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Uncategorized Published - 3 October, 2017    By - Dr Clemens
Intrathecal Morphine Versus Extended-Release Epidural Morphine for Postoperative Pain Control in Pediatric Patients Undergoing Posterior Spinal Fusion

AUTHORS: Cohen, Mindy MD, FAAP et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 2030–2037 BACKGROUND: Posterior spinal fusion for scoliosis is one of the most painful elective pediatric surgeries. Good postoperative pain control allows early ambulation and return of ability to tolerate oral intake. Options for analgesia in this […]

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Uncategorized Published - 3 October, 2017    By - Dr Clemens
A Retrospective Study to Evaluate the Effect of Concentration of Hypertonic Saline on Efficacy and Safety of Epidural Adhesiolysis

AUTHORS: Choi, Eun Joo MD et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 2021–2029 BACKGROUND: Percutaneous epidural adhesiolysis (PEA) is a minimally invasive procedure that is performed to relieve low back and/or lower limb pain secondary to adhesions or scarring in the epidural space that is refractory to conservative […]

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Uncategorized Published - 2 October, 2017    By - Dr Clemens
Perineural Dexmedetomidine Is More Effective Than Clonidine When Added to Local Anesthetic for Supraclavicular Brachial Plexus Block: A Systematic Review and Meta-analysis

AUTHORS: El-Boghdadly, Kariem MBBS, FRCA et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 2008–2020 BACKGROUND: Clonidine, an α-2 agonist, has long been used as a local anesthetic adjunct with proven efficacy to prolong peripheral nerve block duration. Dexmedetomidine, a newer α-2 agonist, has a more favorable pharmacodynamic and safety […]

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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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