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Uncategorized Published - 2 October, 2017    By - Dr Clemens
Comparison of Postoperative Respiratory Monitoring by Acoustic and Transthoracic Impedance Technologies in Pediatric Patients at Risk of Respiratory Depression

AUTHORS: Patino, Mario MD et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1937–1942 BACKGROUND: In children, postoperative respiratory rate (RR) monitoring by transthoracic impedance (TI), capnography, and manual counting has limitations. The rainbow acoustic monitor (RAM) measures continuous RR noninvasively by a different methodology. Our primary aim was to […]

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Uncategorized Published - 2 October, 2017    By - Dr Clemens
Prophylactic Pentazocine Reduces the Incidence of Pruritus After Cesarean Delivery Under Spinal Anesthesia With Opioids: A Prospective Randomized Clinical Trial

AUTHORS: Hirabayashi, Masato MD et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1930–1934 BACKGROUND: The incidence of pruritus after cesarean delivery under spinal anesthesia with opioids is high, ranging from 50% to 100%. Pruritus is difficult to prevent; however, pentazocine has been shown to be an effective treatment. Despite […]

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Uncategorized Published - 2 October, 2017    By - Dr Clemens
Massive Transfusion in Cardiac Surgery: The Impact of Blood Component Ratios on Clinical Outcomes and Survival

AUTHORS: Delaney, Meghan DO, MPH et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1777–1782 BACKGROUND: Cardiac surgery is the most common setting for massive transfusion in medically advanced countries. Studies of massive transfusion after injury suggest that the ratios of administered plasma and platelets (PLT) to red blood cells […]

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Uncategorized Published - 2 October, 2017    By - Dr Clemens
Haptoglobin Administration in Cardiovascular Surgery Patients: Its Association With the Risk of Postoperative Acute Kidney Injury

AUTHORS: Kubota, Kenta MD et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1771–1776 BACKGROUND: Acute kidney injury (AKI) often occurs after cardiac surgery. During cardiac surgery, plasma free hemoglobin (fHb) would increase due to hemolysis. Since plasma fHb is thought to be nephrotoxic, haptoglobin, which is an fHb scavenger, […]

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Uncategorized Published - 29 September, 2017    By - Dr Clemens
Perioperative Lidocaine Offers No Benefits in Patients Undergoing Spinal Fusion

Postoperative use of opioid analgesics increases the risk of respiratory depression, which can lead to brain damage or death. Perioperative lidocaine does not reduce morphine use in the first 24 hours after posterior spinal arthrodesis and offers no measurable benefits, according to a randomized placebo-controlled trial recently published in Pain.1 Postoperative use of opioid analgesics increases the risk […]

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