Author: Dr Clemens

Uncategorized Published - 15 September, 2015    By - Dr Clemens
Importance of Oropharyngeal Hygiene for Nonintubated Patients in the ICU

Shane V. Cherry, MD Resident Physician Jackson Memorial Hospital University of Miami Miller School of Medicine Department of Anesthesiology, Perioperative Medicine, and Pain Management Miami, Florida Christian Diez, MD, MBA Assistant Professor of Clinical Anesthesiology University of Miami Miller School of Medicine Department of Anesthesiology, Perioperative Medicine, and Pain Management Miami, Florida The authors did […]

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Uncategorized Published - 15 September, 2015    By - Dr Clemens
Residual Rocuronium Block Attenuates Hypoxic Ventilatory Response in Obstructive Sleep Apnea Patients

Residual neuromuscular block using rocuronium attenuates the acute hypoxic ventilatory response in patients with untreated obstructive sleep apnea (OSA), according to preliminary data from a study presented at Euroanaesthesia 2015, the European Society of Anaesthesiology’s (ESA) annual meeting (abstract 1AP16-4). Historically, of course, OSA has been associated with significant respiratory complications during the postoperative recovery […]

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Uncategorized Published - 14 September, 2015    By - Dr Clemens
Dexmedetomidine Does Not Affect Evoked Potentials During Spine Surgery

Anesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 492–501 Authors: Rozet, Irene MD et al BACKGROUND: The effect of dexmedetomidine on evoked potentials (EPs) has not been elucidated. We aimed to investigate the effect of dexmedetomidine on somatosensory, motor, and visual EPs. METHODS: After IRB approval, 40 adult patients scheduled […]

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Uncategorized Published - 14 September, 2015    By - Dr Clemens
To Pretreat or Not to Pretreat: Prophylactic Anticholinergic Administration Before Dexmedetomidine in Pediatric Imaging

Anesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 479–485 Authors: Subramanyam, Rajeev MBBS, DNB, MNAMS, MD, MS et al BACKGROUND: Dexmedetomidine (Dex) appears to be very effective as a sole sedative for pediatric imaging when used at high doses, but at an increased risk of transient hypertension, hypotension, and bradycardia. […]

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Uncategorized Published - 14 September, 2015    By - Dr Clemens
Transversus Abdominis Plane Block Versus Caudal Epidural for Lower Abdominal Surgery in Children: A Double-Blinded Randomized Controlled Trial

Anesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 471–478 Authors: Bryskin, Robert B. MD et al BACKGROUND: Transversus abdominis plane block (TAPB) has emerged as a safe and effective regional anesthesia technique for providing postoperative lower abdominal analgesia. Complications associated with TAPB are rare and pose a lower overall risk […]

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Uncategorized Published - 14 September, 2015    By - Dr Clemens
Cell Salvage in Obstetrics

Anesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 465–468 Authors: Goucher, Haley MD et al Intraoperative cell salvage is a strategy to decrease the need for allogeneic blood transfusion. Traditionally, cell salvage has been avoided in the obstetric population because of the perceived risk of amniotic fluid embolism or induction […]

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Uncategorized Published - 14 September, 2015    By - Dr Clemens
The Relationship of Body Mass Index with the Incidence of Postdural Puncture Headache in Parturients

Anesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 451–456 Authors: Peralta, Feyce MD et al BACKGROUND: Unintentional dural puncture is a known risk after epidural or combined spinal–epidural procedures, occurring in approximately 1% of labor epidural catheters placed in parturients with normal body habitus but may be as high as […]

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Uncategorized Published - 11 September, 2015    By - Dr Clemens
Conventional Versus Video Laryngoscopy for Tracheal Tube Exchange: Glottic Visualization, Success Rates, Complications, and Rescue Alternatives in the High-Risk Difficult Airway Patient

Anesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 440–448 Authors: Mort, Thomas C. MD et al BACKGROUND: Tracheal tube exchange is a simple concept but not a simple procedure because hypoxemia, esophageal intubation, and loss of airway may occur with life-threatening ramifications. Combining laryngoscopy with an airway exchange catheter (AEC) […]

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Uncategorized Published - 11 September, 2015    By - Dr Clemens
I-gel™ Versus LMA-Fastrach™ Supraglottic Airway for Flexible Bronchoscope-Guided Tracheal Intubation Using a Parker (GlideRite™) Endotracheal Tube: A Randomized Controlled Trial

Anesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 430–436 Authors: Moore, Alex MD et al BACKGROUND: The I-gel™ (IG) supraglottic airway device is a reliable way to establish an airway. Its large ventilation lumen allows for easy passage of an endotracheal tube. With the use of a flexible bronchoscope, the […]

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Uncategorized Published - 11 September, 2015    By - Dr Clemens
Predictors of Delayed Postoperative Respiratory Depression Assessed from Naloxone Administration

Anesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 422–429 Authors: Weingarten, Toby N. MD et al BACKGROUND: The aim of this study was to identify patient and procedural characteristics associated with postoperative respiratory depression or sedation requiring naloxone intervention. METHODS: We identified patients who received naloxone to reverse opioid-induced respiratory […]

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