Author: Dr Clemens

Uncategorized Published - 23 August, 2017    By - Dr Clemens
Regional Anesthesia Offers Alternative to Opioids for TJR

Although anesthesiologists have been performing regional blocks with nerve stimulation for years, the introduction of ultrasound guidance has improved efficiency dramatically, leading to faster block placement and onset in skilled hands. These advancements have come at an opportune time, said Sonia Szlyk, MD, as opioid-related adverse events have become an increasing burden on the health […]

Read More
Uncategorized Published - 22 August, 2017    By - Dr Clemens
15 Seconds of Your Time Can Prevent Infection, Improve Patient Care

Fifteen seconds. That is all it takes to clean your hands with hand sanitizers to provide optimal infection prevention and control. Alcohol-based hand sanitizers are increasingly popular as a quick, convenient way to protect against the spread of organisms. However, data regarding optimal usage have been slim. Researchers in Switzerland set out to determine how […]

Read More
Uncategorized Published - 22 August, 2017    By - Dr Clemens
Benefit of Epidurals for Hernia Surgery Questioned

Researchers Change Practice; Selection Bias Could Explain Results; Proper Technique Key Surgeons speaking at the 2017 annual meeting of the Americas Hernia Society questioned the value of perioperative epidural analgesia in patients undergoing ventral hernia repair after results from a new analysis suggested epidurals may contribute to longer hospital length of stay without any obvious […]

Read More
Uncategorized Published - 22 August, 2017    By - Dr Clemens
Patients Report Worse Outcomes With Higher Opioid Doses

Concerns with the safety and adverse effects of opioids have grown with increases in prescribing and dose, and higher doses have been associated with worse patient-reported outcomes in a study by researchers at Veterans Affairs (VA) and Kaiser Permanente health systems. Benjamin Morasco, PhD, and his colleagues at the VA Portland Health Care System and […]

Read More
Uncategorized Published - 22 August, 2017    By - Dr Clemens
A commencement address to anesthesiologist assistants

KAREN S. SIBERT, MD | PHYSICIAN | AUGUST 16, 2017 A commencement address delivered on August 5, 2017, to the 2017 class of anesthesiologist assistants (AAs), Emory University. Distinguished faculty, graduates, honored guests: It is a great pleasure and an honor to be here, and to congratulate all the graduates of the Emory University Class of 2017 on your […]

Read More
Uncategorized Published - 22 August, 2017    By - Dr Clemens
The Association of Frailty With Outcomes and Resource Use After Emergency General Surgery: A Population-Based Cohort Study

AUTHORS: McIsaac, Daniel I. MD, MPH, FRCPC et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1653–1661 BACKGROUND: Older patients undergoing emergency general surgery (EGS) experience high rates of postoperative morbidity and mortality. Studies focused primarily on elective surgery indicate that frailty is an important predictor of adverse outcomes […]

Read More
Uncategorized Published - 21 August, 2017    By - Dr Clemens
Prophylactic Plasma Transfusion Is Not Associated With Decreased Red Blood Cell Requirements in Critically Ill Patients

AUTHORS: Warner, Matthew A. MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1636–1643 BACKGROUND: Critically ill patients frequently receive plasma transfusion under the assumptions that abnormal coagulation test results confer increased risk of bleeding and that plasma transfusion will decrease this risk. However, the effect of prophylactic […]

Read More
Uncategorized Published - 21 August, 2017    By - Dr Clemens
Assessing the Impact of the Anesthesia Medication Template on Medication Errors During Anesthesia: A Prospective Study

AUTHORS: Grigg, Eliot B. MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1617–1625 BACKGROUND: Medication errors continue to be a significant source of patient harm in the operating room with few concrete countermeasures. The organization and identification of medication syringes may have an impact on the commission […]

Read More
Uncategorized Published - 21 August, 2017    By - Dr Clemens
A High Preoperative Pain and Symptom Profile Predicts Worse Pain Outcomes for Children After Spine Fusion Surgery

AUTHORS: Voepel-Lewis, Terri PhD, RN et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1594–1602 BACKGROUND: Preoperative pain predicts persistent pain after spine fusion, yet little is understood about the nature of that pain, related symptoms, and how these symptoms relate to postoperative pain outcomes. This prospective study examined […]

Read More
Uncategorized Published - 21 August, 2017    By - Dr Clemens
Blood Bupivacaine Concentrations After a Combined Single-Shot Sciatic Block and a Continuous Femoral Nerve Block in Pediatric Patients: A Prospective Observational Study

AUTHORS: Suresh, Santhanam MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1591–1593 We evaluated blood bupivacaine concentrations in children having a single-shot sciatic and continuous femoral blocks after anterior cruciate ligament repair. Dried blood spot samples were analyzed for bupivacaine levels at 0, 5, 15, 30, 60, […]

Read More