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Uncategorized Published - 6 January, 2017    By - Dr Clemens
Tactics for Reducing Risk for Interscalene Block–Related Phrenic Nerve Palsy

The possibility of symptomatic or permanent phrenic nerve palsy (PNP) need not loom over every patient administered an interscalene nerve block. Ki Jinn Chin, MD, associate professor in the Department of Anesthesia at Toronto Western Hospital, University of Toronto, told attendees of the 2016 International Symposium of Ultrasound for Regional Anesthesia, Pain Medicine, and Peri-operative […]

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Uncategorized Published - 6 January, 2017    By - Dr Clemens
Opioid Prescribing Varies Even Within Single Institution

A new study shows marked differences in opioid prescribing trends, even within the same institution. The study establishes “benchmarks” for opioid prescribing and sheds light on trends, which might help address the worrisome rise in opioid use, says Alan F. Kaul, PharmD, Department of Pharmacy, Brigham and Women’s Hospital (BWH), Boston, Massachusetts. “Everyone is concerned […]

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Uncategorized Published - 6 January, 2017    By - Dr Clemens
The effects of perineural dexmedetomidine on the pharmacodynamic profile of femoral nerve block: a dose-finding randomised, controlled, double-blind study

Authors: M. Abdulatif et al This randomised, controlled, double-blind study investigated the effects of different doses of perineural dexmedetomidine on the pharmacodynamic profile of femoral nerve block in patients undergoing arthroscopic knee surgery. Ultrasound-guided femoral nerve block was performed before general anaesthesia using 25 ml of bupivacaine 0.5% combined with normal saline in the control group, […]

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Uncategorized Published - 5 January, 2017    By - Dr Clemens
Addition of buprenorphine to local anesthetic in adductor canal blocks after total knee arthroplasty improves postoperative pain relief: a randomized controlled trial

AUTHORS: Krishnan S et al Journal of Clinical Anesthesia (JCA) 33 432-7 (Sep 2016) BACKGROUND AND OBJECTIVES For the hundreds of thousands of patients who undergo total knee arthroplasty (TKA) in the United States each year, early mobilization has been demonstrated to improve functional outcomes and reduce complications. Management of postoperative pain is a critical […]

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Uncategorized Published - 5 January, 2017    By - Dr Clemens
Increasing body mass index and the incidence of intraoperative hypoxemia

AUTHORS: Kendale S, Blitz J Journal of Clinical Anesthesia (JCA) 33 97-104 (Sep 2016) STUDY OBJECTIVE Obese patients regularly present for surgery and have greater hypoxemia risk. This study aimed to identify the risk and incidence of intraoperative hypoxemia with increasing body mass index (BMI). DESIGN This was a retrospective cohort study. SETTING Operating room. […]

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