Author: Dr Clemens

Uncategorized Published - 19 October, 2018    By - Dr Clemens
Reasons for delaying surgery following hip fractures and its impact on one year mortality

Authors: Lizaur-Utrilla A et al International Orthopaedics (May 2018) PURPOSE The purposes of this study were to identify the reasons for delayed surgery following hip fractures and analyze the impact of these reasons on 1-year mortality. METHODS A prospective cohort study of 1234 patients with mean age of 83.1 (range 65-92, SD 8.0) who underwent […]

Read More
Uncategorized Published - 19 October, 2018    By - Dr Clemens
Scope-Related Infections

Authors: Wang P et al.  Gut 2018 May 18 Postprocedure infections are not unusual after colonoscopy or esophagogastroduodenoscopy. Although concerns have been raised regarding bleeding and perforation with endoscopic procedures, little attention has been given to the risk for infection after colonoscopy and esophagogastroduodenoscopy (EGD). To estimate the rate of infections following these procedures, researchers analyzed […]

Read More
Uncategorized Published - 19 October, 2018    By - Dr Clemens
Bypassing Poor Outcomes: Cardiac Surgery and Intraoperative Hypotension

Authors: Jonathan P. Wanderer et al  Anesthesiology 9 2018, Vol.129, A19. Complex Information for Anesthesiologists Presented Quickly and Clearly  A. fib = atrial fibrillation; CABG = coronary artery bypass graft; MAP = mean arterial pressure; OR = odds ratio. Infographic created by Jonathan P. Wanderer, Vanderbilt University Medical Center, and James P. Rathmell, Brigham and Women’s […]

Read More
Uncategorized Published - 19 October, 2018    By - Dr Clemens
Review Identifies Rate of Major Cardiac Events After Electroconvulsive Therapy

The incidence rate of major adverse cardiac events (MACEs) after electroconvulsive therapy (ECT)—still commonly used in cases of intractable psychiatric disorders—has been unclear. A new meta-analysis, however, has found that such events occur after ECT in as many as one in 50 patients and after approximately one in 500 treatments. “Evidence indicates that ECT use […]

Read More
Uncategorized Published - 18 October, 2018    By - Dr Clemens
Increasing BMI Adds to Risk for Hypoxemia in Monitored Anesthesia Care

Although the risk factors for hypoxemia in obese patients undergoing general anesthesia are well known, the risk is less clear when it comes to monitored anesthesia care (MAC). Yet, as a study by a team of NYU Langone Medical Center researchers has shown, the relationship is the same under MAC anesthesia, with the incidence of […]

Read More
Uncategorized Published - 18 October, 2018    By - Dr Clemens
Preanesthesia Premedication: The “Monaldi” Protocol

Authors: Marco Rispoli, M.D. et al  Anesthesiology 10 2018, Vol.129, 853-854. “Have you ever wondered what coffee is? Coffee is just an excuse. An excuse to tell a friend that you love him.” —Edoardo De Crescenzo This quote from Edoardo De Crescenzo, a famous Neapolitan writer, director, and actor, explains one important truth: in Naples, coffee […]

Read More
Uncategorized Published - 18 October, 2018    By - Dr Clemens
Transnasal Sphenopalatine Ganglion Block May Be Safe, Effective for Acute Migraine Treatment

The use of transnasal sphenopalatine ganglion(SPG) block is safe and effective for providing short-term relief from acute migraine headaches, according to a study in Pain Research and Treatment. Investigators retrospectively evaluated outcomes in 55 patients treated at a university medical center for migraine headache with bilateral transnasal SPG blocks during a 6-month period. The percentage of patients who were […]

Read More
Uncategorized Published - 18 October, 2018    By - Dr Clemens
Endotracheal Tube Obstruction Caused by Cuff Hyperinflation

Authors: Joseph Zenga, M.D. Anesthesiology 9 2018, Vol.129, 581. WHILE endotracheal tube obstruction by the air cuff is rare, it is not a new phenomenon. As early as 1957, cuff hyperinflation was a reported cause of ventilation failure, leading to several deaths.1  Most commonly, airway obstruction results from herniation of the thin pliable cuff plastic, either into […]

Read More
Uncategorized Published - 18 October, 2018    By - Dr Clemens
Effectiveness of Lumbar Facet Joint Blocks and Predictive Value before Radiofrequency Denervation: The Facet Treatment Study (FACTS), a Randomized, Controlled Clinical Trial

Authors: Steven P. Cohen, M.D. et al  Anesthesiology 9 2018, Vol.129, 517-535. What We Already Know about This Topic: Facet blocks, including intraarticular and medial branch blocks, are frequently used before radiofrequency ablation, but their validity as a predictive tool is unproven Recently, the evidence supporting radiofrequency ablation has come under great scrutiny What This Article […]

Read More
Uncategorized Published - 17 October, 2018    By - Dr Clemens
Neuropsychological and Behavioral Outcomes after Exposure of Young Children to Procedures Requiring General Anesthesia: The Mayo Anesthesia Safety in Kids (MASK) Study

Authors: David O. Warner, M.D. et al  Anesthesiology 7 2018, Vol.129, 89-105. Background: Few studies of how exposure of children to anesthesia may affect neurodevelopment employ comprehensive neuropsychological assessments. This study tested the hypothesis that exposure to multiple, but not single, procedures requiring anesthesia before age 3 yr is associated with adverse neurodevelopmental outcomes.Methods: Unexposed, singly exposed, and […]

Read More