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Uncategorized Published - 7 April, 2016    By - Dr Clemens
No Need for Chest X-Ray After Ultrasound-Guided Right Internal Jugular Lines?

Authors: Hourmozdi JJ et al., Crit Care Med 2016 Mar 31; Very few complications were picked up by routine chest x-ray at a large academic hospital system. For decades, dogma has been that chest x-ray should be performed to confirm placement of all internal jugular (IJ) central lines, despite evidence that ultrasound can significantly reduce complication rates. […]

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Uncategorized Published - 7 April, 2016    By - Dr Clemens
Liposome Bupivacaine Femoral Nerve Block for Postsurgical Analgesia after Total Knee Arthroplasty

Anesthesiology published on 4 2016. Authors: Admir Hadzic, M.D. et al Background: The authors evaluated the efficacy of liposome bupivacaine in a femoral nerve block (FNB) after total knee arthroplasty. Methods: Part 1: subjects received FNB with 20 ml liposome bupivacaine (67, 133, or 266 mg) or placebo. Part 2: subjects were randomized to FNB with liposome bupivacaine […]

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Uncategorized Published - 7 April, 2016    By - Dr Clemens
Self-reported Mobility in Older Patients Predicts Early Postoperative Outcomes after Elective Noncardiac Surgery

Anesthesiology 4 2016, Vol.124, 815-825 Authors: Sunghye Kim, M.D., M.M.Sc. et al  Background: Specific geriatric assessment tools may complement traditional perioperative risk stratification. The aim of this study was to evaluate whether self-reported mobility is predictive of postoperative outcomes in older patients undergoing elective noncardiac surgery. Methods: Patients aged 69 yr or older (n = 197) underwent (1) […]

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Uncategorized Published - 7 April, 2016    By - Dr Clemens
Perioperative Opioids and Public Health

Anesthesiology 4 2016, Vol.124, 960-965. Authors: Evan D. Kharasch, M.D., Ph.D. et al Description opioid diversion, abuse, addiction, and overdose are epidemic. Although unclear whether postoperative opioid prescribing is contributory, or how anesthesiologists and surgeons can contribute to a solution, nonetheless awareness and a research agenda are needed. ANESTHESIOLOGISTS and surgeons face three challenges in the […]

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Uncategorized Published - 6 April, 2016    By - Dr Clemens
Seizure Drug Gabapentin Lowers Postoperative Nausea and Vomiting Risk

Anesthesia & Analgesia  March 2016 The anticonvulsant medication gabapentin—already a useful part of strategies to control pain after surgery—also effectively reduces the common complication of postoperative nausea and vomiting (PONV), reports a study in Anesthesia & Analgesia. “The results support the inclusion of preoperative gabapentin as part of the approach to prevention of PONV,” write […]

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