Author: Dr Clemens

Uncategorized Published - 12 June, 2015    By - Dr Clemens
A Multimodal Intervention Improves Post-Anesthesia Care Unit Handovers.

Authors: Weinger, Matthew B. MD et al Published in Anesthesia & Analgesia: March 2015 BACKGROUND: Failures of communication are a major contributor to perioperative adverse events. Transitions of care may be particularly vulnerable. We sought to improve postoperative handovers. METHODS: We introduced a multimodal intervention in an adult and a pediatric postanesthesia care unit (PACU) […]

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Uncategorized Published - 11 June, 2015    By - Dr Clemens
A prospective, randomized, controlled trial on the use of ropivacaine after robotic thyroid surgery: Effects on postoperative pain.

Authors: Bae DS et al Published in Head Neck. 2015 Mar BACKGROUND: We evaluated the effects of ropivacaine for pain relief after robotic thyroid surgery (RoT). PATIENTS AND METHODS: Patients (n = 108) scheduled for RoT were randomized into ropivacaine (n = 54) or control (n = 54) groups. After surgery, 40mL of 0.25% ropivacaine or […]

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Uncategorized Published - 11 June, 2015    By - Dr Clemens
An Anesthesia Preinduction Checklist to Improve Information Exchange, Knowledge of Critical Information, Perception of Safety, and Possibly Perception of Teamwork in Anesthesia Teams.

Authors: Tscholl, David W. MD et al Published in Anesthesia & Analgesia: March 2015 BACKGROUND: An anesthesia preinduction checklist (APIC) to be performed before anesthesia induction was introduced and evaluated with respect to 5 team-level outcomes, each being a surrogate end point for patient safety: information exchange (the percentage of checklist items exchanged by a […]

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Uncategorized Published - 11 June, 2015    By - Dr Clemens
A Randomized Controlled Trial Comparing Two Multimodal Analgesic Techniques in Patients Predicted to Have Severe Pain After Cesarean Delivery

Published in Anesthesia & Analgesia: April 2015 Authors: Booth, Jessica L. MD et al BACKGROUND: Improved pain control after cesarean delivery remains a challenging objective. Poorly treated acute pain following delivery is associated with an increased risk of chronic pain and depression. This study was conducted to determine whether the addition of systemic acetaminophen and […]

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Uncategorized Published - 11 June, 2015    By - Dr Clemens
Elective Endovascular Treatment of Unruptured Intracranial Aneurysms: A Management Case Series of Patient Outcomes After Institutional Change to Admit Patients Principally to Postanesthesia Care Unit Rather Than to Intensive Care.

Published in Anesthesia & Analgesia: March 2015 Authors: Eisen, Sarah H. MD et al         BACKGROUND: Our intention in this case series was to review the postoperative care and neurologic outcomes of patients who had undergone elective endovascular treatment of unruptured intracranial aneurysms. The case series is unique managerially in that a progressively increasing percentage of […]

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Uncategorized Published - 11 June, 2015    By - Dr Clemens
The use of the needle-free jet injection system with buffered lidocaine device does not change intravenous placement success in children in the emergency department.

Authors: Lunoe MM et al Published in Acad Emerg Med, 2015 Apr;22(4):447-51 OBJECTIVES: The needle-free jet injection system with buffered lidocaine (J tip) has been shown to reduce pain for intravenous (IV) line insertion, but its relationship with successful IV placement has not been well studied. This study aimed to determine if J tip use is associated […]

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Uncategorized Published - 10 June, 2015    By - Dr Clemens
Randomized controlled trial of gabapentin as an adjunct to perioperative analgesia in total hip arthroplasty patients

Authors: Paul JE et al Published in Can J Anaesth 2015 May;62(5):476-84. PURPOSE: Gabapentin was investigated as a single-dose adjunct to morphine for postoperative pain management. The primary objective was to determine if gabapentin given preoperatively and for two days postoperatively as part of multimodal analgesia would decrease postoperative morphine consumption in patients undergoing primary total hip […]

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Uncategorized Published - 10 June, 2015    By - Dr Clemens
Comparison of preoperative oral acetazolamide and intraperitoneal normal saline irrigation for reduction of postoperative pain after laparoscopic cholecystectomy

Authors: Bala I et al Published in J Laparoenndosc Adv Surg Tech A  2015 Apr;25(4):285-90 PURPOSE: Visceral and shoulder tip pain following laparoscopic cholecystectomy is mainly due to carbon dioxide (CO2) insufflation. Various methods have been adopted to eliminate residual CO2. We compared the postoperative analgesic efficacy of intraperitoneal normal saline (30 mL/kg) irrigation with preoperative oral acetazolamide […]

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Uncategorized Published - 10 June, 2015    By - Dr Clemens
Greater occipital nerve blockade for the treatment of chronic migraine: a randomized, multicenter, double-blind, and placebo-controlled study

Authors: Inan LE et al Acta Neuror Scand 2015 Mar 13. doi: 10.1111/ane.12393 OBJECTIVES: We aimed to assess the efficacy of greater occipital nerve (GON) blockade at chronic migraine (CM) treatment. MATERIALS AND METHODS: Patients with CM were randomly divided into two groups of 42. GON blockade was administered four times (once per week) with saline […]

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Uncategorized Published - 10 June, 2015    By - Dr Clemens
Novel Spinal Cord Stimulation System Significantly Reduces Lower Back Pain, Leg Pain

A new spinal cord stimulation (SCS) system using 32-contacts and allowing for independently controlled current delivery shows efficacy in significantly reducing low back or leg pain, researchers said here at the 31st Annual Meeting of the American Academy of Pain Medicine (AAPM). The multiple independent control (MICC) system (Precision Spectra SCS System) was designed to […]

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