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Uncategorized Published - 8 December, 2015    By - Dr Clemens
The Risk of Acute Kidney Injury from Fluid Restriction and Hydroxyethyl Starch in Thoracic Surgery

Anesthesia & Analgesia: September 2015 Authors: Ahn, Hyun Joo MD, PhD et BACKGROUND: Fluid is restricted in thoracic surgery to reduce acute lung injury, and hydroxyethyl starches (HES) are often administered to reduce fluid amount. This strategy may contribute to the development of acute kidney injury (AKI). We evaluated the incidence, risk factors, and prognosis […]

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Uncategorized Published - 8 December, 2015    By - Dr Clemens
Intraoperative Electroencephalogram Suppression Predicts Postoperative Delirium

Anesthesia & Analgesia: September 2015 Authors: Fritz, Bradley A. MD et al BACKGROUND: Postoperative delirium is a common complication associated with increased morbidity and mortality, longer hospital stays, and greater health care expenditures. Intraoperative electroencephalogram (EEG) slowing has been associated previously with postoperative delirium, but the relationship between intraoperative EEG suppression and postoperative delirium has […]

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Uncategorized Published - 8 December, 2015    By - Dr Clemens
Pediatric Difficult Airways Not Always Easy To Spot

Identifying a child presenting with a difficult airway may not be quite as easy as pediatric anesthesiologists believe, according to a chart review by a Canadian research team. Investigators at The Hospital for Sick Children, in Toronto, found that nearly 20% of difficult airways were unanticipated and more than half occurred in patients with no […]

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Uncategorized Published - 7 December, 2015    By - Dr Clemens
Labor Analgesia Consumption and Time to Neuraxial Catheter Placement in Women with a History of Surgical Correction for Scoliosis: A Case-Matched Study

Anesthesia & Analgesia: Oct 2015 Volume 121 Issue 4 p 981-987 Authors: Bauchat, Jeanette R. MD et al BACKGROUND: Neuraxial analgesic techniques are the most effective form of labor analgesia. Small studies (9–21 patients), conducted 10 to 20 years ago, demonstrated successful neuraxial labor analgesia in only 50% to 66% of patients with surgical correction […]

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Uncategorized Published - 7 December, 2015    By - Dr Clemens
Methylprednisolone Does Not Reduce Persistent Pain after Cardiac Surgery

Authors: Alparslan Turan MD et al Anesthesiology 12 2015, Vol.123, 1404-1410. Background: Persistent incisional pain is common after cardiac surgery and is believed to be in part related to inflammation and poorly controlled acute pain. Methylprednisolone is a corticosteroid with substantial antiinflammatory and analgesic properties and is thus likely to ameliorate persistent surgical pain. Therefore, the authors tested […]

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