Author: Dr Clemens

Uncategorized Published - 25 April, 2017    By - Dr Clemens
A Predictive Model for Extended Postanesthesia Care Unit Length of Stay in Outpatient Surgeries

AUTHORS: Gabriel, Rodney A. MD et al     Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1529–1536 BACKGROUND: A predictive model that can identify patients who are at an increased risk for prolonged postanesthesia care unit (PACU) stay could help optimize resource utilization and case sequencing. Although previous studies identified some […]

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Uncategorized Published - 25 April, 2017    By - Dr Clemens
The Development and Implementation of Cognitive Aids for Critical Events in Pediatric Anesthesia: The Society for Pediatric Anesthesia Critical Events Checklists

Authors: Clebone, Anna MD et al Members of the Society for Pediatric Anesthesia Quality and Safety Committee (see Acknowledgments) Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 900–907 Cognitive aids such as checklists are commonly used in modern operating rooms for routine processes, and the use of such aids may be […]

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Uncategorized Published - 24 April, 2017    By - Dr Clemens
Open repair of incisional ventral abdominal hernias with mesh leads to long-term improvement in pain interference as measured by patient-reported outcomes

Authors: Park E et al American Journal of Surgery 213 (1), 58-63 (Jan 2017) BACKGROUND The Patient-Reported Outcomes Measurement Information System was used to evaluate the effects of open incisional ventral hernia repair on hernia-related pain. METHODS All patients who underwent elective repair of a primary or recurrent midline incisional hernia over a 3-year period completed […]

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Uncategorized Published - 24 April, 2017    By - Dr Clemens
Fresh-Frozen Plasma: Ordering Patterns and Utilization in the Operating Rooms of a Tertiary Referral Hospital

AUTHORS: Meyer, Matthew J. MD et al Anesthesia & Analgesia: February 2017 – Volume 124 – Issue 2 – p 618–622 BACKGROUND: Blood product transfusion is the most commonly performed hospital procedure. Intraoperative blood product utilization varies between institutions and anesthesiologists. In the United States in 2011, nearly 4 million plasma units were transfused. METHODS: A […]

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Uncategorized Published - 24 April, 2017    By - Dr Clemens
Intravenous Ketamine Infusions for Neuropathic Pain Management: A Promising Therapy in Need of Optimization

Authors: Maher, Dermot P MD, MS et al Anesthesia & Analgesia: February 2017 – Volume 124 – Issue 2 – p 661–674 Chronic Pain Medicine: Narative Review Article Intravenous ketamine infusions have been used extensively to treat often-intractable neuropathic pain conditions. Because there are many widely divergent ketamine infusion protocols described in the literature, the variation […]

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Uncategorized Published - 24 April, 2017    By - Dr Clemens
America’s love affair with opiates

Written by DR. LEONARD A. SOWAH Current reports from the International Narcotics Control Board (INCB) suggest that the United States is second on the list of countries with the highest per capita consumption of opiates.  Data from 2014 quotes U.S. use of opiates at 700 mg per capita per year. The only country that has […]

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Uncategorized Published - 24 April, 2017    By - Dr Clemens
Pancreatic Surgery: Robot vs Surgeon, Volume Important

Minimally invasive techniques for pancreatic surgery are associated with a significantly increased risk for complications when performed in low-volume hospitals in which relatively few procedures are performed per year, warn US investigators. The researchers found that in hospitals in which 22 or fewer minimally invasive pancreaticoduodenectomies (MPDs) were performed per year, the rate of complications […]

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Uncategorized Published - 21 April, 2017    By - Dr Clemens
Psychiatric Conditions Linked to Increased Risk of Long-Term Opioid Use

A wide range of pre-existing psychiatric and behavioural conditions and the use of psychoactive drugs could be important risk factors leading to long-term use of opioid pain medications, according to a study published in the journal Pain. Using a nationwide insurance database, researchers identified 10.3 million patients who filed insurance claims for opioid prescriptions between […]

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Uncategorized Published - 21 April, 2017    By - Dr Clemens
Comparison of the Effect of Continuous Intravenous Infusion and Two Bolus Injections of Remifentanil on Haemodynamic Responses During Anaesthesia Induction

Authors: Toyoaki Maruta et al BMC Anesthesiol. 2016;16(110) A Prospective Randomised Single-Centre Study Background: Remifentanil is an effective drug for protecting against adverse haemodynamic responses to tracheal intubation. We compared the haemodynamic responses during anaesthesia induction between continuous intravenous (IV) infusion and two bolus injections of remifentanil. Methods: This prospective, randomised, open-label, single-centre study included patients with American […]

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Uncategorized Published - 21 April, 2017    By - Dr Clemens
Anesthesia Exposure and Risk of Dementia and Alzheimer’s Disease: A Prospective Study

Authors: Erin J. Aiello Bowles, MPH et al J Am Geriatr Soc. 2016;64(3):602-607. Objectives: To evaluate the associations between anesthesia and dementia or Alzheimer’s disease (AD) risk using prospectively collected data. Design: Cohort study. Participants: Community-dwelling members of the Adult Changes in Thought cohort aged 65 and older and free of dementia at baseline (N = 3,988). Measurements: Participants self-reported […]

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