Author: Dr Clemens

Uncategorized Published - 3 July, 2018    By - Dr Clemens
Liposomal Bupivacaine Boosts Post-THA Outcomes

Mounting evidence suggests that liposomal bupivacaine is the preferred analgesia for patients undergoing total hip replacement surgery. The latest data come from a retrospective study, presented at the annual meeting of the American College of Clinical Pharmacy (poster 24), showing intraoperative, local site injections of liposomal bupivacaine (Exparel, Pacira) in patients undergoing a total hip […]

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Uncategorized Published - 2 July, 2018    By - Dr Clemens
Supraglottic Airway Use Highly Successful in Neonates

Although endotracheal tubes remain the most common airway device in neonates undergoing anesthesia, a recent retrospective study suggests that supraglottic airway use in this population may not be associated with major airway-related complications. The cohort study of supraglottic airway devices in neonates demonstrated a 97% success rate for airway maintenance. According to the investigators, more […]

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Uncategorized Published - 2 July, 2018    By - Dr Clemens
Informed Consent and Cognitive Dysfunction After Noncardiac Surgery in the Elderly

AUTHORS: Hogan, Kirk, J., MD, JD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 629–631 Cognitive dysfunction 3 months after noncardiac surgery in the elderly satisfies informed consent thresholds of foreseeability in 10%–15% of patients, and materiality with new deficits observed in memory and executive function in patients with […]

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Uncategorized Published - 2 July, 2018    By - Dr Clemens
Alkalinized Lidocaine Preloaded Endotracheal Tube Cuffs Reduce Emergence Cough After Brief Surgery: A Prospective Randomized Trial

AUTHORS: Nath, Papu, MD, FRCPC et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 615–620 BACKGROUND: Alkalinized lidocaine in the endotracheal tube (ETT) cuff decreases the incidence of cough and throat pain on emergence after surgery lasting more than 2 hours. However, alkalinized lidocaine needs 60–120 minutes to cross the ETT […]

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Uncategorized Published - 2 July, 2018    By - Dr Clemens
Hospital-Based Acute Care Within 7 Days of Discharge After Outpatient Arthroscopic Shoulder Surgery

AUTHORS: Liu, Jiabin, MD, PhD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 600–605 BACKGROUND: The rate of hospital-based acute care (defined as hospital transfer at discharge, emergency department [ED] visit, or subsequent inpatient hospital [IP] admission) after outpatient procedure is gaining momentum as a quality metric for ambulatory surgery. […]

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Uncategorized Published - 2 July, 2018    By - Dr Clemens
Antiemetic Prophylaxis as a Marker of Health Care Disparities in the National Anesthesia Clinical Outcomes Registry

AUTHORS: Andreae, Michael, H., MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 588–599 BACKGROUND: US health care disparities persist despite repeated countermeasures. Research identified race, ethnicity, gender, and socioeconomic status as factors, mediated through individual provider and/or systemic biases; little research exists in anesthesiology. We investigated antiemetic prophylaxis as […]

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Uncategorized Published - 29 June, 2018    By - Dr Clemens
The Pediatric Anesthesiology Workforce: Projecting Supply and Trends 2015–2035

AUTHORS: Muffly, Matthew, K., MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 568–578 BACKGROUND: A workforce analysis was conducted to predict whether the projected future supply of pediatric anesthesiologists is balanced with the requirements of the inpatient pediatric population. The specific aims of our analysis were to (1) project […]

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Uncategorized Published - 29 June, 2018    By - Dr Clemens
The Effect of Glycopyrrolate on the Incidence of Hypotension and Vasopressor Requirement During Spinal Anesthesia for Cesarean Delivery: A Meta-analysis

AUTHORS: Patel, Selina, D., BMedSci, MBBS, FRCA et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 552–558 BACKGROUND: The objective of this meta-analysis was to determine the efficacy of glycopyrrolate at reducing spinal hypotension during cesarean delivery. METHODS: A literature search was performed to identify randomized controlled trials investigating the effect of […]

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Uncategorized Published - 29 June, 2018    By - Dr Clemens
The Analgesic Effect of Ultrasound-Guided Quadratus Lumborum Block After Cesarean Delivery: A Randomized Clinical Trial

AUTHORS: Krohg, Anders, MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 559–565 BACKGROUND: Landmark and ultrasound-guided transversus abdominis plane blocks have demonstrated an opioid-sparing effect postoperatively after cesarean delivery. The more posterior quadratus lumborum (QL) might provide superior local anesthetic spread to the thoracolumbar fascia and paravertebral space. The […]

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Uncategorized Published - 29 June, 2018    By - Dr Clemens
Labor Analgesia Onset With Dural Puncture Epidural Versus Traditional Epidural Using a 26-Gauge Whitacre Needle and 0.125% Bupivacaine Bolus: A Randomized Clinical Trial

AUTHORS: Wilson, Sylvia, H., MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 545–551 BACKGROUND: Lumbar epidurals (LEs) provide excellent analgesia. Combined spinal epidural and dural puncture epidural (DPE) are 2 techniques to expedite neuraxial analgesia onset. In DPE, dura is punctured but medication is not administered in the cerebrospinal […]

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