Author: Dr Clemens

Uncategorized Published - 2 October, 2015    By - Dr Clemens
Plasma levels of levobupivacaine during continuous infusion via a wound catheter after major surgery in newborn infants: An observational study

Eur J Anaesthesiol 2015 Aug 1 Authors: Krylborn J et al BACKGROUND: Epidurals may be challenging in neonatal patients due to technical difficulties relating to insertion and the risk of local anaesthesia toxicity. The use of wound catheters with an infusion of local anaesthetic has been shown to be well tolerated in adults and older children. There […]

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Uncategorized Published - 1 October, 2015    By - Dr Clemens
Influencing Anesthesia Provider Behavior Using Anesthesia Information Management System Data for Near Real-Time Alerts and Post Hoc Reports

Anesthesia & Analgesia:September 2015 – Volume 121 – Issue 3 – p 678–692 Authors: Epstein, Richard H. MD In this review article, we address issues related to using data from anesthesia information management systems (AIMS) to deliver near real-time alerts via AIMS workstation popups and/or alphanumeric pagers and post hoc reports via e-mail. We focus […]

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Uncategorized Published - 1 October, 2015    By - Dr Clemens
The duration and course of opioid therapy in patients with chronic non-malignant pain

Acta Anaesthesiol Scand. 2015 Aug Authors: Mellbye A et al BACKGROUND: Prescription databases provide the opportunity for investigating opioid treatment and co-medication within large populations. So far, few studies have investigated the duration of opioid therapy, and large differences in discontinuation rates have been reported. METHODS: Data from the Norwegian Prescription Database were used to follow the […]

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Uncategorized Published - 1 October, 2015    By - Dr Clemens
Pelvic Pain Common Among Reproductive-Age Women

A high proportion of reproductive-age women may be experiencing pelvic pain that goes untreated, according to a study by researchers from the National Institutes of Health and the University of Utah School of Medicine, Salt Lake City, Utah, and published in Human Reproduction. The researchers surveyed more than 400 women who were scheduled to undergo […]

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Uncategorized Published - 1 October, 2015    By - Dr Clemens
Effects of melatonin premedication to prevent emergence agitation after general anaesthesia in children: A systematic review and meta-analysis with trial sequential analysis

Eur J Anaesthesiol 2015 Jul 29 Authors: Mihara T et al BACKGROUND: Emergence agitation is a common phenomenon in children recovering from general anaesthesia. An emergence agitation reaction increases the risk of injuring the surgical repair, the patient and the caregivers. OBJECTIVE: The objective of this study is to examine the efficacy of melatonin premedication in emergence […]

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Uncategorized Published - 1 October, 2015    By - Dr Clemens
Quadratus lumborum block for postoperative pain after caesarean section: A randomised controlled trial

Eur J Anaesthesiol 2015 Jul 29 Authors: Blanco R et al BACKGROUND: Effective postoperative analgesia after caesarean section is important because it enables early ambulation and facilitates breast-feeding. Several case reports have shown that local anaesthetic injection around the quadratus lumborum muscle is effective in providing pain relief after various abdominal operations and in patients with chronic […]

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Uncategorized Published - 1 October, 2015    By - Dr Clemens
Influence of Dexmedetomidine on the Tourniquet Related Responses in Hypertension Patients Receiving Unilateral Knee Arthroplasty under General Anesthesia

J Arthroplasty 2015 Aug;30(8):1359-63 Authors: Li YH et al Abstract This study aimed to investigate the influence of dexmedetomidine (DEX) on the tourniquet related responses in hypertension patients receiving unilateral knee arthroplasty (UKA) under general anesthesia. Results showed that the incidence of tourniquet induced hypertension (TIH), hemodynamics, MAC and EtSEV in DEX group were significantly lower than […]

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Uncategorized Published - 30 September, 2015    By - Dr Clemens
Preoperative Slow-Release Morphine Reduces Need of Postoperative Analgesics and Shortens Hospital Stay in Laparoscopic Gastric Bypass

Obes Surg 2015 Jul Authors: Hedberg J et al BACKGROUND: As most bariatric procedures are performed by laparoscopy, hospital stay is exceptionally short, despite the habitus of patients and the rather extensive intra-abdominal surgery. To facilitate postoperative mobilization, most patients are given repeated single doses of morphine, a drug with several side effects. We aimed to evaluate […]

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Uncategorized Published - 30 September, 2015    By - Dr Clemens
The Use of Lidocaine Containing Cardioplegia in Surgery for Adult Acquired Heart Disease

J Card Surg 2015 Sep;30(9):677-84 Authors: Yammine M et al BACKGROUND: Del Nido cardioplegia, a crystalloid-based solution with lidocaine as a key element, is given as a single dose and has been used successfully in congenital cardiac surgery. HYPOTHESIS: We retrospectively compared a lidocaine containing “modified del Nido” solution with our standard whole blood cardioplegia to investigate […]

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Uncategorized Published - 30 September, 2015    By - Dr Clemens
Safety and Side Effect Profile of Liposome Bupivacaine (Exparel) in Peripheral Nerve Blocks

Reg Anesth Pain Med 2015 Sep-Oct;40(5):572-82 Authors: Ilfeld BM et al BACKGROUND: Liposome bupivacaine (Exparel) is a multivesicular liposomal formulation of bupivacaine currently approved in the United States for single-dose administration into the surgical site to provide postsurgical analgesia. This retrospective analysis examined safety data from clinical trials involving the off-label use of this formulation in peripheral […]

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