Author: Dr Clemens

Uncategorized Published - 12 August, 2015    By - Dr Clemens
Paravertebral Block for Inguinal Herniorrhaphy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Anesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 556–569 Authors: Law, Lawrence Siu-Chun MD et al BACKGROUND: Paravertebral block (PVB) is a safe and effective anesthetic technique for thoracotomy and mastectomy. However, no systematic review or meta-analysis has focused on PVB for inguinal herniorrhaphy. Our study compares PVB with general […]

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Uncategorized Published - 12 August, 2015    By - Dr Clemens
Efficacy and Safety of Pregabalin in Patients with Fibromyalgia and Comorbid Depression Taking Concurrent Antidepressant Medication: A Randomized, Placebo-controlled Study.

J Rheumatol. 2015 Jul;42(7):1237-44. Authors: Arnold LM1 et al OBJECTIVE: To assess pregabalin efficacy and safety in patients with fibromyalgia (FM) with comorbid depression taking concurrent antidepressant medication. METHODS: This randomized, placebo-controlled, double-blind, 2-period, 2-way crossover study was composed of two 6-week treatment periods separated by a 2-week taper/washout phase. Patients with FM (aged ≥ […]

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Uncategorized Published - 12 August, 2015    By - Dr Clemens
Ultrasound guided subcostal transversus abdominis plane (TAP) infiltration with liposomal bupivacaine for patients undergoing robotic assisted hysterectomy: A prospective randomized controlled study

Gynecol Oncol. 2015 Jun 6. pii: S0090-8258(15)30029-9 Authors: Hutchins J et al INTRODUCTION: Optimal pain control after major surgery contributes to a patient’s recovery and satisfaction. The use of liposomal bupivacaine in subcostal transversus abdominis plane (TAP) blocks for postoperative pain control after robot assisted abdominal surgery has yet to be studied. METHODS: We conducted a prospective […]

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Uncategorized Published - 12 August, 2015    By - Dr Clemens
Effect of Differences in Extubation Timing on Postoperative Care Following Abdominal Aortic Replacement Surgery

A Comparison Study Authors: Naomi Ono et al BMC Anesthesiol. 2015;15(44) Background Abdominal aortic replacement requires an extensive incision and strict blood pressure control, making rapid extubation of the tracheal tube and pain management difficult. The effects of extubation timing on the postoperative course and medical costs in the intensive care unit (ICU) were analyzed. Methods Patients who […]

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Uncategorized Published - 12 August, 2015    By - Dr Clemens
Anesthesia Before Age 4 May Affect IQ, Language Comprehension

Children who underwent surgery with general anesthesia before 4 years of age later scored lower on tests for listening comprehension and performance IQ than children who did not undergo anesthesia, a study published in June’s Pediatrics has revealed. Although the researchers failed to find the kind of measurable neuronal deletion seen in animal studies of anesthesia use […]

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Uncategorized Published - 11 August, 2015    By - Dr Clemens
The Impact of a Shortage of Pharmacy-Prepared Ephedrine Syringes on Intraoperative Medication Use

Anesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 404–409 Authors: Ladha, Karim S. MD et al BACKGROUND: Anesthesia-related medication shortages have become increasingly common in the United States. We tested whether a local shortage of pharmacy-prepared ephedrine syringes, replaced by provider-prepared ephedrine, was associated with provider-level changes in ephedrine and […]

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Uncategorized Published - 11 August, 2015    By - Dr Clemens
Postoperative fentanyl patch versus subacromial bupivacaine infusion in arthroscopic shoulder surgery.

Arthroscopy 2013 Jul;29(7):1129-34 Authors: Merivirta R et al PURPOSE: The purpose of our study was to compare the effectiveness of subacromial bupivacaine infusion and a transdermal fentanyl patch in the treatment of postoperative pain after arthroscopic shoulder surgery. METHODS: Sixty patients with rotator cuff disease scheduled for elective arthroscopic shoulder surgery were enrolled in the study. For […]

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Uncategorized Published - 11 August, 2015    By - Dr Clemens
A Bayesian Network Meta-analysis on the Effect of Inodilatory Agents on Mortality

Authors: T. Greco; M.G.  et al Br J Anaesth. 2015;114(5):746-756. Background Inodilators are commonly used in critically ill patients, but their effect on survival has not been properly studied to date. The objective of this work was to conduct a network meta-analysis on the effects of inodilators on survival in adult cardiac surgery patients, and to compare […]

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Uncategorized Published - 11 August, 2015    By - Dr Clemens
Prompt Postsurgical Resumption of ARBs May Drop Mortality Risk

Prompt resumption of angiotensin receptor blocker (ARB) therapy after surgery slashes 30-day mortality risk, particularly among younger patients, according to a national cohort study published June 4 in Anesthesiology. Although clinicians commonly discontinue ARBs before surgery to prevent intraoperative hypotension, there is little evidence to guide optimal timing for resumption of therapy, write lead author Susan […]

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Uncategorized Published - 11 August, 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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