Author: Dr Clemens

Uncategorized Published - 17 January, 2020    By - Dr Clemens
Health care providers are unrecognized victims of mass killings. We’re doing little to support them

Author: ELIZABETH MÉTRAUX STAT JANUARY 3, 2020 The night a gunman opened fire on a crowd of 20,000 at a Las Vegas music concert, Dr. Kevin Menes was in charge of the emergency department at Sunrise Hospital. “I was pulling people five or six at a time out of patrol cars, pickup trucks, ambulances, you name it,” he […]

Read More
Uncategorized Published - 16 January, 2020    By - Dr Clemens
Post-op Anemia Poses Significant Risks to Cardiac Patients

Author: Christina Frangou Anesthesiology News Men With Cardiac Risk Particularly Vulnerable, Study Reveals Postoperative anemia is strongly associated with serious adverse events—including myocardial infarction, acute renal failure and death—after major general and vascular operations, and the effect is especially pronounced in patients who are at high cardiac risk, according to a new study. Investigators said […]

Read More
Uncategorized Published - 16 January, 2020    By - Dr Clemens
Sub-hypnotic dose of propofol as antiemetic prophylaxis attenuates intrathecal morphine-induced postoperative nausea and vomiting, and pruritus in parturient undergoing cesarean section

Authors: Sylvanus Kampo et al BMC Anesthesiology volume 19, Article number: 177 (2019) Background Postoperative Nausea and Vomiting (PONV) is a dreadful and uncomfortable experience that significantly detracts patients’ quality of life after surgery. This study aimed to examine the antiemetic effect of a single sub-hypnotic dose of propofol as prophylaxis for PONV. Method In this prospective, double-blind, randomized control […]

Read More
Uncategorized Published - 16 January, 2020    By - Dr Clemens
“Redheads Need More Anesthesia” – Fact Or Fiction?

RK.md The notion that natural redheads need “more anesthesia” and/or are resistant to certain medications has been spread by the media (ie, Time Magazine and The New York Times), the scientific literature, and even seasoned anesthesiologists who (anecdotally) claim this to be true. The “basic science” behind this stems from the high prevalence of allele mutations in redheads […]

Read More
Uncategorized Published - 16 January, 2020    By - Dr Clemens
Timing of β-Blocker Reintroduction and the Occurrence of Postoperative Atrial Fibrillation after Cardiac Surgery

Authors: Camille Couffignal, Pharm.D et al Anesthesiology 2 2020, Vol.132, 267-279. Background: For cardiac surgery patients under chronic β-blocker therapy, guidelines recommend their early postoperative reintroduction to decrease the incidence of postoperative atrial fibrillation. The authors hypothesized that the timing of β-blocker reintroduction affects their effectiveness on the incidence of postoperative atrial fibrillation. Methods: This multicenter prospective […]

Read More
Uncategorized Published - 16 January, 2020    By - Dr Clemens
Keep exercising: New study finds it’s good for your brain’s gray matter

This is important health information for our readers and providers in order to stay healthy. Cardiorespiratory exercise — walking briskly, running, biking and just about any other exercise that gets your heart pumping — is good for your body, but can it also slow cognitive changes in your brain? A study in Mayo Clinic Proceedings from the […]

Read More
Uncategorized Published - 16 January, 2020    By - Dr Clemens
Using Death Certificates to Explore Changes in Alcohol‐Related Mortality in the United States, 1999 to 2017

Authors: Aaron M. White et al Alcoholism Clinical and Experimental Research Jan 2020 Background Alcohol consumption, alcohol‐related emergency department visits, and hospitalizations have all increased in the last 2 decades, particularly among women and people middle‐aged and older. The purpose of this study was to explore data from death certificates to assess whether parallel changes […]

Read More
Uncategorized Published - 15 January, 2020    By - Dr Clemens
Positive End-Expiratory Pressure During Anesthesia for Prevention of Postoperative Pulmonary Complications

AUTHORS: Zhang, Pengcheng MD et al Anesthesia & Analgesia: September 18, 2019 BACKGROUND: Whether intraoperative positive end-expiratory pressure (PEEP) can reduce the risk of postoperative pulmonary complications remains controversial. We performed a systematic review of currently available literature to investigate whether intraoperative PEEP decreases pulmonary complications in anesthetized patients undergoing surgery. METHODS: We searched PubMed, […]

Read More
Uncategorized Published - 15 January, 2020    By - Dr Clemens
Intrathecal Drug Delivery Systems for Cancer Pain

AUTHORS: Stearns, Lisa M. MD et al Anesthesia & Analgesia: September 18, 2019 BACKGROUND: The safety and efficacy of intrathecal drug delivery systems (IDDSs) for the treatment of cancer-related pain have been demonstrated in randomized controlled clinical trials (RCTs). Despite positive evidence for this therapy, IDDS remains underutilized to treat cancer pain. Real-world registry data augment […]

Read More
Uncategorized Published - 15 January, 2020    By - Dr Clemens
Post-op Duration of Opioid Use, and Not Its Dosage, Associated With Chronic Opioid Dependence

Author: Chase Doyle Anesthesiology News Opioid dosage after total knee arthroplasty (TKA) did not correlate with development of persistent use at six weeks, but the duration of those prescriptions was associated with chronic opioid dependence, according to a new study. Based on these results, researchers noted that evidence of certain risk factors should guide a […]

Read More