Author: Dr Clemens

Uncategorized Published - 23 December, 2015    By - Dr Clemens
Achondroplasia: Implications and Management Strategies in Anesthesia

Joan E. Spiegel, MD Assistant Professor Beth Israel Deaconess Medical Center Harvard Medical School Boston, Massachusetts Editorial Advisory Board Member, Anesthesiology News Matthew Hellman, MD Clinical Fellow in Anesthesiology Beth Israel Deaconess Medical Center Boston, Massachusetts Achondroplasia is the most common cause of dwarfism. As a genetic disorder of skeletal dysplasia, it literally translates to “without […]

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Uncategorized Published - 23 December, 2015    By - Dr Clemens
Very Low Frequency Deep-Brain Stimulation Improves Neuropathic Pain After Spinal-Cord Injury

Very low frequency (<2 Hz) stimulation may be more effective at controlling neuropathic pain in patients with spinal-cord injury than higher frequencies (>10 Hz), according to a small, 2-subject study presented on September 28 at the 140th Annual Meeting of the American Neurological Association (ANA). Corneliu Luca MD, PhD, University of Miami Health System, Miami, […]

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Uncategorized Published - 23 December, 2015    By - Dr Clemens
Inhalation of Isopropyl Alcohol Alleviates Nausea in ED Patients

This might be worth trying in RR if it works in ER. Authors: Beadle KL et al., Ann Emerg Med 2015 Dec 8; Breathing with an alcohol wipe in front of the nose was more effective than breathing with a saline wipe. Prior research has found antiemetics to be no more effective than placebo in emergency department […]

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Uncategorized Published - 22 December, 2015    By - Dr Clemens
High Opioid Use in Older People With COPD Raises Safety Concerns

Researchers are raising safety concerns about high rates of new opioid use among older adults with chronic obstructive pulmonary disease (COPD), according to a study published today in the British Journal of Clinical Pharmacology. “The new use of opioids was remarkably high among adults with COPD living in the community,” said Nicholas Vozoris, MD, St. Michael’s […]

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Uncategorized Published - 22 December, 2015    By - Dr Clemens
Nefopam for the Prevention of Perioperative Shivering

Authors: Meng Lv et al BMC Anesthesiol. 2015;15(87) A Meta-analysis of Randomized Controlled Trials Background: Shivering is a frequent complication following surgery and anaesthesia. A large variety of studies have been reported that nefopam may be efficacious for the prevention and treatment of perioperative shivering. Regrettably, there is still no conclusion of the efficacy and safety of […]

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Uncategorized Published - 22 December, 2015    By - Dr Clemens
Perioperative Stroke: A Question of Timing?

Authors: R. D. Sanders; M. E. Jørgensen; G. A. Mashour Br J Anaesth. 2015;115(1):11-13. Introduction Perioperative stroke is a potentially devastating complication with an incidence of 0.1–0.6% in non-cardiac surgery. Although rare, stroke in the perioperative setting is associated with an adjusted 8-fold increase in mortality, thus developing preventive strategies is of paramount importance. The recent […]

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Uncategorized Published - 22 December, 2015    By - Dr Clemens
Evaluation of I-gel(™) airway in different head and neck positions in anesthetized paralyzed children

Published in Paediatr Anaesth 2015 Dec;25(12):1248-53. Authors: Jain D et al BACKGROUND: Studies that have compared and quantified the oropharynageal leak pressure (OPLP) and adequacy of ventilation with supraglottic airway devices in different head and neck positions have been done in adult populations. The effects of head-neck position changes on the functioning of I-gel(™) in pediatric population […]

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Uncategorized Published - 22 December, 2015    By - Dr Clemens
Dexmedetomidine as adjunct to ilioinguinal/iliohypogastric nerve blocks for pediatric inguinal hernia repair: an exploratory randomized controlled trial

Published in Paediatr Anaesth, 2015 Sep;25(9):897-905. Authors: Lundblad M et al BACKGROUND: Adult meta-analysis has identified dexmedetomidine as a potentially useful adjunct to prolong the duration of peripheral nerve blocks. However, no data exist regarding the adjuvant use of dexmedetomidine in the setting of pediatric peripheral nerve blocks. METHODS: Using a prospective, randomized, double-blind design, children (1½-8 […]

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Uncategorized Published - 21 December, 2015    By - Dr Clemens
The effect of infraorbital nerve block on emergence agitation in children undergoing cleft lip surgery under general anesthesia with sevoflurane

Published in Paediatr Anaesth, 2015 Sep;25(9):906-10. Authors: Wang H et al BACKGROUND: Sevoflurane is widely used in pediatric anesthesia. However, a high incidence of emergence agitation (EA) after general anesthesia with sevoflurane has been reported and pain has been regarded as a significant contributing factor. The objective of this prospective randomized, placebo-controlled trial was to determine whether […]

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Uncategorized Published - 21 December, 2015    By - Dr Clemens
Effect of postoperative analgesia on acute and persistent postherniotomy pain: a randomized study.

Published in J Clin Anesth, 2015 Dec;27(8):658-64. Authors: Bugada D et al STUDY OBJECTIVE: The study objective is to identify differences in postoperative pain management according to different analgesic treatments, targeting 2 main pathways involved in pain perception. DESIGN: The design is a randomized, parallel groups, open-label study. SETTING: The setting is in an operating room, postoperative […]

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