Author: Dr Clemens

Uncategorized Published - 8 December, 2016    By - Dr Clemens
Diversity and Similarity of Anesthesia Procedures in the United States During and Among Regular Work Hours, Evenings, and Weekends

Anesthesia & Analgesia: December 2016 – Volume 123 – Issue 6 – p 1567–1573 AUTHORS: Dexter, Franklin MD, PhD et al BACKGROUND: Anesthesiologists providing care during off hours (ie, weekends or holidays, or cases started during the evening or late afternoon) are more likely to care for patients at greater risk of sustaining major adverse […]

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Uncategorized Published - 8 December, 2016    By - Dr Clemens
Inhibition of Oxidative Stress in Renal Ischemia-Reperfusion Injury.

Anesthesia & Analgesia: September 2016 AUTHORS: Choi, Eun Kyung MD, PhD et al BACKGROUND: Superoxide, nitric oxide (NO), and peroxynitrite are important mediators in the pathogenesis of ischemia-reperfusion (I/R) injury. We tested the renoprotective effects of allopurinol (ALP), a xanthine oxidase inhibitor, N-nitro-L-arginine methyl ester (L-NAME), and 5,10,15,20-tetrakis (N-methyl-4-pyridyl) porphyrinato iron (III) (FeTMPyP) by selective […]

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Uncategorized Published - 8 December, 2016    By - Dr Clemens
Long-Acting Patient-Controlled Opioids Are Not Associated With More Postoperative Hypoxemia Than Short-Acting Patient-Controlled Opioids After Noncardiac Surgery: A Cohort Analysis

Anesthesia & Analgesia: December 2016 – Volume 123 – Issue 6 – p 1471–1479 AUTHORS: Belcher, Allan W. DO et al BACKGROUND: Opioids can contribute to postoperative desaturation. Short-acting opioids, titrated to need, may cause less desaturation than longer-acting opioids. We thus tested the primary hypothesis that long-acting patient-controlled intravenous opioids are associated with more […]

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Uncategorized Published - 7 December, 2016    By - Dr Clemens
Predisposing Characteristics of Adjacent Segment Disease After Lumbar Fusion

Authors: Vincent J. Alentado, BS et al Spine. 2016;41(14):1167-1172. Study Design. Retrospective Review. Objective. The aim of this study was to determine medical, radiographic, and surgical risk factors for the development of adjacent segment disease (ASD) after lumbar fusion. Summary of Background Data. ASD is a recognized outcome of spinal fusion that leads to increased costs and debilitating symptoms […]

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Uncategorized Published - 7 December, 2016    By - Dr Clemens
US National Anesthesia Workload on Saturday and Sunday Mornings

Anesthesia & Analgesia: November 2016 – Volume 123 – Issue 5 – p 1297–1301 AUTHORS: Dexter, Franklin MD, PhD et al BACKGROUND: In order to provide guidance to organizations considering elective weekend surgical case scheduling, we analyzed data from the American Society of Anesthesiologist’s Anesthesia Quality Institute. We determined the US anesthesia workload on Saturdays […]

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Uncategorized Published - 7 December, 2016    By - Dr Clemens
Vitamin D for the Treatment of Painful Diabetic Neuropathy

Authors: Abdul Basit et al BMJ Open Diabetes Res Care. 2016;4(1) Objective: To assess the effect of high-dose vitamin D in patients with painful diabetic neuropathy. Methods: A single intramuscular dose of 600 000 IU vitamin D was administered, and the effects on metabolic parameters and neuropathic pain assessed over 20 weeks. Results: 143 participants with predominantly type 2 diabetes, […]

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Uncategorized Published - 7 December, 2016    By - Dr Clemens
Simple X-Ray Best for Diagnosing Knee Pain in Patients Aged Older Than 40

Plain x-rays are the best first-line screening tools for knee pain among middle-aged patients, according to a study published in the September issue of the Journal of American Academy of Orthopaedic Surgeons (JAAOS). Whether a patient will need surgery for knee problems depends on how much arthritis he or she has. “If an x-ray shows […]

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Uncategorized Published - 7 December, 2016    By - Dr Clemens
Higher Rate of AAA Repair in the U.S. Than in the U.K. Is Associated with Lower AAA-Related Mortality

Authors: Karthikesalingam A et al., N Engl J Med 2016 Nov 24; 375:2051 Mean abdominal aortic aneurysm diameter at the time of repair was significantly smaller in the U.S. International guidelines recommend that abdominal aortic aneurysm (AAA) repair be considered for AAAs with diameters ≥5.5 cm in men or ≥5.0 cm in women (Eur J Vasc Endovasc […]

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Uncategorized Published - 6 December, 2016    By - Dr Clemens
Flexible optical intubation via the Ambu Aura-i vs blind intubation via the single-use LMA Fastrach: a prospective randomized clinical trial

Authors: Artime C et al Journal of Clinical Anesthesia (JCA) 33 41-6 (Sep 2016) STUDY OBJECTIVE This study was designed to compare the Ambu Aura-i to the single-use LMA Fastrach regarding time to intubation, success rate, and airway morbidity in patients undergoing elective surgery requiring general anesthesia. DESIGN Prospective, randomized controlled trial. SETTING Academic medical […]

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Uncategorized Published - 6 December, 2016    By - Dr Clemens
Impact of spinal versus general anesthesia on postoperative pain and long term recurrence after surgery for pilonidal disease

Authors: Luedi M et al Journal of Clinical Anesthesia (JCA) 33 236-42 (Sep 2016) STUDY OBJECTIVE To assess the effect of the kind of anesthesia on postoperative pain and long term recurrence rate in pilonidal sinus disease. DESIGN Retrospective study. SETTING Surgical departments of German Armed Forces Hospitals in Hamburg, Bad Zwischenahn and Hamm. PATIENTS […]

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