Author: Dr Clemens

Uncategorized Published - 4 June, 2015    By - Dr Clemens
Anesthesiologists Must Strive To Improve Infection Control

It is important for those in the anesthesiology community to work together to improve infection control practices and to prevent the occurrence of infections linked to the practice of anesthesiology. That was the message from a session (“Infection Control Issues Impacting Anesthesia Practice: What’s the Evidence?”) held at the recent New York State Society of […]

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Uncategorized Published - 4 June, 2015    By - Dr Clemens
Image-Guided Lidocaine Injections for Headache

Injection of local anesthetic into part of the trigeminal nerve under fluoroscopic guidance is being used to treat migraine and other headaches. A new study showed that numbing the sphenopalatine ganglion (SPG) with the aid of fluoroscopy improved headache pain by about a third, said lead researcher Kenneth Mandato, MD, assistant professor, Interventional Radiology, Albany […]

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Uncategorized Published - 4 June, 2015    By - Dr Clemens
Operating Room Best Practices Move to Handheld Devices

Nurses in the operating room will soon be able to access best practices with a simple tap on a tablet, using new technology to replace what has been for many an inefficient system of monitoring guidelines with paper and pencil. “You can imagine what it would be like to monitor 12, 15 cases a day, […]

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Uncategorized Published - 4 June, 2015    By - Dr Clemens
Why can’t physician anesthesiologists, nurse anesthetists, and anesthesiologist assistants just get along?

I thought this was very interesting so I wanted to share it with our readers. By Karen Sibert, MD American anesthesiology reached a significant milestone last year, though many of us probably missed it at the time. In February, 2014, the number of nurse anesthetists in the United States for the first time exceeded the […]

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Uncategorized Published - 4 June, 2015    By - Dr Clemens
Insufflating Gas Pressures Can Exceed Margin of Safety

Despite technological advances that have substantially improved the safety of gastrointestinal (GI) endoscopy in recent years, the risk for fatal gas embolism from insufflating gas—although extremely rare—is still present. In fact, a study by a University of Florida, Gainesville, research team has concluded that when the flush button is depressed on a popular manufacturer’s endoscope, […]

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Uncategorized Published - 3 June, 2015    By - Dr Clemens
Coarse-Grained Simulation Model Reveals Similarities Among General Anesthetics

General anesthetics, despite differences among them at the molecular level, modulate ligand-gated ion channels in a highly generalized fashion. A coarse-grained simulation model of this behavior now offers valuable insights into common molecular mechanisms of anesthetic action. Joshua Mincer, MD, PhD, assistant professor, and Thomas T. Joseph, MD, PhD, CA-2 resident and an Eliasberg Research […]

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Uncategorized Published - 3 June, 2015    By - Dr Clemens
Perioperative QTc Prolongation Linked to Administration Of General or Spinal Anesthesia

Once thought to be an isolated perioperative phenomenon, QTc prolongation seems to be common during surgery under general and spinal—but not local—anesthesia, a study has found. Additionally, the relative risk for extended QTc prolongation is more than five times greater with general anesthesia than with spinal. “QTc prolongation is an indicator of abnormal cardiac repolarization,” […]

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Uncategorized Published - 3 June, 2015    By - Dr Clemens
Panel Recommends Steps for Safer Epidural Injections

The risk for rare but potentially catastrophic neurological injuries from epidural steroid injections (ESIs) can be substantially reduced if anesthesiologists and other clinicians follow specific safety measures, according to members of a consensus panel representing 13 national medical organizations. “We acknowledge that catastrophic neurologic injuries can and do occur during epidural steroid injections. The actual […]

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Uncategorized Published - 3 June, 2015    By - Dr Clemens
Twin Study Lends New Insights Into Link Between Back Pain, Depression

Genetic factors help to explain the commonly found association between low back pain and depression, according to a large study of twins published in the journal Pain. Genetic factors affecting both conditions may be involved in the association between back pain and depression. For the study, Marina B. Pinheiro, MD, University of Sydney, Sydney, Australia, […]

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Uncategorized Published - 3 June, 2015    By - Dr Clemens
Study Questions Benefit of Administering Sedatives Before Surgery

Although sedatives are often administered before surgery, a randomised trial finds that among patients undergoing elective surgery under general anaesthesia, receiving lorazepam before surgery, compared with placebo or no premedication, did not improve the self-reported patient experience the day after surgery, but was associated with longer time till extubation and a lower rate of early […]

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