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Uncategorized Published - 8 June, 2017    By - Dr Clemens
Trauma History Associated With Psychological Comorbidities in Patients With Juvenile-Onset Fibromyalgia

Patients with JFM had poorer psychological and health-related outcomes than healthy control patients. According to a study published in Arthritis Care & Research, young adults with juvenile-onset fibromyalgia (JFM) and a history of trauma are more likely than patients with JFM and no trauma history to have psychological comorbidities. Contrary to the researchers’ hypothesis, a trauma […]

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Uncategorized Published - 8 June, 2017    By - Dr Clemens
Supraclavicular Approach Lowers Incidence of Phrenic Nerve Involvement

A comparison of interscalene and supraclavicular approaches with brachial plexus block during shoulder surgery suggests that using larger volumes of local anesthetic does not provide a longer duration of effect. According to the study’s authors, when compared with the interscalene approach, the supraclavicular approach provided similar post operative pain control along with a lower incidence […]

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Uncategorized Published - 8 June, 2017    By - Dr Clemens
Sublingual Fentanyl Preferred, But Less Effective Than Subcutaneous Morphine

In recent years, transmucosal fentanyl formulations have been shown to be superior to immediate-release oral morphine. Fentanyl sublingual tablets (FST) are preferred over subcutaneous morphine (SCM) in patients with severe breakthrough cancer pain, but FST may not be as effective as SCM, according to a study published in the Journal of Clinical Oncology.1 Patients who require […]

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Uncategorized Published - 7 June, 2017    By - Dr Clemens
Invasive Blood Pressure Monitoring During Mediastinoscopy: Which Side Are You On?

Case Report: Adam A. Dalia, MD, MBA Cardiothoracic Anesthesiology Fellow Department of Anesthesia, Critical Care, and Pain Medicine Massachusetts General Hospital Boston, Massachusetts Michael K. Essandoh, MD Associate Director of Clinical Research Associate Professor, Clinical Cardiovascular Anesthesiology Department of Anesthesiology The Ohio State University Medical Center Columbus, Ohio Routine mediastinoscopy can be a fairly low-risk […]

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Uncategorized Published - 7 June, 2017    By - Dr Clemens
Red Cell TransfusionAssociated Hemolysis in Cardiac Surgery: An Observational Cohort Study

AUTHORS: Karkouti, Keyvan MD, FRCPC et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1986–1991 BACKGROUND: Red cell viability is impaired during storage, resulting in excess hemolysis during storage and after transfusion. As a result, transfusions may oversaturate the hemoglobin clearance pathways, resulting in cell-free hemoglobin and iron toxicity in […]

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