Author: Dr Clemens

Uncategorized Published - 6 September, 2017    By - Dr Clemens
Clinical Effectiveness of Intravenous Exenatide Infusion in Perioperative Glycemic Control after Coronary Artery Bypass Graft Surgery: A Phase II/III Randomized Trial

Authors: Guillaume Besch, M.D. et al Anesthesiology published on August 24, 2017. Background: We aimed to assess the clinical effectiveness of intravenous exenatide compared to insulin in perioperative blood glucose control in coronary artery bypass grafting surgery patients. Methods: Patients more than 18 yr old admitted for elective coronary artery bypass grafting were included in a phase II/III […]

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Uncategorized Published - 6 September, 2017    By - Dr Clemens
Lack of Association Between the Use of Nerve Blockade and the Risk of Postoperative Chronic Opioid Use Among Patients Undergoing Total Knee Arthroplasty: Evidence From the Marketscan Database

AUTHORS: Sun, Eric C. MD, PhD et al Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 999–1007 BACKGROUND: Total knee arthroplasty (TKA) is associated with high rates of prolonged opioid use after surgery (10%–34%). By decreasing opioid use in the immediate postoperative period, perioperative nerve blockade has been hypothesized to decrease […]

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Uncategorized Published - 6 September, 2017    By - Dr Clemens
Physical Descriptors Aid Accuracy Of ASA Physical Status Designations

How good are anesthesiologists at choosing the correct American Society of Anesthesiologists physical status classification for their patients? Pretty good, according to the results of a recent analysis from the University of Iowa—at least when the ASA’s physical descriptors are used when making the decision. “As we all know, there’s quite a bit of variability […]

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Uncategorized Published - 6 September, 2017    By - Dr Clemens
FDA Restricting Use of Codeine and Tramadol Medicines in Children, Breastfeeding Mothers

The US Food and Drug Administration (FDA) is restricting the use of codeine and tramadol medicines in children. These medicines carry serious risks, including slowed or difficult breathing and death, which appear to be a greater risk in children aged younger than 12 years. These medicines should also be limited in some older children. The […]

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Uncategorized Published - 6 September, 2017    By - Dr Clemens
Methadone May Reduce Need for Opioids After Surgery

Patients undergoing spinal fusion surgery who are treated with methadone during the procedure require significantly less intravenous and oral opioids to manage postoperative pain, according to a study published in the May issue of Anesthesiology. “This is a new application for an old pain medication that offers hope for reducing the development of acute pain […]

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Uncategorized Published - 5 September, 2017    By - Dr Clemens
Flurbiprofen Axetil Provides Effective Analgesia Without Changing the Pregnancy Rate in Ultrasound-Guided Transvaginal Oocyte Retrieval: A Double-Blind Randomized Controlled Trial.

AUTHORS: Zhao, Hong MD et al Anesthesia & Analgesia: April 19, 2017 BACKGROUND: In this prospective double-blind randomized study, we evaluated the analgesic effect and potential effect on pregnancy rate of the nonsteroidal anti-inflammatory drug flurbiprofen axetil in patients undergoing ultrasound-guided transvaginal oocyte retrieval under propofol-remifentanil anesthesia. METHODS: A total of 200 patients scheduled to undergo […]

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Uncategorized Published - 5 September, 2017    By - Dr Clemens
Attempted Development of a Tool to Predict Anesthesia Preparation Time From Patient-Related and Procedure-Related Characteristics

AUTHORS: Maheshwari, Kamal MD, MPH et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 580–592 BACKGROUND: Operating room (OR) utilization generally ranges from 50% to 75%. Inefficiencies can arise from various factors, including prolonged anesthesia preparation time, defined as the period from induction of anesthesia until patients are considered ready […]

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Uncategorized Published - 5 September, 2017    By - Dr Clemens
Effect of Bronchoconstriction-induced Ventilation–Perfusion Mismatch on Uptake and Elimination of Isoflurane and Desflurane

Authors: Moritz Kretzschmar, M.D., Ph.D., D.E.S.A. et al Anesthesiology published on August 31, 2017. Background: Increasing numbers of patients with obstructive lung diseases need anesthesia for surgery. These conditions are associated with pulmonary ventilation/perfusion (VA/Q) mismatch affecting kinetics of volatile anesthetics. Pure shunt might delay uptake of less soluble anesthetic agents but other forms of VA/Q scatter […]

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Uncategorized Published - 5 September, 2017    By - Dr Clemens
Female Reproductive Stages and Migraine

The sizable difference in migraine prevalence between the sexes is largely attributed to hormonal differences. Of the more than 37 million Americans who suffer from migraine, the majority are women. The estimated overall prevalence of migraine is 18% in women and 6% in men, and the rate is as high as 37% among women during […]

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Uncategorized Published - 5 September, 2017    By - Dr Clemens
Perioperative Outcomes of Robotic-Assisted Hysterectomy Compared With Open Hysterectomy.

AUTHORS: Gali, Bhargavi MD et al Anesthesia & Analgesia: April 19, 2017 BACKGROUND: Increasing numbers of robotic hysterectomies (RH) are being performed. To provide ventilation (with pneumoperitoneum and steep Trendelenburg position) for these procedures, utilization of lung protective strategies with limiting airway pressures and tidal volumes is difficult. Little is known about the effects of intraoperative […]

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