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Uncategorized Published - 13 January, 2016    By - Dr Clemens
Discordance in Grading Methods of Aortic Stenosis by Pre-Cardiopulmonary Bypass Transesophageal Echocardiography

Anesthesia & Analgesia: December 2015 Whitener, George MD et al BACKGROUND: Current guidelines define severe aortic valve stenosis (AS) as an aortic valve area (AVA) <=1.0 cm2 by the continuity equation and mean gradient ([DELTA]Pm) >= 40 mm Hg. However, these measurements can be discordant when classifying AS severity. Approximately one-third of patients with normal […]

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Uncategorized Published - 13 January, 2016    By - Dr Clemens
Risk for Cognitive Decline Greater in Older Women Following General Anesthesia and Surgery

Older women appear to be at higher risk than older men for deterioration in neurologic and cognitive functioning as well as ventricular brain volumes following the administration of general anesthesia and surgery. That was the conclusion of a study that tracked cognitive aging in more than 500 elderly people over time. Elderly women and men […]

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Uncategorized Published - 12 January, 2016    By - Dr Clemens
GlideScope Outperforms C-MAC D-Blade for Trainee Intubations of Predicted Difficult Airways

Aziz MF et al., Anesth Analg 2015 Nov In patients with predicted difficult airways intubated in the operating room, the GlideScope had a higher first-attempt intubation success rate than the C-MAC D-Blade. Video laryngoscopy (VL) improves intubation success in patients with predicted difficult airways primarily by ensuring glottic visualization. While VL with acute-angled devices has been compared […]

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Uncategorized Published - 12 January, 2016    By - Dr Clemens
Attending Handoff Is Correlated with the Decision to Delay Extubation After Surgery.

  Anesthesia & Analgesia: December 2015 Anastasian, Zirka H. MD et al BACKGROUND: Factors including ASA physical status, blood loss, and case length have been described as correlating with the decision to delay tracheal extubation after specific surgical procedures. In this retrospective study, we investigated whether handoffs by anesthesia attendings were associated with delayed extubation […]

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Uncategorized Published - 12 January, 2016    By - Dr Clemens
The Shamrock lumbar plexus block: A dose-finding study

Eur J Anaesthesiol. 2015 Nov;32(11):764-70 Sauter AR et al BACKGROUND: The Shamrock technique is a new method for ultrasound-guided lumbar plexus blockade. Data on the optimal local anaesthetic dose are not available. OBJECTIVE: The objective of this study is to estimate the effective dose of ropivacaine 0.5% for a Shamrock lumbar plexus block. DESIGN: A prospective […]

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