Author: Dr Clemens

Uncategorized Published - 8 December, 2015    By - Dr Clemens
The Risk of Acute Kidney Injury from Fluid Restriction and Hydroxyethyl Starch in Thoracic Surgery

Anesthesia & Analgesia: September 2015 Authors: Ahn, Hyun Joo MD, PhD et BACKGROUND: Fluid is restricted in thoracic surgery to reduce acute lung injury, and hydroxyethyl starches (HES) are often administered to reduce fluid amount. This strategy may contribute to the development of acute kidney injury (AKI). We evaluated the incidence, risk factors, and prognosis […]

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Uncategorized Published - 8 December, 2015    By - Dr Clemens
Intraoperative Electroencephalogram Suppression Predicts Postoperative Delirium

Anesthesia & Analgesia: September 2015 Authors: Fritz, Bradley A. MD et al BACKGROUND: Postoperative delirium is a common complication associated with increased morbidity and mortality, longer hospital stays, and greater health care expenditures. Intraoperative electroencephalogram (EEG) slowing has been associated previously with postoperative delirium, but the relationship between intraoperative EEG suppression and postoperative delirium has […]

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Uncategorized Published - 8 December, 2015    By - Dr Clemens
Pediatric Difficult Airways Not Always Easy To Spot

Identifying a child presenting with a difficult airway may not be quite as easy as pediatric anesthesiologists believe, according to a chart review by a Canadian research team. Investigators at The Hospital for Sick Children, in Toronto, found that nearly 20% of difficult airways were unanticipated and more than half occurred in patients with no […]

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Uncategorized Published - 7 December, 2015    By - Dr Clemens
Labor Analgesia Consumption and Time to Neuraxial Catheter Placement in Women with a History of Surgical Correction for Scoliosis: A Case-Matched Study

Anesthesia & Analgesia: Oct 2015 Volume 121 Issue 4 p 981-987 Authors: Bauchat, Jeanette R. MD et al BACKGROUND: Neuraxial analgesic techniques are the most effective form of labor analgesia. Small studies (9–21 patients), conducted 10 to 20 years ago, demonstrated successful neuraxial labor analgesia in only 50% to 66% of patients with surgical correction […]

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Uncategorized Published - 7 December, 2015    By - Dr Clemens
Methylprednisolone Does Not Reduce Persistent Pain after Cardiac Surgery

Authors: Alparslan Turan MD et al Anesthesiology 12 2015, Vol.123, 1404-1410. Background: Persistent incisional pain is common after cardiac surgery and is believed to be in part related to inflammation and poorly controlled acute pain. Methylprednisolone is a corticosteroid with substantial antiinflammatory and analgesic properties and is thus likely to ameliorate persistent surgical pain. Therefore, the authors tested […]

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Uncategorized Published - 7 December, 2015    By - Dr Clemens
Preparing Parents to Be Present for Their Child’s Anesthesia Induction: A Randomized Controlled Trial

Anesthesia & Analgesia: Oct 2015 Volume 121 Issue 4 p 1000-1010 AUTHORS: Kristin Bailey MD et al METHODS: Ninety-three children, aged 2 to 10 years, undergoing elective surgery at a children’s hospital participated together with their parents. Parents were randomly assigned to receive either PPIA preparation or PPIA standard before their children’s induction of anesthesia. […]

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Uncategorized Published - 7 December, 2015    By - Dr Clemens
Patient Class Analysis Puts New View on Risk Stratification

Latent class analysis and ASA physical status yield differing results Although perioperative risk stratification is often used to identify so-called independent risk factors, previous research has found that few are truly independent, and various combinations of comorbidities may have differential effects on mortality risk. Researchers turned to “latent class analysis,” a model-based clustering technique, and […]

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Uncategorized Published - 7 December, 2015    By - Dr Clemens
Neuraxial Anesthesia in Parturients with Thrombocytopenia: A Multisite Retrospective Cohort Study

Anesthesia & Analgesia: Oct 2015 Vol 121 Issue 4 p 988-991 Authors: Goodier, Christopher G. MD et al BACKGROUND: The primary aim of this study was to estimate the risk of neuraxial hematoma associated with neuraxial anesthetic procedures in thrombocytopenic parturients. METHODS: A multicenter retrospective cohort study design was used to estimate the risk for […]

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Uncategorized Published - 4 December, 2015    By - Dr Clemens
Women’s Experiences with Neuraxial Labor Analgesia in the Listening to Mothers II Survey: A Content Analysis of Open-Ended Responses

Anesthesia & Analgesia: Oct 2015 Vol 121 Issue 4 p 974-980 Authors: Attanasio, Laura BA MD et al BACKGROUND: Most women who give birth in United States hospitals receive neuraxial analgesia to manage pain during labor. In this analysis, we examined themes of the patient experience of neuraxial analgesia among a national sample of U.S. […]

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Uncategorized Published - 4 December, 2015    By - Dr Clemens
Intraoperative Magnesium Administration Does Not Reduce Postoperative Atrial Fibrillation After Cardiac Surgery

Anesthesia & Analgesia: October 2015 Vol 121 Issue 4 p 861-867 Authors: Klinger, Rebecca Y. MD, MS et al BACKGROUND: Hypomagnesemia has been associated with an increased risk of postoperative atrial fibrillation (POAF). Although previous studies have suggested a beneficial effect of magnesium (Mg) therapy, almost all of these are limited by small sample size […]

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