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Uncategorized Published - 24 June, 2019    By - Dr Clemens
Intensity of Withdrawal Symptoms During Opioid Taper in Patients with Chronic Pain-Individualized or Fixed Starting Dosage?

Authors: Bienek N et al Pain Medicine (Feb 2019) OBJECTIVE Controlled opioid withdrawal is recommended for patients with chronic noncancer pain (CNCP) with insufficient pain reduction or intolerable side effects while on opioid treatment. Few studies have investigated the management of opioid withdrawal (OW). Most common are protocols with an individualized starting dosage (ISD), calculated […]

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Uncategorized Published - 24 June, 2019    By - Dr Clemens
Does General Anesthesia in Neonates Impair Long-Term Neurodevelopment?

Authors: McCann ME et al.  Lancet 2019 Feb 16 A large randomized, controlled trial shows equivalent outcomes 5 years after infants received general anesthesia versus conscious sedation. Whether general anesthesia in neonates impairs long-term neurodevelopment and cognition remains uncertain. In an international randomized, controlled trial in 28 neonatal centers, investigators evaluated intelligence and other neurodevelopment measures […]

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Uncategorized Published - 21 June, 2019    By - Dr Clemens
Acute cerebral infarction in a patient with an epidural catheter after left upper lobectomy: a case report

AUTHORS: Asuka Kitajima et al  BMC Anesthesiology 2019 19:27 Background There are several recent reports that left upper lobe lung resection is a risk factor for the development of postoperative thromboembolism. Although administering epidural analgesia is common in thoracic surgery, anesthesiologists should be alert when administering epidural analgesia to a patient undergoing left upper lobectomy, […]

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Uncategorized Published - 21 June, 2019    By - Dr Clemens
Effect of Adductor Canal Block on Acute Perioperative Pain and Function in Total Knee Arthroplasty

Authors: Richard D. Rames, MD et al Journal of Arthroplasty July 2019 Volume 34, Issue 7, Supplement, Pages S164–S167 Background Multimodal pain management strategies are commonplace in perioperative management of total knee arthroplasty (TKA), although controversy remains regarding the role of adductor canal blocks (ACB) in this algorithm. The purpose of this study is to independently […]

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Uncategorized Published - 21 June, 2019    By - Dr Clemens
No Renal Injury From Trendelenburg Position For Laparoscopic Colorectal Surgery

Author: Chase Doyle Anesthesiology News Despite compelling potential mechanisms, a new study suggests that the combination of laparoscopic approach and Trendelenburg position does not increase risk for patients undergoing colorectal surgery. When compared with matched control cases, this retrospective analysis found that the combined approach did not alter postoperative estimated glomerular filtration rates (eGFRs) and […]

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