Author: Dr Clemens

Uncategorized Published - 9 April, 2015    By - Dr Clemens
Absolute and trend accuracy of a new regional oximeter in healthy volunteers during controlled hypoxia

Published in Anesthesia & Analgesia 119 (6), 1315-9 (Dec 2014) Authors: Redford D, et al BACKGROUND Traditional patient monitoring may not detect cerebral tissue hypoxia, and typical interventions may not improve tissue oxygenation. Therefore, monitoring cerebral tissue oxygen status with regional oximetry is being increasingly used by anesthesiologists and perfusionists during surgery. In this study, […]

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Uncategorized Published - 9 April, 2015    By - Dr Clemens
Bilateral Paravertebral Blockade (T7-10) Versus Incisional Local Anesthetic Administration for Pediatric Laparoscopic Cholecystectomy: A Prospective, Randomized Clinical Study

Published in Anesthesia & Analgesia (Nov 2014) Authors:Visoiu M, et al BACKGROUND: Single-injection paravertebral nerve blocks (PVBs) provide effective postoperative analgesia after adult laparoscopic cholecystectomy (LC). We sought to compare PVBs with local anesthetic injections at laparoscopic port sites in a pediatric population. METHODS: Eighty-three patients (8-17 years old) scheduled for LC were randomized prospectively […]

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Uncategorized Published - 9 April, 2015    By - Dr Clemens
Are Caudal Blocks for Pain Control Safe in Children? An Analysis of 18,650 Caudal Blocks from the Pediatric Regional Anesthesia Network (PRAN) Database

Published in Anesthesia & Analgesia (Nov 2014) Authors: Suresh S, et al BACKGROUND: The caudal block is the most commonly performed regional anesthesia technique in pediatric patients undergoing surgical procedures, but safety concerns raised by previous reports remain to be addressed. Our main objective in current investigation was to estimate the overall and specific incidence […]

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Uncategorized Published - 9 April, 2015    By - Dr Clemens
Women’s Experiences with Neuraxial Labor Analgesia in the Listening to Mothers II Survey: A Content Analysis of Open-Ended Responses

Published in Anesthesia & Analgesia (Nov 2014) Authors: Attanasio L, et al BACKGROUND: Most women who give birth in United States hospitals receive neuraxial analgesia to manage pain during labor. In this analysis, we examined themes of the patient experience of neuraxial analgesia among a national sample of U.S. mothers. METHODS: Data are from the […]

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Uncategorized Published - 9 April, 2015    By - Dr Clemens
Nevada doctor Dipak Desai guilty in $2.2 million scheme to overcharge for anesthesia

Nevada doctor Dipak Desai guilty in $2.2 million scheme to overcharge for anesthesia Doctors overstated the amount of time the nurse anesthetists spent with patients, pocketing about 9 percent of the reimbursement. The former owner of a defunct Nevada endoscopy center has pleaded guilty to conspiracy to defraud Medicare, Medicaid and other private health insurance […]

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Uncategorized Published - 8 April, 2015    By - Dr Clemens
The efficacy of honey for ameliorating pain after tonsillectomy: a meta-analysis

Published in European Archives of Oto-Rhino-Laryngology (Dec 2014) Authors: Hwang S et al Postoperative pain and wound healing following tonsillectomy can result in dissatisfaction for the patient. However, there is no consensus on whether postoperatively administered honey effectively reduces morbidity after tonsillectomy. Therefore, a systematic review with a meta-analysis of the efficacy of honey as […]

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Uncategorized Published - 7 April, 2015    By - Dr Clemens
Transfusion Threshold for Abdominal Cancer Surgery Patients

Published in Anesthesiology 2015 Jan 122:29 Authors: Pinheiro de Almeida J et al. A hemoglobin level of 9 g/dL was superior to 7 g/dL as a trigger for transfusion. Randomized trials have shown favorable outcomes with a restrictive red-cell transfusion strategy — that is, not transfusing until hemoglobin levels are <7 g/dL in general critical-care […]

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Uncategorized Published - 7 April, 2015    By - Dr Clemens
Single level Lumbar Fusion for Degenerative Disc Disease is Associated with Worse outcomes compared to Fusion for Spondylolisthesis in a Workers’ Compensation Setting.

Published in Spine (Phila Pa 1976). 2014 Dec 9. Authors: Anderson JT et al Study Design. Retrospective cohort studyObjective. Compare lumbar fusion outcomes, return to work (RTW) status in particular, between workers’ compensation (WC) subjects undergoing single level posterolateral fusion for either spondylolisthesis or degenerative disc disease (DDD)Summary of Background Data. Lumbar fusion for spondylolisthesis […]

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Uncategorized Published - 7 April, 2015    By - Dr Clemens
Widespread Chronic Pain Seen in Study of U.S. Military

With the country at war on two fronts for most of the 21st century, it should come as no surprise that chronic pain, and the treatment of it, is a significant concern within the U.S. military. A study published in JAMA Internal Medicine(2014;174:1400-1401) sought to gain unprecedented understanding of the scope of the chronic pain […]

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Uncategorized Published - 7 April, 2015    By - Dr Clemens
Turbine-Driven Ventilator Offers Theoretical Option for CPR

Although most health care professionals meet advanced cardiovascular life support (ACLS) guidelines when ventilating through a self-inflating bag, they do so with wide ranges in various ventilatory end points, which may in turn affect systolic blood pressure. However, a new study has shown that a novel, turbine-driven ventilator meets the same guidelines while providing greater […]

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