Author: Dr Clemens

Uncategorized Published - 14 August, 2015    By - Dr Clemens
Predictors of Intensive Care Unit Stay After Pediatric Supraglottoplasty.

JAMA Otolaryngol Head Neck Surg. 2015 Jun 11. Authors: Albergotti WG et al IMPORTANCE: Supraglottoplasty is a common procedure performed without evidence-based postoperative management plans. Patients are routinely admitted to the intensive care unit (ICU) postoperatively, but this may not be necessary in all cases. OBJECTIVE: To determine (1) whether routine admission to the ICU after supraglottoplasty […]

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Uncategorized Published - 14 August, 2015    By - Dr Clemens
Management Implications for the Perioperative Surgical Home Related to Inpatient Case Cancellations and Add-On Case Scheduling on the Day of Surgery

Anesthesia & Analgesia: July 2015 – Volume 121 – Issue 1 – p 206–218 Authors: Epstein, Richard H. MD et al BACKGROUND: The American Society of Anesthesiologists has embraced the concept of the Perioperative Surgical Home as a means through which anesthesiologists can add value to the health systems in which they practice. One key […]

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Uncategorized Published - 14 August, 2015    By - Dr Clemens
A Comparative Evaluation of Nebulized Dexmedetomidine, Nebulized Ketamine, and Their Combination as Premedication for Outpatient Pediatric Dental Surgery

Anesthesia & Analgesia: July 2015 – Volume 121 – Issue 1 – p 167–171 Authors: Zanaty, Ola M. MD, PhD et al BACKGROUND: This study was designed to evaluate and compare the efficacy and safety of nebulized dexmedetomidine, nebulized ketamine, and the combination of these drugs for premedication in pediatric outpatient dental surgeries. METHODS: A […]

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Uncategorized Published - 14 August, 2015    By - Dr Clemens
The ED90 of Prophylactic Oxytocin Infusion After Delivery of the Placenta During Cesarean Delivery in Laboring Compared with Nonlaboring Women: An Up-Down Sequential Allocation Dose-Response Study

Anesthesia & Analgesia: July 2015 – Volume 121 – Issue 1 – p 159–164 Authors: Lavoie, Anne MD et al BACKGROUND: Prophylactic administration of oxytocin as a part of active management of the third stage of labor reduces the risk of postpartum hemorrhage. Prophylactic oxytocin is often administered as an infusion rather than a bolus. […]

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Uncategorized Published - 14 August, 2015    By - Dr Clemens
The Effect of Adding a Background Infusion to Patient-Controlled Epidural Labor Analgesia on Labor, Maternal, and Neonatal Outcomes: A Systematic Review and Meta-Analysis

Anesthesia & Analgesia: July 2015 – Volume 121 – Issue 1 – p 149–158 Authors: Heesen, Michael MD et al BACKGROUND: Patient-controlled epidural analgesia (PCEA) has gained popularity, but it is still unclear whether adding a background infusion confers any benefit. METHODS: A systematic literature search in PubMed, Embase, CINAHL, LILACS, CENTRAL, Clinicaltrials.gov, and ISI […]

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Uncategorized Published - 13 August, 2015    By - Dr Clemens
Difficult Airway Response Team: A Novel Quality Improvement Program for Managing Hospital-Wide Airway Emergencies

Anesthesia & Analgesia: July 2015 – Volume 121 – Issue 1 – p 127–139 Authors: Mark, Lynette J. MD et al BACKGROUND: Difficult airway cases can quickly become emergencies, increasing the risk of life-threatening complications or death. Emergency airway management outside the operating room is particularly challenging. METHODS: We developed a quality improvement program—the Difficult […]

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Uncategorized Published - 13 August, 2015    By - Dr Clemens
The Incidence of Perioperative Hypersensitivity Reactions: A Single-Center, Prospective, Cohort Study

Anesthesia & Analgesia: July 2015 – Volume 121 – Issue 1 – p 117–123 Authors: Berroa, Felicia MD, PhD et al BACKGROUND: The incidence of perioperative hypersensitivity reactions, which can be life-threatening, ranges from 1 in 20,000 to 1 in 1361. These reactions are usually classified as IgE or non-IgE mediated. The aim of this […]

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Uncategorized Published - 13 August, 2015    By - Dr Clemens
The Effect of Adding Functional Classification to ASA Status for Predicting 30-Day Mortality

Anesthesia & Analgesia: July 2015 – Volume 121 – Issue 1 – p 110–116 Authors: Visnjevac, Ognjen MD et al BACKGROUND: The functional capacity to perform the activities of daily living is identified as an independent predictor of perioperative mortality but is not formally incorporated in the American Society of Anesthesiologists (ASA) classification. Our primary […]

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Uncategorized Published - 13 August, 2015    By - Dr Clemens
Sedation-Analgesia with Propofol and Remifentanil: Concentrations Required to Avoid Gag Reflex in Upper Gastrointestinal Endoscopy

Anesthesia & Analgesia: July 2015 – Volume 121 – Issue 1 – p 90–96 Authors: Borrat, Xavier MD et al BACKGROUND: The purpose of this study was to identify optimal target propofol and remifentanil concentrations to avoid a gag reflex in response to insertion of an upper gastrointestinal endoscope. METHODS: Patients presenting for endoscopy received […]

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Uncategorized Published - 13 August, 2015    By - Dr Clemens
Initial Preference for Labor Without Neuraxial Analgesia and Actual Use: Results from a National Survey in France.

Anesthesia & Analgesia: June 2015 Authors: Kpéa, Laure RM, MPH et al BACKGROUND: The rate of neuraxial analgesia during labor in France is one of the highest among high-income countries: 77% of vaginal deliveries in 2010. In this context, the question of how women’s preferences for delivering without neuraxial analgesia relate to actual use is […]

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