Author: Dr Clemens

Uncategorized Published - 12 March, 2018    By - Dr Clemens
Anesthetic Management and Procedural Outcomes of Patients Undergoing Off-Pump Transapical Implantation of Artificial Chordae to Correct Mitral Regurgitation: Case Series of 76 Patients

AUTHORS: Samalavicius, Robertas Stasys MD, PhD et al Anesthesia & Analgesia: March 2018 – Volume 126 – Issue 3 – p 776–784 doi: 10.1213/ANE.0000000000002767 BACKGROUND: Transapical implantation of artificial chordae using the NeoChord system (NeoChord Inc, Minneapolis, MN) is an emerging beating-heart technique for correction of mitral regurgitation (MR) through a minimally invasive left minithoracotomy. The purpose […]

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Uncategorized Published - 12 March, 2018    By - Dr Clemens
Systemic Hypotension Following Intravenous Administration of Nonionic Contrast Medium During Computed Tomography: Iopromide Versus Iodixanol

AUTHORS: Widmann, Gerlig MD et al Anesthesia & Analgesia: March 2018 – Volume 126 – Issue 3 – p 769–775 BACKGROUND: In light of the increasing number of radiologic interventions performed under general anesthesia, the effects of contrast media (CM) on circulation and organ perfusion are of paramount importance. The objectives of this study were to systematically […]

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Uncategorized Published - 9 March, 2018    By - Dr Clemens
Liposomal Bupivacaine Nerve Block Possible ‘Game Changer’ in Shoulder Surgery, Pending FDA Ruling

Researchers seeking to reduce the duration of postoperative pain and opioid consumption in patients undergoing orthopedic surgery recently reported some promising findings: In a phase 3 trial designed to meet FDA standards for approval, investigators demonstrated that liposomal bupivacaine (Exparel, Pacira) administered as a single-injection nerve block significantly reduced pain and decreased or eliminated opioid […]

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Uncategorized Published - 9 March, 2018    By - Dr Clemens
Hypotensive Epidural Anesthesia Well Tolerated in Total Hip Patients

Anesthesiology News · September 18, 2017 In a selected cohort of patients undergoing total hip arthroplasty, the use of hypotensive epidural anesthesia led to very low rates of transfusion and few cerebral oxygen desaturation events, according to a recent study. When used in healthy patients, this technique could lower intraoperative blood loss without compromising patient safety, the […]

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Uncategorized Published - 9 March, 2018    By - Dr Clemens
Clinical Utility of Intraoperative Motor-Evoked Potential Monitoring to Prevent Postoperative Spinal Cord Injury in Thoracic and Thoracoabdominal Aneurysm Repair: An Audit of the Japanese Association of Spinal Cord Protection in Aortic Surgery Database

AUTHORS: Yoshitani, Kenji MD et al Anesthesia & Analgesia: March 2018 – Volume 126 – Issue 3 – p 763–768 BACKGROUND: Spinal cord ischemic injury is the most devastating sequela of descending and thoracoabdominal aortic surgery. Motor-evoked potentials (MEPs) have been used to intraoperatively assess motor tract function, but it remains unclear whether MEP monitoring can decrease […]

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Uncategorized Published - 9 March, 2018    By - Dr Clemens
The Relationship Between Women’s Intention to Request a Labor Epidural Analgesia, Actually Delivering With Labor Epidural Analgesia, and Postpartum Depression at 6 Weeks: A Prospective Observational Study

AUTHORS: Orbach-Zinger, Sharon MD et al Anesthesia & Analgesia: September 19, 2017 – Volume Publish Ahead of Print – Issue – p BACKGROUND: Postpartum depression (PPD) is associated with pain during and after delivery, with studies showing reduced rates among women delivering with labor epidural analgesia (LEA). We hypothesized that women who intend to deliver with LEA […]

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Uncategorized Published - 9 March, 2018    By - Dr Clemens
More gender reassignment surgeries are being covered by insurance. So more people are having them.

Author: Andrea K. McDaniels The Baltimore Sun The number of transgender people getting gender reassignment surgery has increased as more insurers cover the procedures, according to new research by Johns Hopkins Medicine. The number of procedures increased nearly four-fold between 2000 and 2014, the Hopkins researchers found by examining information from a national database of […]

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Uncategorized Published - 8 March, 2018    By - Dr Clemens
Nerve Block Combos Found Best for TKA Patients Post-Op

Anesthesiology News · September 18, 2017 The best approach to balancing analgesia, opioid use and passive range of motion after total knee arthroplasty (TKA) is to block multiple nerves rather than any single nerve, according to a sophisticated network meta-analysis. This approach proved better than periarticular local anesthetic infiltration and epidural analgesia. “Based on available evidence, we […]

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Uncategorized Published - 8 March, 2018    By - Dr Clemens
After 6 Months of Age, Infection Risk From Nasal Intubation Higher Than Oral

Although nasal intubation is used more commonly than oral intubation for anesthesia in children undergoing cardiopulmonary bypass surgery, it appears to carry a higher risk for postoperative infection in children 6 months of age or older, according to a recent study. Led by Warwick Ames, MBBS, associate professor of anesthesiology at Duke University School of […]

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Uncategorized Published - 8 March, 2018    By - Dr Clemens
Administration of Hypertonic Solutions for Hemorrhagic Shock: A Systematic Review and Meta-analysis of Clinical Trials

AUTHORS: Wu, Meng-Che MD et al Anesthesia & Analgesia: November 2017 – Volume 125 – Issue 5 – p 1549–1557 BACKGROUND: Several clinical trials on hypertonic fluid administration have been completed, but the results have been inconclusive. The objective of this study is to summarize current evidence for treating hypovolemic patients with hypertonic solutions by performing a […]

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