Author: Dr Clemens

Uncategorized Published - 18 May, 2015    By - Dr Clemens
Intraoperative Tight Glucose Control Using Hyperinsulinemic Normoglycemia Increases Delirium after Cardiac Surgery

Published in Anesthesiology on 4 2015 Authors: Leif Saager, Dr. med et al Background: Postoperative delirium is common in patients recovering from cardiac surgery. Tight glucose control has been shown to reduce mortality and morbidity. Therefore, the authors sought to determine the effect of tight intraoperative glucose control using a hyperinsulinemic–normoglycemic clamp approach on postoperative delirium in […]

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Uncategorized Published - 18 May, 2015    By - Dr Clemens
Ultrasound Improves First-Attempt Success with Radial Arterial Line Placement

Published in Anaesthesia 2015 Apr 8 Authors: Ueda K et al. In this randomized, controlled trial of surgery patients, first-attempt radial arterial line placement by anesthesiologists was more successful when guided by ultrasound than palpation or Doppler. The radial artery is traditionally located by palpation, but this can be challenging in patients with hypotension, small-caliber vessels, or […]

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Uncategorized Published - 18 May, 2015    By - Dr Clemens
High-Flow Nasal Cannula Oxygen Does Not Prevent Desaturation During Intubation

Published in Intensive Care Med 2015 Apr 14 Authors: Vourc’h M et al. In an unblinded, randomized trial of ICU patients with hypoxemic respiratory failure, high-flow nasal cannula oxygenation did not reduce desaturation during intubation. Despite adequate preoxygenation, desaturation is common during endotracheal intubation in patients with respiratory disease. The use of high-flow nasal cannula oxygenation […]

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Uncategorized Published - 15 May, 2015    By - Dr Clemens
Fixed-Time Analgesia Superior to On-Demand Regimen for Pain Following C-Section

Analgesia provided following caesarean section delivery at fixed time intervals shows improved efficacy in pain and other outcomes, compared with on-demand analgesia, according to a study presented here at The Pregnancy Meeting, the 2015 Annual Meeting of the Society for Maternal-Fetal Medicine (SMFM). The study involved 187 patients who underwent regional anaesthesia for caesarean section. […]

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Uncategorized Published - 15 May, 2015    By - Dr Clemens
Awkward Positions, Distractions and Fatigue May Trigger Low Back Pain

New research reveals the physical and psychosocial factors that significantly increase the risk of low back pain onset. In fact, results published in the journal Arthritis Care & Research show that being engaged in manual tasks involving awkward positions will increase the risk of low back pain by 8 times. Those who are distracted during […]

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Uncategorized Published - 15 May, 2015    By - Dr Clemens
Chronic Narcotic Use Is High Among Kids With IBD

Chronic narcotic use is more than twice as prevalent in children with inflammatory bowel disease (IBD), compared with children without this disease, according to a study published in Clinical Gastroenterology and Hepatology. “Chronic narcotic use is common in paediatric patients with IBD, particularly among those with anxiety and depression,” said lead author Jessie P. Buckley, […]

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Uncategorized Published - 15 May, 2015    By - Dr Clemens
Public Ill-Informed About Anesthesia, Study Says

Most patients do not know exactly what anesthesiologists do, according to a recent study. This is problematic as patient knowledge can help improve surgery outcomes, according to study a by Ferdinand Iannaccone, DO, an anesthesia resident at Rutgers New Jersey Medical School. “If they know more prior to their surgeries they can be helpful to […]

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Uncategorized Published - 15 May, 2015    By - Dr Clemens
ASA Releases Women’s Pain Update To Raise Awareness

Pain management in women is often overlooked and ineffective for a variety of conditions ranging from back pain to postsurgery cancer pain, according to the American Society of Anesthesiologists (ASA). In response, the ASA has issued the Women’s Pain Update, in the hopes of raising awareness of available treatment options, as well as the role […]

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Uncategorized Published - 14 May, 2015    By - Dr Clemens
Palliative Care: Another Role For ‘Titrationologists’?

Perry Fine, MD, believes anesthesiologists should play a role in the delivery of palliative care. “We as anesthesiologists are perfectly aligned to spend more of our time, knowledge and skills involved with patients who are facing end-of-life issues or are actively suffering,” the professor of anesthesiology at the University of Utah and strategic advisor to […]

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Uncategorized Published - 14 May, 2015    By - Dr Clemens
Antidysrhythmic drug therapy for the termination of stable, monomorphic ventricular tachycardia: a systematic review

Published in Emerg Med J. 2015 Feb;32(2):161-7 Authors: deSouza IS et al OBJECTIVE: We performed a systematic review of the literature to compare the efficacy of different drug therapies for the termination of stable, monomorphic ventricular tachycardia (VT). METHODS: We searched EMBASE, MEDLINE and Cochrane for trials from 1965 through July 2013 using a search strategy […]

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