Author: Dr Clemens

Uncategorized Published - 9 November, 2015    By - Dr Clemens
An Anatomical Study of Lumbar Epidural Catheterization

BMC Anesthesiol. 2015;15(94) Authors: Huanwei Jiang; Benchao Shi; Shiyuan Xu Background: We herein provide an analysis of lumbar epidural catheterization, which outlines a detailed anatomical description of the epidural anatomy, and may improve the success rate of neuraxial cannulation. Methods: Lumbar epidural catheters were placed in 50 adult embalmed cadavers. After catheterization, the lumbar dura and connecting structures […]

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Uncategorized Published - 9 November, 2015    By - Dr Clemens
Surgeons Who Operate in More Than One OR at a Time: Efficient?

In some large, academic hospitals, busy surgeons often request the concurrent use of multiple operating rooms (ORs), with the goal of increasing efficiency. In the past, the practice has been associated with increased patient time in the OR, but little if any research to date has studied the issue formally. Timothy Harwood, MD, director of […]

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Uncategorized Published - 9 November, 2015    By - Dr Clemens
The Effect of Intravenous Midazolam on Postoperative Nausea and Vomiting: A Meta-Analysis

Anesth Analg. 2015 Sep 1. Authors: Grant MC etc al BACKGROUND: Research has shown that high-risk surgical patients benefit from a multimodal therapeutic approach to prevent postoperative nausea and vomiting (PONV). Our group sought to investigate the effect of administering IV midazolam on PONV. METHODS: This meta-analysis included 12 randomized controlled trials (n = 841) of adults […]

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Uncategorized Published - 6 November, 2015    By - Dr Clemens
Promising New Opioid Has Novel Mechanism

An investigational opioid with a novel mechanism of action produced rapid pain relief in a new study. Results of a double-blind, phase 2 study of the drug (TRV130, Trevena Inc) showed that it was superior to placebo in terms of reducing pain intensity in patients undergoing a bunionectomy, relieving pain within 5 minutes of administration […]

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Uncategorized Published - 6 November, 2015    By - Dr Clemens
Renal Outcomes in Critically Ill Patients Receiving Propofol or Midazolam.

Clin J Am Soc Nephrol, 2015 Sep 4. Authors: Leite TT et al BACKGROUND AND OBJECTIVES: Propofol has been shown to provide protection against renal ischemia/reperfusion injury experimentally, but clinical evidence is limited to patients undergoing cardiac surgery. There are no data about its association with oliguria and AKI in critically ill patients. DESIGN, SETTING, PARTICIPANTS, & […]

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Uncategorized Published - 6 November, 2015    By - Dr Clemens
Correlation of Subjective Effects with Systemic Opioid Exposure from Fixed-Dose Combinations of Oxycodone/Acetaminophen in Recreational Users of Prescription Drugs.

Pain Med 2015 Aug 25 Authors: Morton TL et al OBJECTIVE: To correlate abuse-related pharmacodynamic measures and pharmacokinetic measures after administering immediate-release/extended-release and immediate-release oxycodone/acetaminophen fixed-dose combination analgesics DESIGN: Randomized, double-blind, active- and placebo-controlled, 7-way crossover study SETTING: Contract research organization SUBJECTS: Nondependent recreational users of prescription opioids. METHODS: Participants received single doses of intact immediate-release/extended-release and […]

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Uncategorized Published - 6 November, 2015    By - Dr Clemens
Propofol-ketamine combination: a choice with less complications and better hemodynamic stability compared to propofol? On a prospective study in a group of colonoscopy patients.

Ir J Med Sci 2015 Sep 2. Authors: Baykal Tutal Z et al BACKGROUND AND AIMS: In this study, we compared duration for reaching desired Ramsay Sedation Score (RSS) and postoperative recovery according to Modified Aldrete Score (MAS) of propofol and propofol-ketamine combination in a group of colonoscopy patients. Rates of cardiovascular, respiratory, laryngospasm, visual and nausea/vomiting […]

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Uncategorized Published - 6 November, 2015    By - Dr Clemens
Fentanyl Buccal Tablet vs. Oral Morphine in Doses Proportional to the Basal Opioid Regimen for the Management of Breakthrough Cancer Pain: A Randomized, Crossover, Comparison Study

J Pain Symptom Manage 2015 Nov;50(5):579-86 Authors: Mercadente S et al Fentanyl products have shown superiority to oral opioids for the management of breakthrough cancer pain (BTcP). However, these studies did not use appropriate patient selection, and drugs have been compared by using different rationales. OBJECTIVES: The aim of this randomized, crossover, controlled study was to compare […]

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Uncategorized Published - 5 November, 2015    By - Dr Clemens
Effects of sevoflurane and desflurane on otoacoustic emissions in humans.

Published in Eur Arch Otorhinolarygol, 2015 Sep;272(9):2193-9 Authors: Gungor G, et al Abstract Otoacoustic emissions (OAEs) are non-invasive, easy to apply and objective test methods which are widely used to determine the presence of hearing in audiology clinics. Under certain circumstances, the study should be applied under general anesthesia. The aim of this study was to determine […]

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Uncategorized Published - 5 November, 2015    By - Dr Clemens
A Randomized Controlled Trial Comparing Intranasal Midazolam and Chloral Hydrate for Procedural Sedation in Children.

Otolaryngol Head Neck Surg, 2015 Aug 18. Authors: Stephen MC et al OBJECTIVES: To evaluate the efficacy and safety of intranasal midazolam and chloral hydrate syrup for procedural sedation in children. STUDY DESIGN: Prospective randomized placebo-controlled trial (double blind, double dummy). SETTING: Tertiary care hospital over 18 months. SUBJECTS AND METHODS: Eighty-two children, 1 to 6 years […]

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