Author: Dr Clemens

Uncategorized Published - 27 October, 2017    By - Dr Clemens
Intraoperative “Analgesia Nociception Index”–Guided Fentanyl Administration During Sevoflurane Anesthesia in Lumbar Discectomy and Laminectomy: A Randomized Clinical Trial

AUTHORS: Upton, Henry D. MBBS, BMedSc  et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 81–90 BACKGROUND: The “Analgesia Nociception Index” (ANI; MetroDoloris Medical Systems, Lille, France) is a proposed noninvasive guide to analgesia derived from an electrocardiogram trace. ANI is scaled from 0 to 100; with previous studies suggesting that […]

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Uncategorized Published - 26 October, 2017    By - Dr Clemens
Platelet Counts and Postoperative Stroke After Coronary Artery Bypass Grafting Surgery

AUTHORS: Karhausen, Jörn A. MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1129–1139 BACKGROUND: Declining platelet counts may reveal platelet activation and aggregation in a postoperative prothrombotic state. Therefore, we hypothesized that nadir platelet counts after on-pump coronary artery bypass grafting (CABG) surgery are associated with stroke. METHODS: We evaluated […]

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Uncategorized Published - 26 October, 2017    By - Dr Clemens
Multimodal Analgesic Therapy With Gabapentin and Its Association With Postoperative Respiratory Depression

AUTHORS: Cavalcante, Alexandre N. MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 141–146 BACKGROUND: Gabapentinoids are widely used in perioperative multimodal analgesic regimens. The primary aim of this study was to determine whether gabapentin was associated with respiratory depression during phase-I postanesthesia recovery after major laparoscopic procedures. METHODS: We retrospectively […]

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Uncategorized Published - 26 October, 2017    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: June, 2017 BACKGROUND: 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. However, the incidence and reasons for hospital-based acute […]

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Uncategorized Published - 26 October, 2017    By - Dr Clemens
Trends in Perioperative Practice and Resource Utilization in Patients With Obstructive Sleep Apnea Undergoing Joint Arthroplasty

AUTHORS: Cozowicz, Crispiana MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 66–77 BACKGROUND: Emerging evidence associating obstructive sleep apnea (OSA) with adverse perioperative outcomes has recently heightened the level of awareness among perioperative physicians. In particular, estimates projecting the high prevalence of this condition in the surgical population highlight […]

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Uncategorized Published - 26 October, 2017    By - Dr Clemens
Epidemiologic Analysis of Elective Operative Procedures in Infants Less Than 6 Months of Age in the United States

AUTHORS: Einhorn, Lisa M. MD et al Anesthesia & Analgesia: June, 2017 BACKGROUND: BACKGROUND:This study uses publicly available data to analyze the total number of elective, potentially deferrable operative procedures involving infants <6 months of age in the United States. We investigated the factors associated with the performance of these procedures in this population. METHODS: METHODS:The […]

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Uncategorized Published - 25 October, 2017    By - Dr Clemens
Opioid Reduction Strategy Lowers Unanticipated Admissions and 30-Day Emergency Visits

Use of beta blockers in the perioperative period as an opioid-sparing technique can have positive short- and long-term effects, a study has concluded. A study examining the use of esmolol for sympathetic blockade, as part of a multimodal approach to pain management in patients undergoing arthroscopic shoulder procedures with continuous brachial plexus blockade, has shown […]

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Uncategorized Published - 25 October, 2017    By - Dr Clemens
Stopping Epidurals During Second Stage of Labor Doesn’t Seem to Affect Delivery Time

Epidural analgesia does not prolong the second stage of labor relative to placebo, according to a trial in Obstetrics & Gynecology. Researchers in China enrolled 400 nulliparous women who requested analgesia during labor. In the first stage of labor, patients received standard epidurals (ropivacaine, 0.8%; with sufentanil). But when the cervix was fully dilated, i.e., the […]

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Uncategorized Published - 25 October, 2017    By - Dr Clemens
Distractions in the Anesthesia Work Environment: Impact on Patient Safety? Report of a Meeting Sponsored by the Anesthesia Patient Safety Foundation

The Official Journal of the Anesthesia Patient Safety Foundation Oct 2017 by Maria van Pelt, PhD, CRNA, and Matthew B. Weinger, MD Reprinted with permission from Anesthesia & Analgesia 2017;125:347–350. DOI: Copyright © 2017 International Anesthesia Research Society. All rights reserved. Distractions in the perioperative work environment can adversely affect vigilance, situation awareness, and the ability to […]

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Uncategorized Published - 25 October, 2017    By - Dr Clemens
Handoff Communication: An APSF Safety Initiative and Perioperative Provider Concern

The Official Journal of the Anesthesia Patient Safety Foundation Oct 2017 By Steven Greenberg, MD, FCCP, FCCM The substantial number of preventable deaths and other adverse events associated with health care are now widely recognized.1,2 Handoffs (also called handovers), or transfers in care responsibilities of various types, are among the most important contributors to these outcomes […]

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