Author: Dr Clemens

Uncategorized Published - 27 February, 2018    By - Dr Clemens
Anesthesia in Parkinson Disease Requires Cautious Care

Neurology Advisor · February 13, 2018 Parkinson disease (PD) affects an estimated 1 million people in the United States and 10 million individuals worldwide. PD develops in more than 80% of patients after the age of 60 years, and it is anticipated that the prevalence will increase as the elderly population continues to expand. PD has been […]

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Uncategorized Published - 27 February, 2018    By - Dr Clemens
Performance of Coronary Risk Scores Among Patients With Chest Pain in the Emergency Department

This is important because we often see patients coming from the ER directly to surgery. AUTHORS: Mark D et al Kaiser Permanente CREST Network Investigators ; Journal of the American College of Cardiology (JACC) 71 (6), 606-616 (Feb 2018) BACKGROUND Both the modified History, Electrocardiogram, Age, Risk factors and Troponin (HEART) score and the Emergency […]

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Uncategorized Published - 27 February, 2018    By - Dr Clemens
Pain Management After Outpatient Foot and Ankle Surgery

Authors: Gupta A et al    Foot & Ankle International 39 (2), 149-154 (Feb 2018) BACKGROUND The number of opioids prescribed and used has increased precipitously over the past 2 decades for a number of reasons and has led to increases in long-term dependency, opioid-related deaths, and diversion. Most studies examining the role of prescribing habits […]

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Uncategorized Published - 27 February, 2018    By - Dr Clemens
3M Recalls More Than 165,000 Warming Blankets

3M has voluntarily recalled two models of its Bair Hugger product, the FDA stated in a release. The Minnesota-based multinational corporation started the recall due to a design flaw on the blankets, commonly used to warm patients during surgery. The flaw can cause a block in airflow, halting full inflation and widespread body warming. “3M voluntarily recalled a […]

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Uncategorized Published - 26 February, 2018    By - Dr Clemens
Pupillary Reflex for Evaluation of Thoracic Paravertebral Block: A Prospective Observational Feasibility Study

AUTHORS: Duceau, Baptiste MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1342–1347 BACKGROUND: Although thoracic paravertebral block (TPVB) is recommended in major breast surgery, there is no gold standard to assess the success of TPVB. Pupillary dilation reflex (PDR) is the variation of the pupillary diameter after a noxious […]

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Uncategorized Published - 26 February, 2018    By - Dr Clemens
Mortality, Geriatric, and Nongeriatric Surgical Risk Factors Among the Eldest Old: A Prospective Observational Study

AUTHORS: Pelavski, Andres D. MD, PhD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1329–1336 BACKGROUND: Preoperative risk and postoperative outcomes among the elderly are the subject of extensive debate. However, the eldest old, that is, the fastest-growing and most vulnerable group, are insufficiently studied; even their mortality rate is […]

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Uncategorized Published - 26 February, 2018    By - Dr Clemens
Red Blood Cell Transfusion and Surgical Site Infection After Colon Resection Surgery: A Cohort Study

AUTHORS: Mazzeffi, Michael MD, MPH, MSc et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1316–1321 BACKGROUND: Surgical site infections (SSIs) after colon surgery remain a critical safety issue. Patients with an SSI have an increased risk of death, prolonged hospitalization, and increased costs of care. Red blood cell (RBC) transfusion […]

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Uncategorized Published - 26 February, 2018    By - Dr Clemens
Low End-Tidal Carbon Dioxide at the Onset of Emergent Trauma Surgery Is Associated With Nonsurvival: A Case Series

AUTHORS: Dudaryk, Roman MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1261–1266 BACKGROUND: End-tidal carbon dioxide (EtCO2) is a valuable marker of the return of adequate circulation after cardiac arrest due to medical causes. Previously, the prognostic value of capnography in trauma has been studied among limited populations in […]

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Uncategorized Published - 26 February, 2018    By - Dr Clemens
Anthem Calls On Eye Surgeons To Monitor Anesthesia During Cataract Surgery

By Michelle Andrews KHN contributing columnist Michelle Andrews writes the series Insuring Your Health, which explores health care coverage and costs. If you need cataract surgery, your eye surgeon may have to do double duty as your anesthetist under a new policy by health insurer Anthem. In a clinical guideline released this month, the company said it’s not medically […]

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Uncategorized Published - 23 February, 2018    By - Dr Clemens
Stroke Volume Variation and Pulse Pressure Variation Are Not Useful for Predicting Fluid Responsiveness in Thoracic Surgery

AUTHORS: Jeong, Dae Myoung MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1158–1165 BACKGROUND: Stroke volume variation (SVV) and pulse pressure variation (PPV) are used as indicators of fluid responsiveness, but little is known about the usefulness of these dynamic preload indicators in thoracic surgery, which involves an open […]

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