Author: Dr Clemens

Uncategorized Published - 22 August, 2018    By - Dr Clemens
Effectiveness and Safety of a Novel Approach for Management of Patients with Potential Difficult Mask Ventilation and Tracheal Intubation: A Multi-center Randomized Trial

Authors: Ji-Ming Wang et al  Chinese Medical Journal 2018 Volume : 131 Issue : 6 Page : 631-637     Background: Patients with potential difficult mask ventilation (DV) and difficult intubation (DI) are often managed with awake intubation, which can be stressful for patients and anesthesiologists. This prospective randomized study evaluated a new approach, fast difficult airway evaluation (FDAE). […]

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Uncategorized Published - 22 August, 2018    By - Dr Clemens
Behavioral Indicators May Underestimate Actual, Future Pain in Neonates

Relying on behavioral indicators, like crying, to assess surgical pain in neonates underestimates actual pain and could lead to long-term effects on brain development and future pain sensitivity, according to research presented at the 2018 American Pain Society Scientific Summit (Curr Biol 2017;27[4]:3846-3851). “Infants respond to noxious stimulation from birth, but the neural pathways underlying pain […]

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Uncategorized Published - 21 August, 2018    By - Dr Clemens
Phenoxybenzamine and Doxazosin Equally Effective for Preoperative Treatment of Patients With a Pheochromocytoma

Phenoxybenzamine and doxazosin are equally effective in pretreating patients undergoing resection of a pheochromocytoma (PCC), researchers reported here at the 2018 Annual Meeting of The Endocrine Society (ENDO). The administration of alpha-adrenergic receptor antagonists is recommended before PCC resection in order to prevent any perioperative cardiovascular complication. For the current study, Edward Buitenwerf, MD, University […]

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Uncategorized Published - 21 August, 2018    By - Dr Clemens
Use of Epidural Analgesia in Open Colectomy Linked to Fewer Complications

Patients who received epidural analgesia for open colectomy experienced lower rates of myocardial infarction, pulmonary complications, pneumonia and shorter hospital length of stay (LOS) than those who did not. Kenneth Cummings, MD, an anesthesiologist at the Cleveland Clinic, in Ohio, presented the analysis of regional anesthetic techniques following surgery, that was conducted with a multidisciplinary […]

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Uncategorized Published - 21 August, 2018    By - Dr Clemens
Evaluating Headache in the Elderly: Primary vs Secondary Causes

Ubiquitous and disabling, headache disorders are common — with an estimated prevalence of migraine in the United States between 11.7% and 22.7% — and are one of the leading causes of emergency department visits.1,2 Evidence suggests a difference in prevalence of headache disorders between the elderly (≥65 years) and younger adults (˂65 years) that may […]

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Uncategorized Published - 21 August, 2018    By - Dr Clemens
TAP Block Not Superior in Children Undergoing Hydrocelectomy or Hernia Repair

A small pilot trial comparing transverse abdominis plane (TAP) block and IV local infiltration in children undergoing hydrocelectomy and/or hernia repair has demonstrated equivalence of clinical efficacy. In the study, postoperative opioid use, time to first rescue medication, average pain scores and parental satisfaction were similar between groups. “This was a negative result, which I […]

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Uncategorized Published - 21 August, 2018    By - Dr Clemens
Opioid Shortages Felt Throughout U.S. Hospitals

There is a national shortage of certain opioids that hospitals stock for perioperative and trauma pain relief, according to a series of announcements from the FDA. Injectable formulations of morphine, hydromorphone and fentanyl, including prefilled syringes, as well as small ampulesand vials for intravenous delivery are affected. While some pharmaceutical companies have had to cut production as far back as last year, […]

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Uncategorized Published - 20 August, 2018    By - Dr Clemens
Sedation Response to Propofol Dosing for GI Endoscopy Differs for Minorities

Jeffrey White, MD, an associate professor of anesthesiology and an associate medical director of GI Endoscopy, and Samsun Lampotang, PhD, a professor of anesthesiology at the University of Florida College of Medicine, in Gainesville, discussed their study on the different responses to propofol dosing for Asian, black and white patients during gastrointestinal endoscopy. Upon noticing […]

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Uncategorized Published - 20 August, 2018    By - Dr Clemens
Pulmonary Complications Not Increased by Combined Regional–General Anesthesia

Postoperative pulmonary complications may be a leading cause of poor surgical outcomes, but combined regional and general anesthesia is not necessarily to blame. After adjusting for confounders, subanalysis of a recent prospective observational study showed that combined regional and general anesthesia was not associated with having at least one postoperative pulmonary complication. According to Kristina Coger, MD, […]

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Uncategorized Published - 20 August, 2018    By - Dr Clemens
Employers are finding new ways to cut health care costs

Employers are getting more involved in their workers’ health care in order to keep costs under control. A growing number of companies are contracting directly with hospitals and providers to take care of their employees, according to an annual survey released Tuesday by the National Business Group on Health, an industry organization focused on large […]

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