Author: Dr Clemens

Uncategorized Published - 4 September, 2015    By - Dr Clemens
Addition of Dexamethasone and Buprenorphine to Bupivacaine Sciatic Nerve Block: A Randomized Controlled Trial

Regional Anesthesia & Pain Medicine: July/August 2015-Volume 40-Issue 4-p 321-329 Authors: YaDeau, Jacques T. MD, PhD et al Background and Objectives: Sciatic nerve block provides analgesia after foot and ankle surgery, but block duration may be insufficient. We hypothesized that perineural dexamethasone and buprenorphine would reduce pain scores at 24 hours. Methods: Ninety patients received […]

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Uncategorized Published - 4 September, 2015    By - Dr Clemens
Low Cerebral Oxygenation Levels during Resuscitation in Out-of-hospital Cardiac Arrest Are Associated with Hyperfibrinolysis

Authors: Anne Duvekot, MD et al Anesthesiology Published on 8 2015 Background: The authors investigated whether patients with out-of-hospital cardiac arrest with an initial low cerebral oxygen level during cardiopulmonary resuscitation are more prone to develop hyperfibrinolysis than patients with normal cerebral oxygenation levels and which part of the fibrinolytic system is involved in this response. Methods: In 46 […]

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Uncategorized Published - 3 September, 2015    By - Dr Clemens
A randomised controlled trial comparing three analgesia regimens following total knee joint replacement: continuous femoral nerve block, intrathecal morphine or both

Anaesth Intensive Care. 2015 Jul;43(4):454-60 Authors: Olive DJ et al Abstract This randomised controlled trial compared three analgesia regimens following primary unilateral total knee joint replacement: continuous femoral nerve block (CFNB), intrathecal morphine (ITM), and both. The primary outcome was pain ratings over the first 24 hours. Secondary outcomes included morphine consumption, nausea, pruritus and […]

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Uncategorized Published - 3 September, 2015    By - Dr Clemens
Comparison of ultrasound-guided supraclavicular, infraclavicular and below-C6 interscalene brachial plexus block for upper limb surgery: a randomised, observer-blinded study

Anaesth Intensive Care. 2015 Jul;43(4):468-72. Authors: Bharti N et al Abstract This prospective, randomised, observer-blinded study was conducted to compare the ease of performance and surgical effectiveness of interscalene block below the C6 nerve root with supraclavicular and infraclavicular techniques of brachial plexus block for upper arm and forearm surgery. Sixty adult patients of American […]

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Uncategorized Published - 3 September, 2015    By - Dr Clemens
Continuous Adductor Canal Versus Continuous Femoral Nerve Blocks: Relative Effects on Discharge Readiness Following Unicompartment Knee Arthroplasty

Reg Anesth Pain Med. 2015 Sep-Oct;40(5):559-67 Authors: Sztain JF et al BACKGROUND: We tested the hypothesis that, following unicompartment knee arthroplasty, a continuous adductor canal block decreases the time to reach 4 discharge criteria compared with a continuous femoral nerve block. METHODS: Subjects were randomized to either an adductor canal or femoral perineural catheter (2-day […]

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Uncategorized Published - 3 September, 2015    By - Dr Clemens
Ondansetron Does Not Attenuate Hemodynamic Changes in Patients Undergoing Elective Cesarean Delivery Using Subarachnoid Anesthesia: A Double-Blind, Placebo-Controlled, Randomized Trial

Reg Anesth Pain Med. 2015 Jul-Aug;40(4):344-8 Authors: Terkawi AS et al INTRODUCTION: Hypotension is the most common complication after subarachnoid anesthesia for cesarean delivery. Several therapeutic and preventive measures are used to attenuate this side effect. Serotonin receptor-blocking drugs have been suggested as one such approach. We sought to determine whether prophylactically administered intravenous ondansetron […]

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Uncategorized Published - 3 September, 2015    By - Dr Clemens
Randomized Comparison of Extrafascial Versus Subfascial Injection of Local Anesthetic During Ultrasound-Guided Supraclavicular Brachial Plexus Block.

Reg Anesth Pain Med. 2015 Jul-Aug;40(4):337-43 Authors: Sivashammugan T et al OBJECTIVES: The optimal site for local anesthetic injection during an ultrasound-guided supraclavicular brachial plexus block (BPB) is not known. We tested the hypothesis that local anesthetic injected deep to the “brachial plexus sheath” during supraclavicular BPB would produce faster onset of surgical anesthesia than an injection […]

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Uncategorized Published - 2 September, 2015    By - Dr Clemens
Drug therapy for treating post-dural puncture headache

Cochrane Database Syst Rev. 2015 Jul 15 Authors: Basurto Ona X et al   BACKGROUND: This is an updated version of the original Cochrane review published in Issue 8, 2011, on ‘Drug therapy for treating post-dural puncture headache’.Post-dural puncture headache (PDPH) is the most common complication of lumbar puncture, an invasive procedure frequently performed in the emergency room. […]

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Uncategorized Published - 2 September, 2015    By - Dr Clemens
Periprosthetic Anesthetic for Postoperative Pain After Laparoscopic Ventral Hernia Repair: A Randomized Clinical Trial

JAMA Surg 2015 Jul 8. doi: 10.1001/jamasurg.2015.1530. Authors: Gough AE et al IMPORTANCE: Laparoscopic ventral hernia repair (LVHR) using mesh is a well-established intervention for ventral hernia, but pain control can be challenging. OBJECTIVE: To determine whether instillation of a long-acting local anesthetic between the mesh and the peritoneum after LVHR reduces pain or narcotic requirements. DESIGN, […]

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Uncategorized Published - 2 September, 2015    By - Dr Clemens
Required Propofol Dose for Anesthesia and Time to Emerge Are Affected by the Use of Antiepileptics

Prospective Cohort Study Authors: Kentaro Ouchi et al BMC Anesthesiol. 2015;15(34) Background We investigated the impact of the type of neurological disorder on the required propofol dose for anesthesia and the time to emerge from anesthesia during dental treatment in patients with autism (AU), cerebral palsy (CP), and intellectual disability (ID), some of whom also had epilepsy. […]

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