Author: Dr Clemens

Uncategorized Published - 18 July, 2016    By - Dr Clemens
Lidocaine Viscous Solution Appears Unnecessary for Pharyngeal Observation

Lidocaine spray alone for pharyngeal anaesthesia is not inferior to lidocaine spray and viscous solution, according to a study presented here at Digestive Disease Week (DDW) 2016. The findings suggest that lidocaine viscous solution may not be needed for pharyngeal observation, according to Tomoyuki Hayashi, MD, Kanazawa University Hospital, Kanazawa, Ishikawa, Japan, and colleagues. Pharyngeal […]

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Uncategorized Published - 18 July, 2016    By - Dr Clemens
A Novel Device for the Evaluation of Hemostatic Function in Critical Care Settings

Anesthesia & Analgesia: May 24, 2016 AUTHORS: Ferrante, Elisa A. PhD et al Major surgical procedures often result in significant intra- and postoperative bleeding. The ability to identify the cause of the bleeding has the potential to reduce the transfusion of blood products and improve patient care. We present a novel device, the Quantra Hemostasis […]

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Uncategorized Published - 18 July, 2016    By - Dr Clemens
The Effect of Lipid Emulsion on Pharmacokinetics of Bupivacaine in Rats: Long-Chain Triglyceride Versus Long- and Medium-Chain Triglyceride

Anesthesia & Analgesia: May 24, 2016 AUTHORS: Tang, Wan MD et al BACKGROUND: Lipid infusions have been proposed to treat local anesthetic-induced cardiac toxicity. This study compared the effects of long-chain triglyceride (LCT) emulsions with those of long- and medium-chain triglyceride (LCT/MCT) emulsions on the pharmacokinetics of bupivacaine in a rat model. METHODS: After administration […]

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Uncategorized Published - 15 July, 2016    By - Dr Clemens
Intradiskal Biacuplasty Bests Standard Management for Diskogenic Low Back Pain

Intradiskal biacuplasty can provide patients who have diskogenic low back pain with long-term improvements in pain scores and physical function, a new Canadian study suggests. Investigators conducted a 12-month study to determine the effectiveness of intradiskal biacuplasty (IDB) combined with conventional medical management (CMM) versus CMM alone for the treatment of diskogenic low back pain […]

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Uncategorized Published - 15 July, 2016    By - Dr Clemens
New Study Highlights Risks of Combining Benzodiazepines and Opioids

Although prescribing benzodiazepines concurrently with opioid analgesics has been shown to raise the risk for fatal overdose, new research documents a risk that is four times that of opioids taken alone, and even at low doses. The new study was published online in the British Medical Journal (2015;350:h2698). Additionally, the authors found a dose-dependent association with overdose […]

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Uncategorized Published - 15 July, 2016    By - Dr Clemens
Echogenic Needles Provide Best Needle Visualization at Steeper Angles of Insertion

Anesthesiologists looking to achieve good needle visualization at steeper angles of insertion may get better results using echogenic needles with beam steering versus using these technologies individually, new research suggests. “Needle visualization is of utmost importance when providing regional anesthesia care and to provide a safe and efficacious block,” said Christopher Prabhakar, MD, lead study […]

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Uncategorized Published - 15 July, 2016    By - Dr Clemens
Lithium Absorption Systems Equal Calcium Absorbers When Nitric Oxide Administered Via Anesthesia Systems

Lithium (Li) absorption systems are equal to calcium (Ca) absorbers in their ability to scavenge nitrogen dioxide (NO2) when nitric oxide (NO) is administered via anesthesia systems in the cardiac lab or operating room, research suggests. The anesthesia systems are “semiclosed” to conserve anesthetic agents and require carbon dioxide (CO2) absorption to allow recirculation. As […]

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Uncategorized Published - 15 July, 2016    By - Dr Clemens
Dexmedetomidine and Propofol in Critically Ill ICU Patients Pose Hemodynamic Risks

When maintaining light sedation in critically ill ICU patients, dexmedetomidine should be avoided in those predisposed to bradycardia and propofol in those predisposed to hypotension. While propofol and dexmedetomidine are the preferred sedative agents to maintain light sedation in the ICU, both sedatives leave critically ill patients at risk for hemodynamic adverse events, said Amy […]

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Uncategorized Published - 14 July, 2016    By - Dr Clemens
The Risks to Patient Privacy from Publishing Data from Clinical Anesthesia Studies

Anesthesia & Analgesia: June 2016 – Volume 122 – Issue 6 – p 2017–2027 Authors: O’Neill, Liam PhD et al From the *Department of Health Management and Policy, School of Public Health, University of North Texas–Health Science Center, Fort Worth, Texas; †Division of Management Consulting, Department of Anesthesia, University of Iowa, Iowa City, Iowa; and ‡Department of Computer […]

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Uncategorized Published - 14 July, 2016    By - Dr Clemens
A Randomized Comparison of Remifentanil Target-Controlled Infusion Versus Dexmedetomidine Single-Dose Administration: A Better Method for Smooth Recovery From General Sevoflurane Anesthesia

American Journal of Therapeutics: May/June 2016 – Volume 23 – Issue 3 – p e690–e696 Authors; Park, Jeong-Soo MD et al Remifentanil target-controlled infusion and dexmedetomidine single-dose administration are known to reduce airway response and hemodynamic stimulation during anesthetic recovery. We compared the effects of 2 drugs on the prevention of cough during emergence. We enrolled […]

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