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Uncategorized Published - 29 March, 2016    By - Dr Clemens
The Development and Regulatory History of Sugammadex in the United States

by Glenn Murphy, MD The Neuromuscular Research Group at Organon Newhouse Scotland (east of Glasgow) had been working on the development of fast-onset, short-acting, nondepolarizing steroidal neuromuscular blocking agents since the 1960s, which led to the development of pancuronium, vecuronium and rocuronium. Shortly after the launch of rocuronium, questions arose about a possible action of […]

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Uncategorized Published - 29 March, 2016    By - Dr Clemens
Monitoring of Neuromuscular Blockade:

What Would You Expect If You Were the Patient? by Robert K. Stoelting, MD The Anesthesia Patient Safety Foundation (APSF) believes that residual neuromuscular blockade in the postoperative period is a patient safety hazard that could be addressed partially by better and consistent use of our qualitative standard train-of-four (TOF) nerve stimulator monitors, but will […]

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Uncategorized Published - 28 March, 2016    By - Dr Clemens
Obstructive sleep apnea, pain, and opioids: is the riddle solved?

MORBID OBESITY AND SLEEP APNEA February 2016 – Volume 29 – Issue 1 – p 134–140 AUTHORS: Lam, Karen K. et al Purpose of review: Perioperative opioid-based pain management of patients suffering from obstructive sleep apnea (OSA) may present challenges because of concerns over severe ventilatory compromise. The interaction between intermittent hypoxia, sleep fragmentation, pain, […]

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Uncategorized Published - 28 March, 2016    By - Dr Clemens
The Impact of Monitoring on the Initiation of Cardiopulmonary Resuscitation in Children: Friend or Foe?

Anesthesia & Analgesia: February 2016 – Volume 122 – Issue 2 – p 490–496 AUTHORS: Hörner, Elisabeth MD et al BACKGROUND: The immediate initiation and high quality of basic life support (BLS) are pivotal to improving patient outcome after cardiac arrest. Although cardiorespiratory monitoring could shorten the time to recognize the onset of cardiac arrest, […]

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Uncategorized Published - 28 March, 2016    By - Dr Clemens
Use Video Laryngoscopy for Patients in Cervical Spine Precautions

Foulds LT et al., Anaesthesia 2016 Feb 5; In this randomized operating-room study, the McGrath Series 5 video laryngoscope led to better glottic views and fewer intubation failures compared with direct laryngoscopy. Previous studies have shown McGrath video laryngoscopy to be superior to direct laryngoscopy when patients are intubated with manual in-line cervical stabilization and an opened […]

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