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Uncategorized Published - 18 September, 2017    By - Dr Clemens
Combined Thoracic Ultrasound Assessment during a Successful Weaning Trial Predicts Postextubation Distress

Authors: Stein Silva, M.D., Ph.D. et al Anesthesiology 10 2017, Vol.127, 666-674 Background: Recent studies suggest that isolated sonographic assessment of the respiratory, cardiac, or neuromuscular functions in mechanically ventilated patients may assist in identifying patients at risk of postextubation distress. The aim of the present study was to prospectively investigate the value of an integrated thoracic […]

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Uncategorized Published - 18 September, 2017    By - Dr Clemens
Preventing Retained Central Venous Catheter Guidewires: A Randomized Controlled Simulation Study Using a Human Factors Approach

Authors: Maryanne Z. A. Mariyaselvam, M.B.B.S. et al Anesthesiology 10 2017, Vol.127, 658-665. Background: Retained central venous catheter guidewires are never events. Currently, preventative techniques rely on clinicians remembering to remove the guidewire. However, solutions solely relying upon humans to prevent error inevitably fail. A novel locked procedure pack was designed to contain the equipment required for […]

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Uncategorized Published - 18 September, 2017    By - Dr Clemens
Investigation of Slow-wave Activity Saturation during Surgical Anesthesia Reveals a Signature of Neural Inertia in Humans

Authors: Catherine E. Warnaby, Ph.D. et al Anesthesiology 10 2017, Vol.127, 645-657. Background: Previously, we showed experimentally that saturation of slow-wave activity provides a potentially individualized neurophysiologic endpoint for perception loss during anesthesia. Furthermore, it is clear that induction and emergence from anesthesia are not symmetrically reversible processes. The observed hysteresis is potentially underpinned by a neural […]

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Uncategorized Published - 18 September, 2017    By - Dr Clemens
Epidural Labor Analgesia—Fentanyl Dose and Breastfeeding Success: A Randomized Clinical Trial

Authors: Amy I. Lee, M.D. et al Anesthesiology 10 2017, Vol.127, 614-624. Background: Breastfeeding is an important public health concern. High cumulative doses of epidural fentanyl administered for labor analgesia have been reported to be associated with early termination of breastfeeding. We tested the hypothesis that breastfeeding success is adversely influenced by the cumulative epidural fentanyl dose […]

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Uncategorized Published - 15 September, 2017    By - Dr Clemens
Factors Influencing Quality of Pain Management in a Physician Staffed Helicopter Emergency Medical Service

AUTHORS: Oberholzer, Nicole CM et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 200–209 BACKGROUND: Pain is frequently encountered in the prehospital setting and needs to be treated quickly and sufficiently. However, incidences of insufficient analgesia after prehospital treatment by emergency medical services are reported to be as high as […]

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