Author: Dr Clemens

Uncategorized Published - 22 April, 2016    By - Dr Clemens
Dexmedetomidine Combined with General Anesthesia Provides Similar Intraoperative Stress Response Reduction When Compared with a Combined General and Epidural Anesthetic Technique

Anesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1202–1210 AUTHORS: Li, Yun MD et al BACKGROUND: Epidural anesthesia may attenuate the sympathetic hyperactivity and stress response from surgery. In this study, we compared the stress response, hemodynamic variables, and recovery profiles of patients undergoing total IV anesthesia (TIVA) and intraoperative […]

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Uncategorized Published - 22 April, 2016    By - Dr Clemens
Ultrasound-Guided Thoracic Paravertebral Blockade: A Retrospective Study of the Incidence of Complications

Anesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1186–1191 AUTHORS: Pace, Meredith M. MD et al BACKGROUND: The benefits of thoracic paravertebral block (TPVB) have been demonstrated for patients undergoing surgery for breast cancer. However, pleural puncture resulting in pneumothorax is a serious complication associated with traditional approaches using guidance […]

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Uncategorized Published - 21 April, 2016    By - Dr Clemens
Implications of Patient Age and ASA Physical Status for Operating Room Management Decisions

Anesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1169–1177 AUTHORS: Luedi, Markus M. MD, MBA et al BACKGROUND: In elderly, high-risk patients, operating room (OR) turnaround times are especially difficult to estimate, and the managerial implications of patient age and ASA physical status for OR management decisions remain unclear. We […]

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Uncategorized Published - 21 April, 2016    By - Dr Clemens
Amnesia of the Operating Room in the B-Unaware and BAG-RECALL Clinical Trials

Anesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1158–1168 AUTHORS: Chen, Yulong BA et al BACKGROUND: Patient memories of the operating room (OR) may serve as the informational basis for assessing satisfaction with individual anesthesiologists. Furthermore, the provision of clinically important information may assume that perioperative memories are retained. Studies […]

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Uncategorized Published - 21 April, 2016    By - Dr Clemens
Pharyngeal Oxygen Insufflation During AirTraq Laryngoscopy Slows Arterial Desaturation in Infants and Small Children

Anesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1153–1157 AUTHORS: Windpassinger, Marita MD et al BACKGROUND: The extent to which insufflation of oxygen into the posterior pharynx during laryngoscopy prolongs adequate saturation in infants and small children remains unknown. Therefore, we compared oxygen saturation over time in preoxygenated small children […]

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Uncategorized Published - 21 April, 2016    By - Dr Clemens
The Effect of Intravenous Dexamethasone on Sugammadex Reversal Time in Children Undergoing Adenotonsillectomy

Anesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1147–1152 AUTHORS: Gulec, Ersel MD et al BACKGROUND: Dexamethasone has been shown to cause inhibition of sugammadex reversal in functionally innervated human muscle cells. In this prospective, double-blind, randomized, controlled study, we evaluated the effect of dexamethasone on the reversal time of […]

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Uncategorized Published - 21 April, 2016    By - Dr Clemens
ASA Calls for Targeted NIH Funding for Anesthesia and Pain Research

On April 15, as part of the American Society of Anesthesiologists’ broader advocacy strategy to increase federal funding for anesthesia and pain medicine research, ASA submitted a written statement for the formal record of the House Appropriations Subcommittee on Labor, Health and Human Services, Education and Related Agencies on the need for federal investment in […]

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Uncategorized Published - 20 April, 2016    By - Dr Clemens
Head-Elevated Patient Positioning Decreases Complications of Emergent Tracheal Intubation in the Ward and Intensive Care Unit

Anesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1101–1107 AUTHORS: Khandelwal, Nita MD, MS et al BACKGROUND: Based on the data from elective surgical patients, positioning patients in a back-up head-elevated position for preoxygenation and tracheal intubation can improve patient safety. However, data specific to the emergent setting are lacking. […]

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Uncategorized Published - 20 April, 2016    By - Dr Clemens
An Ethnographic Observational Study to Evaluate and Optimize the Use of Respiratory Acoustic Monitoring in Children Receiving Postoperative Opioid Infusions

Anesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1132–1140 AUTHORS: Görges, Matthias PhD et al BACKGROUND: Respiratory depression in children receiving postoperative opioid infusions is a significant risk because of the interindividual variability in analgesic requirement. Detection of respiratory depression (or apnea) in these children may be improved with the […]

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Uncategorized Published - 20 April, 2016    By - Dr Clemens
Hemodynamics of Phenylephrine Infusion Versus Lower Extremity Compression During Spinal Anesthesia for Cesarean Delivery: A Randomized, Double-Blind, Placebo-Controlled Study

Anesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1120–1129 AUTHORS: Kuhn, Jana Christine MD et al BACKGROUND: Phenylephrine infusion is the current first-line choice for prevention of spinal hypotension during cesarean delivery. The optimal dosage regimen is still undetermined. A mechanical alternative, lower limb wrapping, has been examined in a […]

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