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Uncategorized Published - 27 April, 2016    By - Dr Clemens
Oxygen Reserve Index: A Novel Noninvasive Measure of Oxygen Reserve—A Pilot Study

Authors: Peter Szmuk, M.D. et al Anesthesiology 4 2016, Vol.124, 779-784 Background: Pulse oximetry provides no indication of downward trends in Pao2 until saturation begins to decrease. The Oxygen Reserve Index (ORI) is a novel pulse oximeter–based nondimensional index that ranges from 1 to 0 as Pao2 decreases from about 200 to 80 mmHg and is measured by optically […]

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Uncategorized Published - 27 April, 2016    By - Dr Clemens
Injury and Liability Associated with Implantable Devices for Chronic Pain

Authors: Dermot R. Fitzgibbon, M.D. et al Anesthesiology published on 4 2016 Background:: Due to an increase in implantable device–related anesthesia pain medicine claims, the authors investigated anesthesia liability associated with these devices. Methods:: After institutional review board approval, the authors identified 148 pain medicine device claims from 1990 or later in the Anesthesia Closed Claims Project Database. […]

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Uncategorized Published - 27 April, 2016    By - Dr Clemens
Postoperative Urinary Catheterization Thresholds of 500 versus 800 ml after Fast-track Total Hip and Knee Arthroplasty: A Randomized, Open-label, Controlled Trial

Authors: Lars S. Bjerregaard, M.D. et al Anesthesiology published on 4 2016 Background:: No evidence-based threshold exists for postoperative urinary bladder catheterization. The authors hypothesized that a catheterization threshold of 800 ml was superior to 500 ml in reducing postoperative urinary catheterization and urological complications after fast-track total hip arthroplasty (THA) and total knee arthroplasty (TKA). Methods:: This […]

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Uncategorized Published - 26 April, 2016    By - Dr Clemens
Effects of Volatile Anesthetics on Mortality and Postoperative Pulmonary and Other Complications in Patients Undergoing Surgery: A Systematic Review and Meta-analysis

Authors: Christopher Uhlig, M.D. et al Anesthesiology published on 4 2016 Background: It is not known whether modern volatile anesthetics are associated with less mortality and postoperative pulmonary or other complications in patients undergoing general anesthesia for surgery. Methods: A systematic literature review was conducted for randomized controlled trials fulfilling following criteria: (1) population: adult patients undergoing general […]

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Uncategorized Published - 26 April, 2016    By - Dr Clemens
In Spinal Stenosis, Adding Fusion to Decompression Surgery of Little Benefit

Edited by Susan Sadoughi, MD, and Richard Saitz, MD, MPH, FACP, FASAM Adding fusion surgery to decompression surgery in patients with spinal stenosis offers little to no benefit and is associated with longer hospital stays and increased costs, according to two New England Journal of Medicine trials. In the first, nearly 250 adults with lumbar spinal stenosis were randomized […]

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