Author: Dr Clemens

Uncategorized Published - 30 March, 2015    By - Dr Clemens
Surgical space conditions during low-pressure laparoscopic cholecystectomy with deep versus moderate neuromuscular blockade: a randomized clinical study

Published in Anesth Analg. 2014 Nov;119(5):1084-92 Authors: Staehr-Rye AK et al BACKGROUND: Laparoscopic cholecystectomy performed during low intraabdominal pressure (<12 mm Hg) is associated with significantly less postoperative pain than standard pressure (≥12 mm Hg). The impact on surgical space conditions and safety of operating at lower pressures has not been adequately described, but deep neuromuscular […]

Read More
Uncategorized Published - 27 March, 2015    By - Dr Clemens
A dose-response study of caudal dexmedetomidine with ropivacaine in pediatric day care patients undergoing lower abdominal and perineal surgeries: a randomized controlled trial.

Published in Paediatr Anaesth. 2014 Nov;24(11):1158-63 Authors: Bharti N et al OBJECTIVES: This randomized double-blind study was conducted to evaluate the analgesic efficacy and safety of addition of three different doses of dexmedetomidine in caudal ropivacaine compared with plain ropivacaine for postoperative analgesia in pediatric day care patients. METHODS: Eighty children of American Society of Anesthesiologists […]

Read More
Uncategorized Published - 27 March, 2015    By - Dr Clemens
Ineffective Pain Meds in IBS Patients Related to Immune System Changes

The presence of defects in the immune system in people with irritable bowel syndrome (IBS) is the major reason why sufferers have ongoing issues with pain, and one reason why some painkillers do not provide satisfactory relief to these patients, according to a recent study by researchers at the University of Adelaide, in Australia. IBS […]

Read More
Uncategorized Published - 27 March, 2015    By - Dr Clemens
The importance of pleural integrity for effective and safe thoracic paravertebral block: a retrospective comparative study on postoperative pain control by paravertebral block

Published in CardioVasc Thoracic Surgery Volume 20, Issue 3 Pp. 296-299 Authors: Teruya Komatsua et al OBJECTIVES Recently, paravertebral block (PVB) has been reported to be an effective analgesic modality for post-thoracotomy pain, but there is no consensus on how thoracic PVB can be more effective. Our hypothesis that intact pleura has a significant impact on the analgesic […]

Read More
Uncategorized Published - 27 March, 2015    By - Dr Clemens
Postoperative Delirium Guideline for Older Adults Issued

The American Geriatrics Society (AGS) has released a new practice guideline for preventing and treating postoperative delirium in patients aged 65 years or older. The guideline was published onlineNovember 4 on the AGS website. An additional best practices document containing almost all guideline recommendations plus additional clinical recommendations was published in the Journal of the American College of Surgeons. The […]

Read More
Uncategorized Published - 27 March, 2015    By - Dr Clemens
Low-Pressure Epidural Gravity Saline Technique May Reduce Cesarean Complications

In patients undergoing cesarean delivery who are receiving a combined spinal epidural (CSE), a study has found that delivering epidural saline using a low-pressure gravity technique leads to fewer complications than relying solely on an epidural catheter. The investigators Shaul Cohen, MD, Antonio Chiricolo, MD, and their colleagues from the Rutgers-Robert Wood Johnson University Hospital, […]

Read More
Uncategorized Published - 26 March, 2015    By - Dr Clemens
FDA Declines Approval for Intranasal Migraine Treatment

The US Food and Drug Administration (FDA) has declined approval for a drug-device product combining low-dose sumatriptan powder delivered intranasally using a novel delivery technology for the treatment of migraine (AVP-825, Avanir Pharmaceuticals Inc), the company reports. “In the Complete Response letter (CRL), and consistent with the preliminary feedback announced on November 7, 2014, the […]

Read More
Uncategorized Published - 26 March, 2015    By - Dr Clemens
Persistent Postmastectomy Pain and Pain-Related Physical and Emotional Functioning With and Without a Continuous Paravertebral Nerve Block: A Prospective 1-Year Follow-Up Assessment of a Randomized, Triple-Masked, Placebo-Controlled Study

Published in Ann Surg Oncol. 2014 Nov 21. Authors: Ilfeld BM et al BACKGROUND: In a previous randomized, triple-masked, placebo-controlled study, the authors demonstrated that extending a single-injection paravertebral nerve block with a multiple-day perineural local anesthetic infusion improves analgesia and decreases pain-related dysfunction during the 3-day infusion but not subsequent to catheter removal within 1 month […]

Read More
Uncategorized Published - 26 March, 2015    By - Dr Clemens
Anesthetic management of patients with Joubert syndrome: a retrospective analysis of a single-institutional case series

Published in Paediatr Anaesth. 2014 Nov;24(11):1180-4. Authors: Sriganesh K et al OBJECTIVE: To analyze the anesthetic techniques used for sedation during magnetic resonance imaging (MRI) study of patients with Joubert syndrome (JS) and assess the safety and efficacy of these anesthetic regimens in these children. BACKGROUND: Joubert syndrome is a rare neurological disorder with significant anesthetic […]

Read More
Uncategorized Published - 26 March, 2015    By - Dr Clemens
Perioperative respiratory complications following awake and deep extubation in children undergoing adenotonsillectomy

Published in Paediatr Anaesth. 2015 Apr;25(4):392-9 Authors: Baijal RG et al BACKGROUND: Perioperative respiratory complications after adenotonsillectomy (T&A) are common and have been described to occur more frequently in children below 3 years of age, those with cranio-facial abnormalities, Down syndrome, obstructive sleep apnea, morbid obesity, and failure to thrive. AIMS: To investigate the association between awake […]

Read More