Author: Dr Clemens

Uncategorized Published - 12 January, 2016    By - Dr Clemens
GlideScope Outperforms C-MAC D-Blade for Trainee Intubations of Predicted Difficult Airways

Aziz MF et al., Anesth Analg 2015 Nov In patients with predicted difficult airways intubated in the operating room, the GlideScope had a higher first-attempt intubation success rate than the C-MAC D-Blade. Video laryngoscopy (VL) improves intubation success in patients with predicted difficult airways primarily by ensuring glottic visualization. While VL with acute-angled devices has been compared […]

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Uncategorized Published - 12 January, 2016    By - Dr Clemens
Attending Handoff Is Correlated with the Decision to Delay Extubation After Surgery.

  Anesthesia & Analgesia: December 2015 Anastasian, Zirka H. MD et al BACKGROUND: Factors including ASA physical status, blood loss, and case length have been described as correlating with the decision to delay tracheal extubation after specific surgical procedures. In this retrospective study, we investigated whether handoffs by anesthesia attendings were associated with delayed extubation […]

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Uncategorized Published - 12 January, 2016    By - Dr Clemens
The Shamrock lumbar plexus block: A dose-finding study

Eur J Anaesthesiol. 2015 Nov;32(11):764-70 Sauter AR et al BACKGROUND: The Shamrock technique is a new method for ultrasound-guided lumbar plexus blockade. Data on the optimal local anaesthetic dose are not available. OBJECTIVE: The objective of this study is to estimate the effective dose of ropivacaine 0.5% for a Shamrock lumbar plexus block. DESIGN: A prospective […]

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Uncategorized Published - 12 January, 2016    By - Dr Clemens
Comparison of efficacy and safety of lateral-to-medial continuous transversus abdominis plane block with thoracic epidural analgesia in patients undergoing abdominal surgery: A randomised, open-label feasibility study

Eur J Anaesthesiol. 2015 Nov;32(11):797-804 Authors: Ganapathy S et al BACKGROUND: We recently described a lateral-to-medial approach for transversus abdominis plane (LM-TAP) block, which may permit preoperative initiation of the block. OBJECTIVE: Our objective was to evaluate the feasibility of continuous LM-TAP blocks in clinical practice in comparison with thoracic epidural analgesia (TEA). DESIGN: A randomised, […]

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Uncategorized Published - 12 January, 2016    By - Dr Clemens
Point-of-Care Viscoelastic Testing Reduces Transfusions, Improves Outcomes in Severe Postpartum Hemorrhage

Point-of-care viscoelastic testing with rotational thromboelastography (ROTEM) is associated with significant reductions in transfusion requirements and better outcomes in patients with severe postpartum hemorrhage. “Contrary to our success in other areas in medicine, maternal mortality in the U.S. continues to grow, slowly but steadily,” said Denis Snegovskikh, MD, assistant professor of anesthesiology and associate chief […]

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Uncategorized Published - 11 January, 2016    By - Dr Clemens
Clonidine versus sufentanil as an adjuvant to ropivacaine in patient-controlled epidural labour analgesia: A randomised double-blind trial

Eur J Anaesthesiol. 2015 Nov;32(11):805-11. Roelants F et al BACKGROUND: Adjuvants to local anaesthetics for epidural labour analgesia are useful if they reduce side-effects or personnel requirements. Epidural clonidine improves analgesia and provides a significant local anaesthetic-sparing effect. OBJECTIVE: To compare the number of rescue doses administered by the anaesthesiologist when clonidine or sufentanil is added […]

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Uncategorized Published - 11 January, 2016    By - Dr Clemens
Medical Malpractice Claims Against Anesthesiologists Decrease and Shift to Outpatient Anesthesia Services

Cumulative spending on malpractice payments against anesthesiologists has fallen dramatically in recent years, from $174.4 million in 2005 to $91.1 million in 2013, a new study shows. With data obtained from the National Practitioner Data Bank (NPDB), the research also demonstrated an increase in the proportion of claims occurring in the outpatient setting, consistent with […]

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Uncategorized Published - 11 January, 2016    By - Dr Clemens
The Effectiveness of Midazolam for Preventing Postoperative Nausea and Vomiting: A Systematic Review and Meta-Analysis

Anesthesia & Analgesia: Oct 2015 Authors: Ahn, Eun Jin MD et al BACKGROUND: Previous randomized controlled trials regarding the effectiveness of perioperative midazolam in preventing postoperative nausea and vomiting (PONV) have produced conflicting results. Consequently, the present systematic review was performed to assess the effect of perioperative administration of midazolam on PONV. METHODS: The MEDLINE(R), […]

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Uncategorized Published - 11 January, 2016    By - Dr Clemens
Ultrasound-Guided Single-Injection Infraclavicular Block Versus Ultrasound-Guided Double-Injection Axillary Block: A Noninferiority Randomized Controlled Trial

Anesthesia & Analgesia: Jan 2016 Vol 122 Issue 1 p 273-278 Authors: Boivin, Ariane MD et al BACKGROUND: Single-injection ultrasound-guided infraclavicular block is a simple, reliable, and effective technique. A simplified double-injection ultrasound-guided axillary block technique with a high success rate recently has been described. It has the advantage of being performed in a superficial […]

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Uncategorized Published - 11 January, 2016    By - Dr Clemens
The Optimal Nerve Block for Knee Replacement Surgery

Authors: Machi AT, Sztain JF, Kormylo NJ, et al Anesthesiology. 2015;123:444-456 Discharge Readiness After Tricompartment Knee Arthroplasty: Adductor Canal Versus Femoral Continuous Nerve Blocks—A Dual-Center, Randomized Trial Study Summary This prospective randomized trial studied patients undergoing primary, unilateral knee arthroplasty to determine whether using a catheter to deliver a continuous adductor canal block reduced the […]

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