Author: Dr Clemens

Uncategorized Published - 28 September, 2015    By - Dr Clemens
Intraoperative Magnesium Administration Does Not Reduce Postoperative Atrial Fibrillation After Cardiac Surgery

Anesthesia & Analgesia: October 2015 – Volume 121 – Issue 4 – p 861–867 AUTHORS: Klinger, Rebecca Y. MD, MS et al BACKGROUND: Hypomagnesemia has been associated with an increased risk of postoperative atrial fibrillation (POAF). Although previous studies have suggested a beneficial effect of magnesium (Mg) therapy, almost all of these are limited by […]

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Uncategorized Published - 28 September, 2015    By - Dr Clemens
FDA Reviewing Risk With Off-Label Tramadol Use in Children

The US Food and Drug Administration (FDA) is investigating the “rare but serious” risk for slowed or difficult breathing in children 17 and younger treated with the opioid analgesic tramadol. “This risk may be increased in children treated with tramadol for pain after surgery to remove their tonsils and/or adenoids,” according to a drug safety alert posted […]

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Uncategorized Published - 28 September, 2015    By - Dr Clemens
What do Clinicians Perceive as a Successful “Trial of Fluids”?: A Secondary Assessment of a Randomized Controlled Trial

Pediatr Emerg Care 2015 Jul 14 AUTHORS: Hopper et al OBJECTIVE: The aim of the study was to explore physician perceptions of the amount of fluid that demonstrates a successful “trial of fluids” (adequate fluid intake) in the emergency department in children who have had insufficient fluid intake at home. METHODS: This is a secondary analysis […]

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Uncategorized Published - 28 September, 2015    By - Dr Clemens
Ability of the Nociception Level, a Multiparameter Composite of Autonomic Signals, to Detect Noxious Stimuli during Propofol-Remifentanil Anesthesia

Anesthesiology 2015 Sep;123(3):524-34 AUTHORS: Martini CH et al BACKGROUND: A novel multidimensional index of nociception, the nociception level (NoL) index, derived from the nonlinear composite of heart rate (HR), HR variability, amplitude of the photoplethysmogram, skin conductance, fluctuations in skin conductance, and their time derivatives, was used to assess nociception during anesthesia. METHODS: Seventy-two American Society of […]

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Uncategorized Published - 25 September, 2015    By - Dr Clemens
Stop Using Infusion Pump Vulnerable to Hackers, FDA Says

Hospitals and other healthcare facilities should stop using the Symbiq Infusion System manufactured by Hospira because hackers could gain access to the device and give patients life-threatening overdoses or underdoses of drugs, the US Food and Drug Administration (FDA) announced. Hospira has ceased making this line of computerized infusion pumps for unrelated reasons and is […]

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Uncategorized Published - 25 September, 2015    By - Dr Clemens
The Etiology and Outcome of Non-traumatic Coma in Critical Care

BMC Anesthesiol. 2015;15(65) Authors: Marlene WB Horsting et al Background Non-traumatic coma (NTC) is a serious condition requiring swift medical or surgical decision making upon arrival at the emergency department. Knowledge of the most frequent etiologies of NTC and associated mortality might improve the management of these patients. Here, we present the results of a systematic literature […]

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Uncategorized Published - 25 September, 2015    By - Dr Clemens
Appropriate Sevoflurane Concentration to Stabilize Autonomic Activity During Intubation With Rocuronium in Infants

BMC Anesthesiol. 2015;15(64) Authors: Hiroshi Hanamoto et al Background In infants, sevoflurane is commonly used for induction of anesthesia, following which a muscle relaxant is administered to facilitate tracheal intubation. When rocuronium is used as the muscle relaxant, intubation may be performed before reaching an adequate depth of anesthesia because of its rapid onset. The purpose of […]

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Uncategorized Published - 25 September, 2015    By - Dr Clemens
The Effectiveness of Low-Dose Desmopressin in Improving Hypothermia-Induced Impairment of Primary Haemostasis Under Influence of Aspirin

BMC Anesthesiol. 2015;15(80) Authors: Pui Yee Tsui et al Background: Mild hypothermia (34–35 °C) increases perioperative blood loss. Our previous studies showed that desmopressin could have in vitro beneficial effects on hypothermia-induced primary haemostasis impairment. In this study, we investigate the in vitro effects of desmopressin on hypothermia-induced primary haemostasis impairment under the influence of aspirin in healthy volunteers. Methods: Sixty healthy […]

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Uncategorized Published - 25 September, 2015    By - Dr Clemens
The Optimal Nerve Block for Knee Replacement Surgery

Anesthesiology. 2015;123:444-456 Authors: Machi AT, et al 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 interval until a patient […]

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Uncategorized Published - 24 September, 2015    By - Dr Clemens
Operating Room Music May Hamper Communication

Music played during surgery can interfere with team communication, yet it is seldom recognized as a potential safety hazard, according to the authors of a study published in the August Journal of Advanced Nursing. Sharon-Marie Weldon, RN, senior research officer/nurse from the Department of Cancer and Surgery, Imperial College London, United Kingdom, and colleagues studied video […]

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