Author: 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), […]

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 […]

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 […]

Fungal Infections From Contaminated Steroids May Recur

The Centers for Disease Control and Prevention (CDC) has issued an update on outcomes from 2012 to 2014 of the unprecedented multistate outbreak of fungal meningitis and other infections associated with contaminated methylprednisolone acetate (MPA) injection solution. The Mycoses Study Group Education and Research Consortium is conducting a long-term follow-up study and warns clinicians that […]

Neurodevelopmental outcome at 2 years of age after general anaesthesia and awake-regional anaesthesia in infancy (GAS): an international multicentre, randomised controlled trial

Lancet. 2015 Oct 23. pii: S0140-6736(15)00608 Authors: Davidson AJ et al BACKGROUND: Preclinical data suggest that general anaesthetics affect brain development. There is mixed evidence from cohort studies that young children exposed to anaesthesia can have an increased risk of poor neurodevelopmental outcome. We aimed to establish whether general anaesthesia in infancy has any effect on […]

Avoid Sedatives and Opioids for Treating Low Back

Perioperative Surgical Home Improves Quality, Reduces Costs

With the perioperative surgical home model — in which an anesthesiologist manages a patient’s surgical experience in collaboration with the patient, the patient’s family, and other healthcare providers — hospital stays are shorter and rates of discharge home are higher, according to a new study. The findings show that the program has a promising future beyond its […]

Low-dose Ketamine Eases Pain, Reduces Opioid Use in ED

I thought this was interesting so I wanted to share it with our readers. The use of low-dose ketamine as an adjunct to opioids for pain control in the emergency department led to reductions in pain scores, total opioid dosing, and frequency of opioid dosing, results from a randomized, placebo-controlled trial indicate. “The reduced frequency […]

Intraoperative Lung-Protective Ventilation Trends and Practice Patterns: A Report from the Multicenter Perioperative Outcomes Group

Anesthesia & Analgesia:November 2015 – Volume 121 – Issue 5 – p 1231–1239 Authors: Patrick MD et al BACKGROUND: The use of an intraoperative lung-protective ventilation strategy through tidal volume (TV) size reduction and positive end-expiratory pressure (PEEP) has been increasingly investigated. In this article, we describe the current intraoperative lung-protective ventilation practice patterns and […]

The Impact of Anesthetic Management on Surgical Site Infections in Patients Undergoing Total Knee or Total Hip Arthroplasty

Anesthesia & Analgesia: Nov 2045 Vol 121 zissue 5 p1215-1221 Authors: Kopp, Sandra L. MD et al BACKGROUND: Surgical site infection (SSI) is one of the most challenging and costly complications associated with total joint arthroplasty. Our primary aim in this case-controlled trial was to compare the risk of SSI within a year of surgery […]