Author: Dr Clemens

Uncategorized Published - 22 January, 2016    By - Dr Clemens
How Effective Are IV Catheter Disinfection Caps?

Authors: Kamboj M et al., Infect Control Hosp Epidemiol 2015 Dec 36:1401 Using antiseptic barrier caps for intravenous catheter ports reduced rates of central-line–associated bloodstream infections and blood culture contamination in a high-risk cancer unit. “Reducing to zero” the rate of central-line–associated bloodstream infections (CLABSIs) requires optimizing not only the approach to catheter insertion, but also the […]

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Uncategorized Published - 22 January, 2016    By - Dr Clemens
Prescriptions for Combo Hydrocodone Products Fall After Stricter Controls

Prescriptions for combination drugs containing hydrocodone (e.g., Vicodin) dropped after the U.S. Drug Enforcement Administration enacted tighter controls by moving them from Schedule III to Schedule II in 2014. Researchers published their findings in JAMA Internal Medicine. Using data on dispensed retail prescriptions, the researchers examined the number of prescriptions filled for hydrocodone-containing products for the […]

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Uncategorized Published - 21 January, 2016    By - Dr Clemens
Adjunctive Dexmedetomidin Beneficial for Postop Nausea

Adding dexmedetomidine to fentanyl-based intravenous patient-controlled analgesia reduces the frequency and severity of postoperative nausea in highly susceptible patients, according to a study presented here at ANESTHESIOLOGY 2015, the Annual Meeting of the American Society of Anesthesiologists (ASA). In the prospective, randomised, double-blind study, Young ran Kang, MD, Yonsei University College of Medicine, Seoul, South […]

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Uncategorized Published - 21 January, 2016    By - Dr Clemens
Desflurane Non-Inferior to Propofol in Oxygenation During One-Lung Ventilation Lung Cancer Surgery

A low concentration of desflurane is as useful as propofol for oxygenation during one-lung ventilation in patients undergoing lung cancer surgery, according to a study presented here at ANESTHESIOLOGY 2015, the Annual Meeting of the American Society of Anesthesiologists (ASA). The concurrent use of inhalational anaesthetics with opioids significantly lowers the concentration required to achieve […]

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Uncategorized Published - 21 January, 2016    By - Dr Clemens
Methadone, Magnesium Not Beneficial for Post-Spinal Infusion Pain

Preliminary data shows no significant difference in postoperative opioid consumption with a single intraoperative dose of methadone or magnesium bolus versus remifentanil alone following posterior spinal fusion, according to a study presented here at ANESTHESIOLOGY 2015, the Annual Meeting of the American Society of Anesthesiologists (ASA). Furthermore, bolus dosing of magnesium may interfere with monitoring […]

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Uncategorized Published - 21 January, 2016    By - Dr Clemens
Sufentanil Sublingual Analgesic as Effective as IV Morphine for Postop Pain in Obese Patients

A novel, patient-controlled sublingual analgesic is as effective for postop pain as intravenous morphine, independent of body mass index (BMI), according to a study presented here at Obesity Week 2015. With more and more patients undergoing surgery for obesity-related conditions, such as knee and hip arthroplasty, the physiological differences between obese and normal-weight patients may […]

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Uncategorized Published - 21 January, 2016    By - Dr Clemens
Adductor Canal Catheter Provides Better Pain Control Than Intra-Articular Catheter After TKA

Adductor canal catheters provide better pain control on postoperative day 1 prior to, during, and after patients’ first physical therapy session following total knee arthroplasty (TKA), compared with intra-articular catheters, according to a study presented here at the ANESTHESIOLOGY 2015, the Annual Meeting of the American Society of Anesthesiologists (ASA). Furthermore, adductor canal catheters significantly […]

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Uncategorized Published - 20 January, 2016    By - Dr Clemens
Acupuncture, Alexander Technique Effective in Neck Pain

The first randomized controlled trial to examine the effect of adding acupuncture or Alexander Technique exercises to usual care (medication and physical therapy) for chronic neck pain found promising improvements in pain reduction and self-efficacy, British researchers report in an article published in the November 3 issue of the Annals of Internal Medicine. “Acupuncture sessions and Alexander Technique […]

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Uncategorized Published - 20 January, 2016    By - Dr Clemens
Advanced Airway Training Needed for Anesthesiologists

Go-to pros need high level of competency Anesthesiologists are the go-to professionals for difficult airway management in the hospital, researchers reported. This demand for anesthesia airway services increases the importance of advanced airway training programs to improve the competency of anesthesia providers. “Here at Vanderbilt we’re regularly called for difficult airways,” noted Brian O’Hara, MD, […]

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Uncategorized Published - 20 January, 2016    By - Dr Clemens
Hearing Loss From Dural Puncture Not Uncommon, But Is Improved With Epidural Blood Patch

Although accidental dural puncture and postdural puncture headache (PDPH) are on the radar of most anesthesiologists administering epidural analgesia, subsequent hearing loss is often overlooked. Yet, hearing impairment is a common occurrence following PDPH, but one that can be improved by applying an epidural blood patch. “Hearing loss after spinal anesthesia has a reported incidence […]

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