anesthesia” is clear. Yet why is improving perioperative patient safety so […]

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Uncategorized Published - 8 February, 2019    By - Dr Clemens
Delays in Cardiopulmonary Resuscitation, Defibrillation, and Epinephrine Administration All Decrease Survival in In-hospital Cardiac Arrest

Authors: Nicholas G. Bircher, M.D.  Anesthesiology 3 2019, Vol.130, 414-422. What We Already Know about This Topic: Rapid response to witnessed, pulseless cardiac arrest is associated with increased survival. What This Article Tells Us That Is New: Assessment of witnessed, pulseless cardiac arrests occurring at 538 hospitals during a 9-yr period indicates that CPR did not […]

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Uncategorized Published - 8 February, 2019    By - Dr Clemens
Time to Ditch Preoperative Subjective Assessment of Patient Fitness

Author: Michael Vlessides Anesthesiology News The results of an international prospective cohort study have made one thing very clear: Subjective preoperative assessment by physicians does not accurately identify patients with poor fitness who would be at greater risk for morbidity and mortality. More objective measures are much better at predicting postoperative complications. “Just about every […]

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Uncategorized Published - 8 February, 2019    By - Dr Clemens
Experts Recommend New Way to Describe Cognitive Changes After Anaesthesia, Surgery in Elderly Patient

A multidisciplinary, international group of experts has recommended changing the way clinicians and patients describe cognitive changes experienced in some patients after anaesthesia and surgery. The recommendations are being published simultaneously in 6 peer-reviewed journals including, Anesthesiology, Acta Anaesthesologica Scandinavica, Anesthesia & Analgesia, British Journal of Anaesthesia, Canadian Journal of Anesthesia, and the Journal of Alzheimer’s Disease. Changes in cognitive function […]

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Uncategorized Published - 8 February, 2019    By - Dr Clemens
Regional Anesthesia and The Patient with Preexisting Neuropathy

Anesthesiology News Kenneth D. Candido, MD Chairman, Department of Anesthesiology Advocate Illinois Masonic Medical Center Clinical Professor of Anesthesiology and Surgery Departments of Anesthesiology and Surgery University of Illinois at Chicago Chicago, Illinois Teresa M. Kusper, DO, MBS Resident Physician, Department of Anesthesiology Advocate Illinois Masonic Medical Center Chicago, Illinois   There has been growing interest among […]

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Uncategorized Published - 8 February, 2019    By - Dr Clemens
Transcutaneous Electrical Nerve Stimulation Improves Pain, Fatigue in Women With Fibromyalgia

Transcutaneous electrical nerve stimulation (TENS) improves pain and fatigue, compared with no treatment, in women with fibromyalgia, according to a study presented here at the 2018 Annual Scientific Meeting of the American College of Rheumatology/Association of Rheumatology Health Professionals (ACR/ARHP). “Most women who received active TENS reported global improvement in their condition,” reported Leslie Crofford, […]

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Uncategorized Published - 8 February, 2019    By - Dr Clemens
Novel Sedation Therapy Decreases Anxiety, Need for IV Medication During Cataract Surgery

A therapy that combines midazolam, ketamine, and ondansetron is more effective for sedation in cataract surgery than standard therapy, according to a study presented here at the 2018 Annual Meeting of the American Academy of Ophthalmology (AAO). In addition, the combination therapy decreased patient anxiety and reduced the need intravenous medications, reported Maggie Jeffries, MD, […]

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Uncategorized Published - 8 February, 2019    By - Dr Clemens
Public spaces should stock bleeding-control kits for mass casualties, experts say

As mass-casualty events and violent attacks in the U.S. continue to increase, military and emergency medicine experts are recommending that public venues install bleeding-control kits for at least 20 victims. These kits, equipped with nitrile gloves, a basic tourniquet, wound dressing to stop severe bleeding, rolled gauze and trauma scissors, could allow bystanders to help […]

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