Author: Dr Clemens

Uncategorized Published - 30 September, 2015    By - Dr Clemens
Comparison of different anesthesia techniques during esophagogastroduedenoscopy in children: a randomized trial

Paediatr Anaesth 2015 Oct;25(10):1013-9 Authors: Patino M et al BACKGROUND: Esophagogastroduedenoscopy (EGD) in children is usually performed under general anesthesia. Anesthetic goals include minimization of airway complications while maximizing operating room (OR) efficiency. Currently, there is no consensus on which anesthetic technique best meets these goals. We performed a prospective randomized study comparing three different anesthetic techniques. […]

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Uncategorized Published - 30 September, 2015    By - Dr Clemens
Cardiac Dysrhythmias in Children Undergoing Extracorporeal Shock Wave Lithotripsy Under General Anesthesia or Propofol Sedation: A Prospective, Observational Cohort Study

Urology 2015 Jul AUTHORS: Mathers J et al OBJECTIVE: To assess the frequency and severity of cardiac dysrhythmias and identify any intraoperative or postoperative complications in children undergoing extracorporeal shock wave lithotripsy (ESWL). METHODS: All children coming to our institution for ESWL from June 2014 to January 2015 were prospectively enrolled in an observational cohort study. Intraoperative […]

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Uncategorized Published - 29 September, 2015    By - Dr Clemens
Intranasal midazolam during presurgical epilepsy monitoring is well tolerated, delays seizure recurrence, and protects from generalized tonic-clonic seizures

Epilepsia. 2015 Sep;56(9):1408-14 AUTHORS: Kay L et al OBJECTIVE: To evaluate the tolerability and efficacy of the ictal and immediate postictal application of intranasal midazolam (in-MDZ) in adolescents and adults during video-electroencephalography (EEG) monitoring. METHODS: Medical records of all patients treated with in-MDZ between 2008 and 2014 were reviewed retrospectively. For each single patient, the time […]

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Uncategorized Published - 29 September, 2015    By - Dr Clemens
Urethrocutaneous fistula following hypospadias repair: regional anesthesia and other factors

Paediatr Anaesth. 2015 Jul AUTHORS; Zaidi RH et al BACKGROUND: Urethrocutaneous fistula is a well-known complication of hypospadias surgery. A recent prospective study by Kundra et al. (Pediatr Anesth 2012) has suggested that caudal anesthesia may increase the risk of fistula formation. We sought to evaluate this possible association and determine if any other novel factors may […]

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Uncategorized Published - 29 September, 2015    By - Dr Clemens
Propofol Regulates the Surface Expression of GABAA Receptors: Implications in Synaptic Inhibition

Anesthesia & Analgesia: August 2015 AUTHORS: Li, Yuwen PhD et al BACKGROUND: The anesthetic propofol is thought to induce rapid hypnotic sedation by potentiating [gamma]-aminobutyric acid receptor (GABAAR) activity. Little is known about the molecular mechanisms of propofol in modulating inhibitory synaptic transmission. We aimed to investigate the role of propofol in modulating surface expression […]

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Uncategorized Published - 29 September, 2015    By - Dr Clemens
Is That Hospital Stay Setting Up Your Patients for Sepsis?

A new study suggests that a routine hospital stay can disturb the balance of the microbiome so much that it sets up some older individuals for life-threatening sepsis. Researchers found that older adults are three times more likely to develop sepsis, a systemic catastrophic response to infection, in the first three months after leaving a […]

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Uncategorized Published - 29 September, 2015    By - Dr Clemens
A comparison of the postoperative pain experience in children with and without attention-deficit hyperactivity disorder (ADHD)

Paediatr Anaesth 2015 Oct;25(10):1020-5 AUTHORS: Rosandwr S  et al BACKGROUND: Children with attention-deficit hyperactivity disorder (ADHD) may experience pain differently compared to other children, yet the evidence is equivocal regarding whether pain is heightened or dampened. This prospective observational study, therefore, was designed to compare the postoperative pain experiences in children with and without ADHD. METHODS: Children […]

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Uncategorized Published - 28 September, 2015    By - Dr Clemens
Preparing Parents to Be Present for Their Child’s Anesthesia Induction: A Randomized Controlled Trial

Anesthesia & Analgesia: October 2015 – Volume 121 – Issue 4 – p 1001–1010 AUTHORS: Bailey, Kristen M. MSc et al BACKGROUND: The purpose of this study is to compare the effectiveness of a brief preparation intervention for parental presence during induction of anesthesia (PPIA preparation) with a PPIA with standard preparation (PPIA standard). METHODS: […]

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Uncategorized Published - 28 September, 2015    By - Dr Clemens
Intraoperative Magnesium Administration Does Not Reduce Postoperative Atrial Fibrillation After Cardiac Surgery

Anesthesia & Analgesia: October 2015 – Volume 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 […]

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Uncategorized Published - 28 September, 2015    By - Dr Clemens
FDA Reviewing Risk With Off-Label Tramadol Use in Children

The US Food and Drug Administration (FDA) is investigating the “rare but serious” risk for slowed or difficult breathing in children 17 and younger treated with the opioid analgesic tramadol. “This risk may be increased in children treated with tramadol for pain after surgery to remove their tonsils and/or adenoids,” according to a drug safety alert posted […]

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