Author: Dr Clemens

Uncategorized Published - 7 April, 2017    By - Dr Clemens
A Randomized Controlled Trial of Music Use During Epidural Catheter Placement on Laboring Parturient Anxiety, Pain, and Satisfaction

AUTHORS: Drzymalski, Dan M. MD et al Anesthesia & Analgesia: February 2017 – Volume 124 – Issue 2 – p 542–547 BACKGROUND: Although music is frequently used to promote a relaxing environment during labor and delivery, the effect of its use during the placement of neuraxial techniques is unknown. Our study sought to determine the effects […]

Read More
Uncategorized Published - 6 April, 2017    By - Dr Clemens
Dynamic Ultrasound-Guided Short-Axis Needle Tip Navigation Technique for Facilitating Cannulation of Peripheral Veins in Obese Patients

Authors: Ueda, Kenichi MD, PhD; Hussey, Patrick BA Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 831–833 This preliminary observational study evaluated a specific ultrasound technique for venous access. Ultrasound was utilized for navigating a needle and catheter within the vessel lumen after venopuncture. One hundred adult obese surgical patients without […]

Read More
Uncategorized Published - 6 April, 2017    By - Dr Clemens
Predicting Fluid Responsiveness in Acute Liver Failure: A Prospective Study

AUTHORS: Audimoolam, Vinod Kumar MBBS et al Anesthesia & Analgesia: February 2017 – Volume 124 – Issue 2 – p 480–486 BACKGROUND: The profound hemodynamic changes seen in acute liver failure (ALF) resemble the hyperdynamic state found in the later stages of septic shock. Vasopressor support frequently is required after initial volume therapy. Markers of preload […]

Read More
Uncategorized Published - 6 April, 2017    By - Dr Clemens
Opioids Common After Hospital Discharge; Storage Knowledge Poor

Authors: Ricki Lewis, PhD About 15% of a group of Medicare patients who had not used opioid medications in the previous 2 months filled opioid prescriptions within a week of hospital discharge, according to a research report published online June 13 in JAMA Internal Medicine. A second report finds “suboptimal” practices related to sharing, storing, and disposing of […]

Read More
Uncategorized Published - 6 April, 2017    By - Dr Clemens
The Association Between Depressive Disorder and Chronic Pain

By David Cosio, PhD and Lotus M. Meshreki, PhD Chronic pain and depression often go hand in hand. The prevalence of pain symptoms in patients with depression ranges from 15% to 100% while the prevalence for concurrent major depression in patients identified as having pain ranged from 5% to 85%. In most cultures, the majority of mental health […]

Read More
Uncategorized Published - 6 April, 2017    By - Dr Clemens
Wisconsin doctors must check patient history before prescribing opioids, other drugs

Patients who take opioids or other controlled substances will be under greater scrutiny beginning Saturday, when doctors in Wisconsin will have to start checking a database of drugs previously given to patients before they write certain prescriptions. Doctors’ mandatory use of the state’s Prescription Drug Monitoring Program, meant to prevent patients from “doctor shopping” for narcotics and ensure they […]

Read More
Uncategorized Published - 5 April, 2017    By - Dr Clemens
Potent Opioid Analgesia Without Respiratory Depression: Could It Be Possible?

Author: Albert Dahan, M.D., Ph.D. Anesthesiology. 2016;125(5):841-843. The first known written reference to the medicinal use of the opium poppy dates from 4,000 BC in Sumerian clay tablets.[1] We have come a long way since the use of opium sap, but despite its many disadvantages, we still abundantly use drugs that activate the endogenous opioid system. These […]

Read More
Uncategorized Published - 5 April, 2017    By - Dr Clemens
Prevalence and Impact on Weaning of Pleural Effusion at the Time of Liberation from Mechanical Ventilation: A Multicenter Prospective Observational Study

Authors: Martin Dres, M.D. et al Anesthesiology published on March 30, 2017 Background: Pleural effusion is frequent in intensive care unit patients, but its impact on the outcome of weaning remains unknown. Methods: In a prospective study performed in three intensive care units, pleural ultrasound was performed at the first spontaneous breathing trial to detect and quantify pleural […]

Read More
Uncategorized Published - 5 April, 2017    By - Dr Clemens
Clinical Judgment Is Not Reliable for Reducing Whole-body Computed Tomography Scanning after Isolated High-energy Blunt Trauma

Authors: Thomas Mistral, M.D. et al Anesthesiology published on March 30, 2017. Background: The purpose of this study was to test the diagnostic performance of clinical judgment for the prediction of a significant injury with whole-body computed tomography scanning after high-energy trauma. Methods: The authors conducted an observational prospective study in a single level-I trauma center. Adult patients […]

Read More
Uncategorized Published - 5 April, 2017    By - Dr Clemens
Intraoperative Gastric Tube Intubation: A Summary of Case Studies and Review of the Literature

Author(s) Michael Long1,2*, Melissa Machan2,3, Luis Tollinche1 Affiliation(s) 1Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, USA. 2Barry University, College of Health Sciences, Hollywood, USA. 3Department of Anesthesiology, Plantation General Hospital, Plantation, USA. ABSTRACT Study Objective: Establish complications and risk factors that are associated with blind tube insertion, evaluate the validity of […]

Read More