Author: Dr Clemens

Uncategorized Published - 29 June, 2018    By - Dr Clemens
Randomized Controlled Trial of the Clinical Efficacy of Multiport Versus Uniport Wire-Reinforced Flexible Catheters for Labor Epidural Analgesia

AUTHORS: Philip, John, MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 537–544 BACKGROUND: The purpose of this prospective, randomized, controlled trial was to determine whether multiple ports improve the analgesic efficacy of wire-reinforced flexible catheters used for labor epidural analgesia (LEA). METHODS: Six hundred fifty laboring patients were randomized to […]

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Uncategorized Published - 28 June, 2018    By - Dr Clemens
Combined thoracic paravertebral and pectoral nerve blocks for breast surgery under sedation: a prospective observational case series

Authors: A. Pawa et al Anaesthesia Volume 73 Issue 4 April 2018 pages 438-443 Summary Avoidance of general anaesthesia for breast surgery may be because of clinical reasons or patient choice. There is emerging evidence that the use of regional anaesthesia and the avoidance of volatile anaesthetics and opioid analgesia may have beneficial effects on oncological […]

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Uncategorized Published - 28 June, 2018    By - Dr Clemens
Association Between Handover of Anesthesia Care and Adverse Postoperative Outcomes Among Patients Undergoing Major Surgery

Authors: Philip M Jones, MD, MSc et al JAMA. 2018;319(2):143-153.  Key Points Question  Is there an association between complete intraoperative handover of anesthesia care and adverse postoperative outcomes? Findings  In this retrospective cohort study that included 313 066 adults undergoing major surgery, complete intraoperative handover of anesthesia care compared with no handover was significantly associated with a higher risk […]

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Uncategorized Published - 28 June, 2018    By - Dr Clemens
Epidural Space Identification With Loss of Resistance Technique for Epidural Analgesia During Labor: A Randomized Controlled Study Using Air or Saline—New Arguments for an Old Controversy

AUTHORS: Brogly, Nicolas, MD, PhD, DESAR, DESA et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 532–536 BACKGROUND: The best technique to identify the epidural space for labor analgesia is still unclear despite the publication of various randomized controlled studies and meta-analyses. Our aim was to assess the superiority of the […]

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Uncategorized Published - 28 June, 2018    By - Dr Clemens
Low- Versus High-Chloride Content Intravenous Solutions for Critically Ill and Perioperative Adult Patients: A Systematic Review and Meta-analysis

AUTHORS: Kawano-Dourado, Leticia, MD  et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 513–521 BACKGROUND: To assess whether use of low-chloride solutions in unselected critically ill or perioperative adult patients for maintenance or resuscitation reduces mortality and renal replacement therapy (RRT) use when compared to high-chloride fluids. METHODS: Systematic review and meta-analysis […]

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Uncategorized Published - 28 June, 2018    By - Dr Clemens
Variability in the Use of Protective Mechanical Ventilation During General Anesthesia

AUTHORS: Ladha, Karim, S., MD, MSc et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 503–512 BACKGROUND: The purpose of this study was to determine whether significant variation exists in the use of protective ventilation across individual anesthesia providers and whether this difference can be explained by patient, procedure, and provider-related […]

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Uncategorized Published - 27 June, 2018    By - Dr Clemens
Management of 1-Lung Ventilation—Variation and Trends in Clinical Practice: A Report From the Multicenter Perioperative Outcomes Group

AUTHORS: Colquhoun, Douglas, A., MB ChB, MSc, MPH et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 495–502 BACKGROUND: Lung-protective ventilation (LPV) has been demonstrated to improve clinical outcomes in surgical patients. There are very limited data on the current use of LPV for patients undergoing 1-lung ventilation (1LV) despite evidence […]

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Uncategorized Published - 27 June, 2018    By - Dr Clemens
Incidence and Operative Factors Associated With Discretional Postoperative Mechanical Ventilation After General Surgery

AUTHORS: Ray, Juliet, J., MD, MSPH et at Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 489–494 BACKGROUND: Mechanical ventilation after general surgery is associated with worse outcomes, prolonged hospital stay, and increased health care cost. Postoperatively, patients admitted to the intensive care unit (ICU) may be categorized into 1 of 3 […]

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Uncategorized Published - 27 June, 2018    By - Dr Clemens
Perioperative Temperature Measurement Considerations Relevant to Reporting Requirements for National Quality Programs Using Data From Anesthesia Information Management Systems

AUTHORS: Epstein, Richard, H., MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 478–486 BACKGROUND: Perioperative hypothermia may increase the incidences of wound infection, blood loss, transfusion, and cardiac morbidity. US national quality programs for perioperative normothermia specify the presence of at least 1 “body temperature” ≥35.5°C during the interval […]

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Uncategorized Published - 27 June, 2018    By - Dr Clemens
Anesthesia Adverse Events Voluntarily Reported in the Veterans Health Administration and Lessons Learned

AUTHORS: Neily, Julia, RN, MS, MPH et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 471–477 BACKGROUND: Anesthesia providers have long been pioneers in patient safety. Despite remarkable efforts, anesthesia errors still occur, resulting in complications, injuries, and even death. The Veterans Health Administration (VHA) National Center of Patient Safety uses […]

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