Author: Dr Clemens

Uncategorized Published - 31 October, 2017    By - Dr Clemens
Association of Hospital-level Neuraxial Anesthesia Use for Hip Fracture Surgery with Outcomes: A Population-based Cohort Study

Authors: Daniel I. McIsaac, M.D., M.P.H., F.R.C.P.C. et al Anesthesiology published on October 5, 2017. Background: There is consistent and significant variation in neuraxial anesthesia use for hip fracture surgery across jurisdictions. We measured the association of hospital-level utilization of neuraxial anesthesia, independent of patient-level use, with 30-day survival (primary outcome) and length of stay and costs […]

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Uncategorized Published - 30 October, 2017    By - Dr Clemens
The Role of Anesthesiologists in Optimizing Postoperative Outcomes

Authors: Ramon Abola, M.D. et al ASA Monitor 10 2017, Vol.81, 22-25. Ramon Abola, M.D., is Assistant Professor, Stony Brook Medicine, Stony Brook, New York. T.J. Gan, M.D., M.B.A., M.H.S., FRCA, is Professor and Chairman, Stony Brook Medicine, Stony Brook, New York. How can I ensure that this patient does well through today’s surgery? How can I […]

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Uncategorized Published - 30 October, 2017    By - Dr Clemens
Improving the Quality of Shared Decision-making – How Anesthesiologists Can Add Value

Authors: Richard D. Urman, M.D., M.B.A., CPE, FASA et al ASA Monitor 10 2017, Vol.81, 16-17. Recently, the Centers for Medicare & Medicaid Services (CMS) finalized a proposal to reimburse providers for end-of-life counseling as part of advanced care planning. This was in response to a push to further engage patients, families and surrogates in their medical […]

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Uncategorized Published - 30 October, 2017    By - Dr Clemens
Non-Vitamin-K Oral Anticoagulants Linked to Major Bleeds via Drug Interactions

JAMA. 2017;318(13):1250-1259. Authors: Shang-Hung Chang, MD, PhD et al Non-vitamin-K oral anticoagulants (NOACs) are associated with major bleeding episodes caused by drug-drug interactions, a Taiwanese study finds. The authors note that the findings might not apply to Western populations. Using national databases, investigators retrospectively examined major bleeding episodes with NOAC use alone or with concurrent use of 12 […]

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Uncategorized Published - 30 October, 2017    By - Dr Clemens
Association Between Anesthesiology Volumes and Early and Late Outcomes After Cystectomy for Bladder Cancer: A Population-Based Study

AUTHORS: Jaeger, Melanie T. MD, FRCPC et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 147–155 BACKGROUND: Hospital and surgeon volume are related to postoperative complications and long-term survival after radical cystectomy. Here, we describe the relationships between these provider characteristics and anesthesiologist volumes on early and late outcomes after radical […]

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Uncategorized Published - 30 October, 2017    By - Dr Clemens
Closed-Loop Feedback Computer-Controlled Phenylephrine for Maintenance of Blood Pressure During Spinal Anesthesia for Cesarean Delivery: A Randomized Trial Comparing Automated Boluses Versus Infusion

AUTHORS: Ngan Kee, Warwick D. MD, FANZCA, FHKCA et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 117–123 BACKGROUND: We previously described the use of closed-loop feedback computer-controlled infusion of phenylephrine for maintaining blood pressure (BP) during spinal anesthesia for cesarean delivery. In this study, we report a modified system in […]

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Uncategorized Published - 27 October, 2017    By - Dr Clemens
Respiratory System Mechanics During Low Versus High Positive End-Expiratory Pressure in Open Abdominal Surgery: A Substudy of PROVHILO Randomized Controlled Trial

AUTHORS: Antini, Davide MD et al Anesthesia & Analgesia: June, 2017 BACKGROUND: BACKGROUND:In the 2014 PROtective Ventilation using HIgh versus LOw positive end-expiratory pressure (PROVHILO) trial, intraoperative low tidal volume ventilation with high positive end-expiratory pressure (PEEP = 12 cm H2O) and lung recruitment maneuvers did not decrease postoperative pulmonary complications when compared to low PEEP […]

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Uncategorized Published - 27 October, 2017    By - Dr Clemens
Postpartum Tubal Sterilization: Making the Case for Urgency

AUTHORS: Richardson, Michael G. MD et al Anesthesia & Analgesia: June 2017 The parturient who requests postpartum sterilization has given consideration to and has made decisions regarding this aspect of her medical care long before her delivery. She arrives at parturition expecting the postpartum procedure to be performed as intended. The American Congress of Obstetricians and […]

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Uncategorized Published - 27 October, 2017    By - Dr Clemens
Assessment of Postoperative Analgesic Drug Efficacy: Method of Data Analysis Is Critical

AUTHORS: Andersen, Lars Peter Kloster MD, PhD et al Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 1008–1013 BACKGROUND: Pain intensity ratings and opioid consumption (OC) are ubiquitous indicators of pain in postoperative trials of the efficacy of interventional procedures. Unfortunately, consensus on the appropriate statistical handling of these outcomes has not […]

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Uncategorized Published - 27 October, 2017    By - Dr Clemens
Stroke Volume Variation–Guided Versus Central Venous Pressure–Guided Low Central Venous Pressure With Milrinone During Living Donor Hepatectomy: A Randomized Double-Blinded Clinical Trial

AUTHORS: Lee, Jiwon MD et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 423–430 BACKGROUND: We previously demonstrated the usefulness of milrinone for living donor hepatectomy. However, a less-invasive alternative to central venous catheterization and perioperative contributors to good surgical outcomes remain undetermined. The current study evaluated whether the stroke volume […]

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