Author: Dr Clemens

Uncategorized Published - 24 July, 2017    By - Dr Clemens
Literature Review Finds Ketorolac Side Effect Profile Largely Benign for Renal Function and Bone Healing

Use of ketorolac has become more widespread because of a demonstrable ability to improve pain scores and reduce opioid requirements, but there continues to be some concern over perioperative adverse effects related to its anti-inflammatory properties. However, as a recent literature review has shown, ketorolac has shown a favorable side effect profile with respect to […]

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Uncategorized Published - 24 July, 2017    By - Dr Clemens
No Bleeding Risk With Tranexamic Acid for Coronary Artery Surgery During First Post-op Month

Any questions regarding the safety of tranexamic acid in patients undergoing cardiac surgery seem to have been put to rest with the ATACAS (Aspirin and Tranexamic Acid For Coronary Artery Surgery) trial. In a cohort of nearly 5,000 patients, the trial concluded that tranexamic acid was associated with a lower risk for bleeding than placebo, […]

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Uncategorized Published - 24 July, 2017    By - Dr Clemens
Diabetics Given Dexamethasone for ENT Surgery At Risk for Postoperative Hyperglycemia

Although dexamethasone may be a beneficial adjunct to surgery in terms of its antiemetic and anti-inflammatory effects, a team of researchers from Thomas Jefferson University Hospital has found that it may have a darker side, particularly in diabetic patients. A pilot study concluded that dexamethasone administration was associated with significant postoperative hyperglycemia in these patients […]

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Uncategorized Published - 24 July, 2017    By - Dr Clemens
Hypothermia Better Managed With Underbody Warming Blankets Than Overbody

Underbody warming blankets ultimately may prove to be a better choice than their overbody counterparts, with respect to both treating and preventing hypothermia, according to a recent study. “A few years have passed since underbody-type blankets were introduced to the market,” began Hiroshi Sumida, MD, a staf f anesthesiologist at the Tohoku University School of […]

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Uncategorized Published - 21 July, 2017    By - Dr Clemens
Massive Transfusion in Cardiac Surgery: The Impact of Blood Component Ratios on Clinical Outcomes and Survival

AUTHORS: Delaney, Meghan DO, MPH et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1777–1782 BACKGROUND: Cardiac surgery is the most common setting for massive transfusion in medically advanced countries. Studies of massive transfusion after injury suggest that the ratios of administered plasma and platelets (PLT) to red blood cells […]

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Uncategorized Published - 21 July, 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 - 21 July, 2017    By - Dr Clemens
Analgesic Benefits Following Ambulatory Breast Cancer Surgery: A Retrospective Propensity-Matched Cohort Study

Pectoralis and Serratus Fascial Plane Blocks Each Provide Early AUTHORS: Abdallah, Faraj W. MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 294–302 BACKGROUND: Pectoralis and serratus blocks have been described recently for use in breast surgery, but evidence supporting their analgesic benefits is limited. This cohort study evaluates […]

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Uncategorized Published - 20 July, 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 thus […]

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Uncategorized Published - 20 July, 2017    By - Dr Clemens
Topical Ropivacaine in Prevention of Post-Tonsillectomy Pain in Adults

AUTHORS: Hanna Kaisa MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1459–1466 BACKGROUND: Post-tonsillectomy pain is 1 of the most intense postoperative pain conditions. However, optimal and sufficient postoperative analgesic treatment remains unclear. We investigated the effect of topical ropivacaine for post-tonsillectomy pain in 160 adult outpatient surgery […]

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Uncategorized Published - 20 July, 2017    By - Dr Clemens
Nasal Nerve Block for Migraine Relief in Children

Sphenopalatine ganglion block consists of a small flexible catheter inserted into each nostril, via which a local anesthetic is administered. HealthDay News — A nasal nerve block may be an effective pain relief method for children with migraines, according to research presented at the annual meeting of the Society of Interventional Radiology, held from March […]

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