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Uncategorized Published - 6 August, 2014    By - Dr. Clemens
Intranasal dexmedetomidine premedication reduces the minimum alveolar concentration of sevoflurane for tracheal intubation in children: a randomized trial

Published in J Clin Anesth. 2014 Jun;26(4):309-14. Authors: Yao Y et al STUDY OBJECTIVE: To determine the effects of dexmedetomidine premedication on the minimum alveolar concentration of sevoflurane for tracheal intubation (MACTI) in children. DESIGN: Prospective, randomized, clinical comparison study. SETTING: Operating room of an academic hospital. PATIENTS: 90 pediatric, ASA physical status 1 patients, […]

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Uncategorized Published - 6 August, 2014    By - Dr. Clemens
Prospective Evaluation of the Routine Use of a Nasopharyngeal Airway (Wendl Tube) during Endoscopic Propofol-Based Sedation

Published in Digestion. 2014 Jun 4;89(4):247-252 Authors: Muller M et al Background/Aims: Insertion of a nasopharyngeal airway (NPA) during endoscopic sedation is only recommended in the event of respiratory problems. We evaluated the safety and efficacy of routine insertion of an NPA during sedation in gastrointestinal (GI) endoscopy. Methods: Between July 2009 and April 2012, […]

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Uncategorized Published - 6 August, 2014    By - Dr. Clemens
Preoperative Opioid Use as a Predictor of Adverse Postoperative Self-Reported Outcomes in Patients Undergoing Spine Surgery

Published in J Bone Joint Surg Am. 2014 Jun 4;96(11):e89 Authors: Lee D et al BACKGROUND: Opioids are commonly used for preoperative pain management in patients undergoing spine surgery. The objective of this investigation was to assess whether preoperative opioid use predicts worse self-reported outcomes in patients undergoing spine surgery. METHODS: Five hundred and eighty-three […]

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Uncategorized Published - 6 August, 2014    By - Dr. Clemens
Paradoxical reaction to midazolam in patients undergoing endoscopy under sedation: Incidence, risk factors and the effect of flumazenil

Published in Dig Liver Dis. 2014 Aug;46(8):710-5. doi: 10.1016/j.dld.2014.04.007 Authors: Tae CH et al BACKGROUND: The incidence, risk factors and management strategy of paradoxical reaction to midazolam during endoscopy are yet to be clarified. METHODS: This single center prospective study included 4140 adult patients (2263 males, mean age of 57.7±12.6) undergoing endoscopy under sedation with […]

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Uncategorized Published - 5 August, 2014    By - Dr. Clemens
Vital Signs: Variation Among States in Prescribing of Opioid Pain Relievers and Benzodiazepines

Authors: Leonard J. Paulozzi, MD et al Background: Overprescribing of opioid pain relievers (OPR) can result in multiple adverse health outcomes, including fatal overdoses. Interstate variation in rates of prescribing OPR and other prescription drugs prone to abuse, such as benzodiazepines, might indicate areas where prescribing patterns need further evaluation. Methods: CDC analyzed a commercial […]

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