Author: Dr Clemens

Uncategorized Published - 1 April, 2015    By - Dr Clemens
Psychiatric Disorders and Psychopharmacologic Treatment as Risk Factors in Elective Fast-track Total Hip and Knee Arthroplasty

Published in Anesthesiology on 3 2015. Authors: Christoffer C. et al Background: Psychiatric disorder (PsD) is rarely considered when evaluating perioperative risk factors. Studies on PsD are often limited by use of administrative coding, incomplete follow-up, and lack of preoperative data on psychopharmacological treatment. Methods: A multicenter study with prospective registration on preoperative comorbidity, complete 90-day follow-up, and […]

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Uncategorized Published - 31 March, 2015    By - Dr Clemens
GlideScope VL Improves Success of Urgent Intubation by Critical Care Physicians

Authors: Silverberg MJ et al., Crit Care Med 2015 Mar 43:636 In a randomized study, first-attempt intubation success was nearly twice as high with GlideScope video laryngoscopy compared with direct laryngoscopy in intensive care patients. Use of video laryngoscopy (VL) results in improved glottic views, fewer intubation attempts, and higher intubation success in both operating room and […]

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Uncategorized Published - 31 March, 2015    By - Dr Clemens
Evidence in Support of Tourniquet Use in Major Limb Trauma

Authors: Kragh JF Jr et al., Ann Emerg Med 2015 Mar 65:290 Severely injured soldiers treated with prehospital tourniquets fared as well as those with less severe injuries not treated with tourniquets. For traumatic limb hemorrhage, tourniquet use is common sense. To quantify its benefit, investigators reviewed data from a registry of injured U.S. soldiers in Afghanistan […]

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Uncategorized Published - 31 March, 2015    By - Dr Clemens
Does the “Golden Hour” After Injury Really Matter?

Authors: Das SK et al., Can J Anaesth 2015 Apr 62:413 In a meta-analysis, transtracheal ultrasound was highly sensitive and specific for detecting tracheal placement during emergency intubation. Transtracheal ultrasound verification of endotracheal intubation. Shows one air-mucosa interface with comet-tail artifact for tracheal intubation and two air-mucosa interfaces with comet-tail artifact or double-track sign for esophageal intubation. […]

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Uncategorized Published - 31 March, 2015    By - Dr Clemens
Bedside Transtracheal Ultrasound Accurately Confirms Endotracheal Tube Placement

Authors: Das SK et al., Can J Anaesth 2015 Apr 62:413 In a meta-analysis, transtracheal ultrasound was highly sensitive and specific for detecting tracheal placement during emergency intubation. Transtracheal ultrasound verification of endotracheal intubation. Shows one air-mucosa interface with comet-tail artifact for tracheal intubation and two air-mucosa interfaces with comet-tail artifact or double-track sign for esophageal intubation. […]

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Uncategorized Published - 31 March, 2015    By - Dr Clemens
Congress Pressures FDA to Finalize Opioid Guidance

This is some general information for our pain providers. Threatens to shift $20 million from agency if abuse-deterrent guidance isn’t settled by June. The FDA will publish its long-awaited guidance on abuse-deterrent opioids by the end of June, in order to avoid a $20 million cut in funds to the commissioner’s office threatened by Congress. […]

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Uncategorized Published - 30 March, 2015    By - Dr Clemens
Blood/Gas partition coefficients for isoflurane, sevoflurane, and desflurane in a clinically relevant patient population

Published in Anesth Analg. 2015 Jan;120(1):45-50 Authors: Esper T et al BACKGROUND: The blood/gas partition coefficient of a certain volatile anesthetic is of clinical importance because it determines its velocity of uptake into and elimination from the body of a patient and thus its pharmacokinetic behavior. To date, the blood/gas partition coefficients of isoflurane, sevoflurane, and […]

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Uncategorized Published - 30 March, 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 Anesth Analg. 2014 Nov 25 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 - 30 March, 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 Anesth Analg. 2015 Jan;120(1):151-6 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 of complications […]

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Uncategorized Published - 30 March, 2015    By - Dr Clemens
Fentanyl: DEA Sounds Nationwide Alarm on Drug’s Dangers

The US Drug Enforcement Agency (DEA) has issued a nationwide alert about the dangers of the narcotic fentanyl and fentanyl analogues/compounds. According to the DEA, the drug, which is often used in anesthesia to prevent pain after surgery or other procedures, is commonly laced in heroin, causing significant problems across the country, particularly because heroin […]

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