Author: Dr Clemens

Uncategorized Published - 6 October, 2015    By - Dr Clemens
Malignant hyperthermia: a review

Orphanet J Rare Dis  2015 Aug 4;10:93 Authors: Rosenberg H et al Abstract Malignant hyperthermia (MH) is a pharmacogenetic disorder of skeletal muscle that presents as a hypermetabolic response to potent volatile anesthetic gases such as halothane, sevoflurane, desflurane, isoflurane and the depolarizing muscle relaxant succinylcholine, and rarely, in humans, to stressors such as vigorous exercise and […]

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Uncategorized Published - 6 October, 2015    By - Dr Clemens
Complex Regional Pain Syndrome and Acute Carpal Tunnel Syndrome Following Radial Artery Cannulation: A Neurological Perspective and Review of the Literature

Medicine: Jan 2015-Vol 94-Issue 3-p e422 Authors: Lazaro, Reynaldo P. MD Abstract: Complex regional pain syndrome (CRPS) associated with acute carpal tunnel syndrome (aCTS) developed in a 38-year-old right-handed man following radial artery cannulation (RAC) during the course of lumbar spine surgery. Inciting events and risk factors that might have led to these complications included: […]

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Uncategorized Published - 6 October, 2015    By - Dr Clemens
Xenon Anesthesia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Anesthesia & Analgesia: Aug 2015 Authors: Law, Lawrence Siu-Chun MD et al BACKGROUND: Xenon anesthesia has been studied for decades. However, no meta-analysis of randomized controlled trials (RCTs) on xenon anesthesia has been conducted. The aim of this study was to systematically review all available evidence from RCTs comparing xenon and other inhaled and IV […]

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Uncategorized Published - 6 October, 2015    By - Dr Clemens
Interaction Effects of Acute Kidney Injury, Acute Respiratory Failure, and Sepsis on 30-Day Postoperative Mortality in Patients Undergoing -High-Risk Intraabdominal General Surgical Procedures

Anesthesia & Analgesia: Aug 2015 Authors: Kim, Minjae MD, MS et al BACKGROUND: Acute kidney injury (AKI), acute respiratory failure, and sepsis are distinct but related pathophysiologic processes. We hypothesized that these 3 processes may interact to synergistically increase the risk of short-term perioperative mortality in patients undergoing high-risk intraabdominal general surgery procedures. METHODS: We […]

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Uncategorized Published - 5 October, 2015    By - Dr Clemens
Stridor in Neonates After Using the Microcuff(R) and Uncuffed Tracheal Tubes: A Retrospective Review.

Anesthesia & Analgesia: Aug 2015 Authors: Sathyamoorthy, Madhankumar MBBS et al BACKGROUND: We conducted a retrospective chart review to determine the frequency of stridor and contributing factors after the use of Microcuff(R) and uncuffed tracheal tubes (TTs) in neonates. METHODS: All neonates in our neonatal intensive care unit whose airways were intubated between May 2011 […]

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Uncategorized Published - 5 October, 2015    By - Dr Clemens
Continuous Spinal Analgesia for Labor and Delivery: An Observational Study with a 23-Gauge Spinal Catheter.

Anesthesia & Analgesia: Aug 2015 Authors: Tao, Weike MD  et al BACKGROUND: The aim of the study was to assess postdural puncture headache, pain relief, motor blockade, and success rate of conversion to cesarean delivery anesthesia of a 23-gauge spinal catheter (Wiley Spinal(R)) for labor analgesia. METHODS: After insertion of the spinal catheter, intrathecal bupivacaine […]

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Uncategorized Published - 5 October, 2015    By - Dr Clemens
Anesthesia and Poliomyelitis: A Matched Cohort Study

Anesthesia & Analgesia: Aug 2015 Authors: Van Alstine, Luke W. MD et al BACKGROUND: Poliomyelitis is a viral infectious disease caused by 1 of the 3 strains of poliovirus. The World Health Organization launched an eradication campaign in 1988. Although the number of cases of poliomyelitis has drastically declined, eradication has not yet been achieved, […]

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Uncategorized Published - 5 October, 2015    By - Dr Clemens
Benadryl as an Adjuvant in Migraine Treatment?

Authors: Friedman BW et al., Ann Emerg Med 2015 Aug 27; Adding a large dose of diphenhydramine to metoclopramide therapy did not improve outcomes. Acute migraine is best treated with sumatriptan, prochlorperazine, caffeine, ibuprofen, or a combination, and opioids should be avoided assiduously. Metoclopramide is often used instead of prochlorperazine, though it is probably inferior (NEJM JW Psychiatry […]

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Uncategorized Published - 5 October, 2015    By - Dr Clemens
The Effect of Low-Dose Dexmedetomidine as an Adjuvant to Levobupivacaine in Patients Undergoing Vitreoretinal Surgery Under Sub-Tenon’s Block Anesthesia.

Anesthesia & Analgesia: Sept 2015 Authors: Ghali, Ashraf M. MD et al BACKGROUND: This study evaluated the motor and sensory block durations and the postoperative analgesic effects of adding dexmedetomidine to levobupivacaine for sub-Tenon’s block anesthesia in patients undergoing vitreoretinal surgery. Motor and sensory block durations were considered as a primary end point. METHODS: Sixty […]

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Uncategorized Published - 5 October, 2015    By - Dr Clemens
Large Heterogeneity in Mean Durations of Labor Analgesia Among Hospitals Reporting to the American Society of Anesthesiologists’ Anesthesia Quality Institute.

Anesthesia & Analgesia: August 2015 Authors: Flood, Pamela MD et al   BACKGROUND: Variability in the mean durations of labor analgesia for vaginal delivery among hospitals is unknown. Such differences in means among hospitals would influence appropriate equitable fee-for-service payment to US anesthesia groups. Equitable payment is the foundational principle of relative value unit payment, which, […]

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