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Uncategorized Published - 17 December, 2015    By - Dr Clemens
Using Clinical Parameters to Guide Fluid Therapy in High-Risk Thoracic Surgery

A Retrospective, Observational Study Authors: Lars Stryhn Bjerregaard et BMC Anesthesiol. 2015;15(91) Background: Despite extensive research, the debate continues as to the optimal way of guiding intraoperative and postoperative fluid therapy. In 2009 we changed our institutional guideline for perioperative fluid therapy in patients undergoing extrapleural pneumonectomy (EPP) and implemented the use of central venous oxygen saturation […]

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Uncategorized Published - 17 December, 2015    By - Dr Clemens
US Opioid Epidemic Fueled by Prescribing Practices

The United States is facing the worst “man-made epidemic” of opioid abuse in the history of modern medicine, and it is the direct result of poor research and outdated teaching practices, according to a leading pain expert. “There’s been over 200,000 deaths from prescription opioids and many more hundreds of thousands of overdose admissions, and […]

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Uncategorized Published - 17 December, 2015    By - Dr Clemens
GlideScope Outperforms C-MAC D-Blade for Trainee Intubations of Predicted Difficult Airways

Authors: Aziz MF et al., Anesth Analg 2015 Nov 17; 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 […]

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Uncategorized Published - 16 December, 2015    By - Dr Clemens
Evaluation of Perioperative Medication Errors and Adverse Drug Events

Authors: Karen C. Nanji MD MPH et al Anesthesiology 1 2016, Vol.124, 25-34. Background: The purpose of this study is to assess the rates of perioperative medication errors (MEs) and adverse drug events (ADEs) as percentages of medication administrations, to evaluate their root causes, and to formulate targeted solutions to prevent them. Methods: In this prospective observational study, anesthesia-trained […]

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Uncategorized Published - 16 December, 2015    By - Dr Clemens
CDC Proposes Updated Guidelines for Opioid Prescribing

The CDC has proposed 12 recommendations for clinicians prescribing opioids. Among them: When initiating opioid therapy, immediate-release opioids at the lowest effective doses are recommended. Extra precautions should be taken when prescribing at or above 50 morphine milligram equivalents (MME) per day, and doses at or above 90 MME per day generally should be avoided. […]

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