Author: Dr Clemens

Uncategorized Published - 14 December, 2016    By - Dr Clemens
Effect of Intraoperative Glucose Infusion on Catabolism of Adipose Tissue and Muscle Protein in Patients Anesthetized With Remifentanil in Combination With Sevoflurane During Major Surgery: A Randomized Controlled Multicenter Trial

Anesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 869–876 AUTHORS: Sawada, Atsushi MD, PhD et al BACKGROUND: A harmful effect of stress hormone secretion during surgery is lipolysis and proteolysis to maintain normal blood glucose levels. A well-titrated general anesthetic improves blood glucose control by suppressing secretion of these stress […]

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Uncategorized Published - 14 December, 2016    By - Dr Clemens
Targeted Coagulation Management in Severe Trauma: The Controversies and the Evidence

Anesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 910–924 AUTHORS: Winearls, James BSc, MBBS, MRCP, FCICM et al Hemorrhage in the setting of severe trauma is a leading cause of death worldwide. The pathophysiology of hemorrhage and coagulopathy in severe trauma is complex and remains poorly understood. Most clinicians currently […]

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Uncategorized Published - 13 December, 2016    By - Dr Clemens
The Impact of Residual Neuromuscular Blockade, Oversedation, and Hypothermia on Adverse Respiratory Events in a Postanesthetic Care Unit: A Prospective Study of Prevalence, Predictors, and Outcomes

Anesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 859–868 AUTHORS: Stewart, Paul A. MBBS, FANZCA et al BACKGROUND: Residual neuromuscular blockade (RNMB) has been linked to adverse respiratory events (AREs) in the postanesthetic care unit (PACU). However, these events are often not attributed to RNMB by anesthesiologists because they may […]

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Uncategorized Published - 13 December, 2016    By - Dr Clemens
Does Propofol Anesthesia Lead to Less Postoperative Pain Compared With Inhalational Anesthesia?: A Systematic Review and Meta-analysis

Anesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 846–858 AUTHORS: Peng, Ke MS et al BACKGROUND: Many studies have compared propofol-based anesthesia with inhalational anesthesia. Results from several studies have shown improved postoperative analgesia after propofol anesthesia, but other studies showed contradictory results. There are no large prospective studies that […]

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Uncategorized Published - 13 December, 2016    By - Dr Clemens
Development and Validation of a Risk Stratification Score for Children With Congenital Heart Disease Undergoing Noncardiac Surgery

Anesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 824–830 AUTHORS: Faraoni, David MD, PhD et al BACKGROUND: Children with major and severe congenital heart disease (CHD) undergoing noncardiac surgery are at increased risk of mortality. The objective of this study was to identify the predictors for in-hospital mortality, and to […]

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Uncategorized Published - 13 December, 2016    By - Dr Clemens
ADRB2 gly16gly Genotype, Cardiac Output, and Cerebral Oxygenation in Patients Undergoing Anesthesia for Abdominal Aortic Aneurysm Surgery

Anesthesia & Analgesia: December 2016 – Volume 123 – Issue 6 – p 1408–1415 AUTHORS: Staalsø, Jonatan Myrup MD, PhD et al BACKGROUND: Gly16arg polymorphism of the adrenergic β2-receptor is associated with the elevated cardiac output (Q) in healthy gly16-homozygotic subjects. We questioned whether this polymorphism also affects Q and regional cerebral oxygen saturation (SCO2) during anesthesia in […]

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Uncategorized Published - 13 December, 2016    By - Dr Clemens
Obese pts

One-third of American adults are obese. Due diligence and proper screening are the keys to preventing problems. While difficult airways are common in obese patients, BMI shouldn’t be the lone determining factor when deciding whether to treat them.  There are other considerations which are just as important including a patient’s Mallampati score and neck circumference. […]

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Uncategorized Published - 12 December, 2016    By - Dr Clemens
Structural Integrity of a Simple Method to Repair Disrupted Tracheal Tube Pilot Balloon Assemblies

Anesthesia & Analgesia: November 2016 – Volume 123 – Issue 5 – p 1158–1162 AUTHORS: Dayan, Amir C. MD et al BACKGROUND: An intact pilot balloon assembly is crucial to the proper function of a cuffed tracheal tube. Disruption of the pilot balloon, transection of the inflation line, or valve incompetence results in cuff deflation, […]

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Uncategorized Published - 12 December, 2016    By - Dr Clemens
Baseline Pulse Pressure, Acute Kidney Injury, and Mortality After Noncardiac Surgery

Anesthesia & Analgesia: December 2016 – Volume 123 – Issue 6 – p 1480–1489 AUTHORS: Oprea, Adriana D. MD et al BACKGROUND: Increased pulse pressure (PP) is an important independent predictor of cardiovascular outcome and acute kidney injury (AKI) after cardiac surgery. The objective of this study was to determine whether elevated baseline PP is […]

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Uncategorized Published - 9 December, 2016    By - Dr Clemens
Prevalence and Location of Neuropathic Pain in Lumbar Spinal Disorders Analysis of 1804 Consecutive Patients With Primary Lower Back Pain

Authors: Sumihisa Orita, MD, PhD et al Spine. 2016;41(15):1224-1231. Study Design. A cross-sectional study of 1804 consecutive patients. Objective. The aim of this study was to investigate the prevalence of pathological pain and its distribution features in patients with chronic lumbar spinal disorders. Summary of Background Data. Clinical spinal disorders can involve pathological neuropathic pain (NeP) as well as […]

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