Author: Dr Clemens

Uncategorized Published - 28 December, 2023    By - Dr Clemens
Challenges for anaesthesia for robotic-assisted surgery in the elderly

AUTHORS: Aceto, Paola et al  European Journal of Anaesthesiology and Intensive Care 2(2):p e0019, April 2023. Steep and reverse Trendelenburg positions are often used in robotic-assisted surgery (RAS) to improve surgical access. The elderly are particularly vulnerable to the cardiovascular effect of the combination of pneumoperitoneum and these extreme positions. Falls in both cardiac output (CO) […]

Read More
Uncategorized Published - 28 December, 2023    By - Dr Clemens
Pre-operative ultrasound prediction of difficult airway management in adult patients

AUTHORS: Giordano, Giovanni et al  European Journal of Anaesthesiology 40(5):p 313-325, May 2023. BACKGROUND Predicting a difficult airway, including difficult laryngoscopy, intubation or mask ventilation, is paramount in peri-operative management. As clinical predictors are only partially reliable, ultrasound-based measurements might be useful in evaluating anterior neck fat tissues depth. OBJECTIVES The aim of this systematic review […]

Read More
Uncategorized Published - 28 December, 2023    By - Dr Clemens
Opioid-Free Versus Opioid-Based Anesthesia on Postoperative Pain After Thoracoscopic Surgery

AUTHORS: Yan, Huan MD et al  Anesthesia & Analgesia 137(2):p 399-408, August 2023. BACKGROUND: The effectiveness and safety of opioid-free anesthesia (OFA) regimens in distinct types of surgeries remain controversial. In this study, we investigated whether OFA could reduce the occurrence of chronic postoperative pain in patients receiving video-assisted thoracoscopic surgery (VATS). METHODS: We conducted a […]

Read More
Uncategorized Published - 28 December, 2023    By - Dr Clemens
Survey Validation for Measuring Perceptions of Work-Related Factors That Influence Career Paths of Men and Women in Academic Anesthesiology

AUTHORS: Minjae MD et al  Anesthesia & Analgesia 138(1):p 187-197, January 2024. BACKGROUND: Women’s underrepresentation in positions of leadership in medicine has been attributed to environmental, structural, motivational, and situational factors. The purpose of this study was to design and validate a survey instrument based on these constructs, using a sample of men and women anesthesiologists […]

Read More
Uncategorized Published - 28 December, 2023    By - Dr Clemens
Alternatives to the in-person anaesthetist-led preoperative assessment in adults undergoing low-risk or intermediate-risk surgery

AUTHORS: Jonker, Philip et al  European Journal of Anaesthesiology 40(5):p 343-355, May 2023. BACKGROUND The design of the optimal preoperative evaluation is a much debated topic, with the anaesthetist-led in-person evaluation being most widely used. This approach is possibly leading to overuse of a valuable resource, especially in low-risk patients. Without compromising patient safety, we hypothesised […]

Read More
Uncategorized Published - 27 December, 2023    By - Dr Clemens
Preoperative Ultrasound-Guided Internal Branch Block of Superior Laryngeal Nerve Reduces Postoperative Sore Throat Caused by Double Lumen Endotracheal Intubation

AUTHORS: Chen, Zheping MM et al Anesthesia & Analgesia 137(6):p 1270-1278, December 2023. | BACKGROUND: Postoperative sore throat (POST) is one of the more common side effects of tracheal intubation patients under general anesthesia (GA) after extubation using double-lumen endobronchial tubes (DLTs). The internal branches of the superior laryngeal nerve (SLN) block (iSLNB) have been reported to […]

Read More
Uncategorized Published - 27 December, 2023    By - Dr Clemens
Postoperative Outcomes in Elderly Patients Undergoing Cardiac Surgery With Preoperative Cognitive Impairment

AUTHORS: Au, Emily BSc et al  Anesthesia & Analgesia 136(6):p 1016-1028, June 2023. BACKGROUND: Older patients with preoperative cognitive impairment are at risk for increased postoperative complications after noncardiac surgery. This systematic review and meta-analysis aimed to determine the association between preoperative cognitive impairment and dementia and postoperative outcomes in older surgical patients after cardiac surgery. […]

Read More
Uncategorized Published - 27 December, 2023    By - Dr Clemens
The Association of Guideline-Directed Prophylaxis with Postoperative Nausea and Vomiting in Pediatric Patients

AUTHORS: Andrew, Benjamin Y. MD, MHS et al  Anesthesia & Analgesia May 2023. BACKGROUND: Guidelines for postoperative nausea and vomiting (PONV) prophylaxis in pediatric patients recommend escalation of the number of antiemetics based on a preoperative estimate of PONV risk. These recommendations have been translated into performance metrics, most notably by the Multicenter Perioperative Outcomes […]

Read More
Uncategorized Published - 27 December, 2023    By - Dr Clemens
Ketamine is comparable to ECT for patients with treatment-resistant depression, study shows

Author: Olivia Goldhill STAT Health When seriously depressed patients don’t respond to antidepressants, the alternatives are limited. Now a new study has found that ketamine performs at least as well as the current gold standard for such patients, electroconvulsive therapy (ECT), suggesting it deserves consideration as a frontline response for people with treatment-resistant depression. But […]

Read More
Uncategorized Published - 27 December, 2023    By - Dr Clemens
Failure to Rescue and Mortality Differences After Appendectomy in a Low-Middle-Income Country and the United States

AUTHORS: Rosero, Eric B. MD, MSc et al  Anesthesia & Analgesia 136(6):p 1030-1038, June 2023. BACKGROUND: Major disparities in complications and mortality after appendectomy between countries with different income levels have not been well characterized, as comparative studies at patient level between countries are scant. This study aimed to investigate variations in postoperative complications, mortality, and […]

Read More