Author: Dr Clemens

Uncategorized Published - 4 February, 2021    By - Dr Clemens
Epidural Administration of Ropivacaine Reduces the Amplitude of Transcranial Electrical Motor–Evoked Potentials

AUTHORS: Furutani, Kenta MD, PhD et al Anesthesia & Analgesia: October 2020 BACKGROUND: An epidurally administered local anesthetic acts primarily on the epidural nerve roots and can act directly on the spinal cord through the dural sleeve. We hypothesized that epidurally administered ropivacaine would reduce the amplitude of transcranial electrical motor–evoked potentials by blocking nerve […]

Read More
Uncategorized Published - 4 February, 2021    By - Dr Clemens
The Effect of Mechanical Ventilation With Low Tidal Volume on Blood Loss During Laparoscopic Liver Resection

AUTHORS: Gao, Xian MD et al Anesthesia & Analgesia: October 2020 – BACKGROUND: Control of bleeding during laparoscopic liver resection (LLR) is important for patient safety. It remains unknown what the effects of mechanical ventilation with varying tidal volumes on bleeding during LLR. Thus, this study aims to investigate whether mechanical ventilation with low tidal […]

Read More
Uncategorized Published - 4 February, 2021    By - Dr Clemens
Association of Anesthesiologist Handovers With Short-term Outcomes for Patients Undergoing Cardiac Surgery

AUTHORS: Hannan, Edward L. PhD et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1883-1889 BACKGROUND:  Complete handover of anesthesia care to a second anesthesiologist has been demonstrated to be associated with worse short-term adverse outcomes among cardiac surgery patients, but little information from multi-institutional studies is available. METHODS: […]

Read More
Uncategorized Published - 4 February, 2021    By - Dr Clemens
Study shows transplacental transfer of maternal SARS-CoV-2 IgG antibodies

DG Alerts Maternal immunoglobulin (Ig)G antibodies to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were transferred across the placenta after asymptomatic as well as symptomatic infection during pregnancy, according to a study published in JAMA Pediatrics. The study also found that cord blood antibody concentrations correlated with maternal antibody concentrations and with duration between onset of […]

Read More
Uncategorized Published - 3 February, 2021    By - Dr Clemens
Liver function test abnormalities at admission associated with severe course of SARS-CoV-2 infection

DG Alerts Liver function test (LFT) abnormalities at hospital admission, in particular gamma-glutamyltransferase (GGT) and albumin, were associated with a severe course of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, according to a study published in Gut. “In our prospective coronavirus disease 2019 (COVID-19) cohort, 58% of patients had LFT abnormalities at the time of […]

Read More
Uncategorized Published - 3 February, 2021    By - Dr Clemens
n assessment of perioperative respiratory adverse events and difficult intubation in pediatric patients with trisomy 21

DG Journal Club AUTHORS: Taylor Graber, Paola Baskin et al. Paediatr Anaesth. 2021 INTRODUCTION Several prior studies have demonstrated an association between trisomy 21 and airway-related anesthetic complications. However, there is a paucity of large clinical studies characterizing the airway challenges associated with trisomy 21. In this analysis we examine anesthetic related airway complications in […]

Read More
Uncategorized Published - 3 February, 2021    By - Dr Clemens
Magnetic resonance imaging of cerebrospinal fluid spread in the epidural space correlates with the severity of postdural puncture headache in obstetric patients

DG Journal Club AUTHORS: Iftikhar Ahmed, Amer Majeed et al. Eur J Anaesthesiol. 2021 BACKGROUND Currently, performing an epidural blood patch (EBP) for postdural puncture headache (PDPH) remains a subjective clinical decision. An evidence-based protocol may be of value in identifying women at high risk of developing a severe PDPH. OBJECTIVE To investigate a potential […]

Read More
Uncategorized Published - 3 February, 2021    By - Dr Clemens
Predicting Perioperative Respiratory Adverse Events in Children With Sleep-Disordered Breathing

AUTHORS: Pehora, Carolyne RN, MN et al Anesthesia & Analgesia: September 2020 BACKGROUND: No evidence currently exists to quantify the risk and incidence of perioperative respiratory adverse events (PRAEs) in children with sleep-disordered breathing (SDB) undergoing all procedures requiring general anesthesia. Our objective was to determine the incidence of PRAEs and the risk factors in […]

Read More
Uncategorized Published - 3 February, 2021    By - Dr Clemens
The outcome of epidural injections in lumbar radiculopathy is not dependent on the presence of disc herniation on MRI

DG Journal Club AUTHORS: E J A Verheijen, A G Munts et al. World Neurosurg. 2021 Jan OBJECTIVE Lumbar radiculopathy is a condition with major physical, social and economic consequences. Despite its favourable prognosis the burden can be significant. In this study, we aimed to determine the value of MRI and the efficacy of transforaminal […]

Read More
Uncategorized Published - 3 February, 2021    By - Dr Clemens
Laryngeal Injury and Upper Airway Symptoms After Endotracheal Intubation During Surgery

AUTHORS: Brodsky, Martin B. PhD, ScM, CCC-SLP et al Anesthesia & Analgesia: November 2020  Abstract Laryngeal injury from intubation can substantially impact airway, voice, and swallowing, thus necessitating multidisciplinary interventions. The goals of this systematic review were (1) to review the types of laryngeal injuries and their patient-reported symptoms and clinical signs resulting from endotracheal […]

Read More