Author: Dr Clemens

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 […]

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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 […]

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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, […]

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Uncategorized Published - 21 August, 2017    By - Dr Clemens
Posttransfusion Increase of Hematocrit per se Does Not Improve Circulatory Oxygen Delivery due to Increased Blood Viscosity

AUTHORS: Zimmerman, Robert MS et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1547–1554 BACKGROUND: Blood transfusion is used to treat acute anemia with the goal of increasing blood oxygen-carrying capacity as determined by hematocrit (Hct) and oxygen delivery (DO2). However, increasing Hct also increases blood viscosity, which may […]

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Uncategorized Published - 18 August, 2017    By - Dr Clemens
Development of a Pediatric Risk Assessment Score to Predict Perioperative Mortality in Children Undergoing Noncardiac Surgery

AUTHORS: Nasr, Viviane G. MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1514–1519 BACKGROUND: Although there have been numerous attempts to predict perioperative mortality in adults, an objective model to predict mortality in children has not been developed. In this study, we aimed to develop a Pediatric […]

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Uncategorized Published - 18 August, 2017    By - Dr Clemens
Higher Fresh Gas Flow Rates Decrease Tidal Volume During Pressure Control Ventilation

AUTHORS: Mohammad, Shazia MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1506–1511 BACKGROUND: We observed that increasing fresh gas flow (FGF) decreased exhaled tidal volume (VT) during pressure control ventilation (PCV). A literature search produced no such description whereby unintended VT changes occur with FGF changes during PCV. METHODS: […]

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Uncategorized Published - 18 August, 2017    By - Dr Clemens
Online Cognitive Behavioral Pain Management Course May Benefit Fibromyalgia

Even minor improvements in fibromyalgia symptoms, depression, anxiety, and pain can have a significant impact on the quality of life in patients with fibromyalgia. Research published in the journal PAIN shows that an internet-delivered cognitive behavioral pain management course significantly improves depression, pain, and fear of pain in patients with fibromyalgia.1 Blake F. Dear, PhD, from Macquarie […]

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Uncategorized Published - 18 August, 2017    By - Dr Clemens
Study Supports Comprehensive Plan for Managing Difficult Airways in Children

A consultation service to plan management of pediatric patients with difficult airways before problems arise is an effective use of resources, according to a recent study. The study described findings from the Pediatric Difficult Airway Program, implemented in two stages in the Department of Anesthesiology and Critical Care Medicine at the Johns Hopkins University School […]

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Uncategorized Published - 18 August, 2017    By - Dr Clemens
The Effect of Deep Versus Moderate Neuromuscular Block on Surgical Conditions and Postoperative Respiratory Function in Bariatric Laparoscopic Surgery: A Randomized, Double Blind Clinical Trial

AUTHORS: Baete, Sam MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1469–1475 BACKGROUND: In recent literature, it has been suggested that deep neuromuscular block (NMB) improves surgical conditions during laparoscopy; however, the evidence supporting this statement is limited, and this was not investigated in laparoscopic bariatric surgery. Moreover, […]

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Uncategorized Published - 17 August, 2017    By - Dr Clemens
The Effect of Implementation of Preoperative and Postoperative Care Elements of a Perioperative Surgical Home Model on Outcomes in Patients Undergoing Hip Arthroplasty or Knee Arthroplasty

AUTHORS: Vetter, Thomas R. MD, MPH et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1450–1458 BACKGROUND: The Perioperative Surgical Home (PSH) seeks to remedy the currently highly fragmented and expensive perioperative care in the United States. The 2 specific aims of this health services research study were to assess […]

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