Author: Dr Clemens

Uncategorized Published - 7 January, 2020    By - Dr Clemens
Prospective External Validation of the Pediatric Risk Assessment Score in Predicting Perioperative Mortality in Children Undergoing Noncardiac Surgery

AUTHORS: Valencia, Eleonore MD et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 1014-1020 BACKGROUND:  Early identification of children at high risk for perioperative mortality could lead to improved outcomes; however, there is a lack of well-validated risk prediction tools. The Pediatric Risk Assessment (PRAm) score is a new […]

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Uncategorized Published - 7 January, 2020    By - Dr Clemens
Population Pharmacokinetics of Intraperitoneal Bupivacaine Using Manual Bolus Atomization Versus Micropump Nebulization and Morphine Requirements in Young Children

AUTHORS: Meier, Petra M. MD et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 963-972 BACKGROUND:  Intraperitoneal (IP) administration of local anesthetics is used in adults and children for postoperative analgesia after laparoscopic surgery. Population pharmacokinetics (PK) of IP bupivacaine has not been determined in children. Objectives of this […]

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Uncategorized Published - 7 January, 2020    By - Dr Clemens
Perioperative Dextrose Infusion and Postoperative Nausea and Vomiting

AUTHORS: Zorrilla-Vaca, Andres BS et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 943-950 BACKGROUND:  Perioperative IV dextrose infusions have been investigated for their potential to reduce the risk of postoperative nausea and vomiting. In this meta-analysis, we investigated the use of an intraoperative or postoperative infusion of dextrose […]

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Uncategorized Published - 7 January, 2020    By - Dr Clemens
1-Minute Smoking Cessation Intervention Improves Quit Rates

This has nothing to do with anesthesia however I wanted to share with our readers. By Kelly Young Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD A very brief smoking cessation intervention delivered in emergency departments conferred a higher quit rate than a control program, according to a JAMA Internal Medicine study. Nearly 1600 Chinese […]

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Uncategorized Published - 6 January, 2020    By - Dr Clemens
Music, soft voices during surgery may reduce postoperative opioid use

Author: Erin Michael Healio Playing recordings of soft music or soothing words through earphones when patients are under general anesthesia could help them reduce the need for opioids after surgery, according to a study published in BMJ. “Anesthesia is usually considered a state of no sensations, yet several observations suggest that the central auditory pathway stays […]

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Uncategorized Published - 6 January, 2020    By - Dr Clemens
Effect of Remote Ischemic Preconditioning in Patients Undergoing Hepatectomy With Portal Triad Clamping

AUTHORS: Liu, Xiaoqing MD et al Anesthesia & Analgesia: December 2019 – Volume 129 – Issue 6 – p 1742-1748 BACKGROUND:  Remote ischemic preconditioning (RIPC) is reported to reduce liver injury in patients undergoing hepatectomy for colorectal liver metastasis, but its role is unclear in hepatocellular carcinoma patients with portal triad clamping during hepatectomy. METHODS: […]

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Uncategorized Published - 6 January, 2020    By - Dr Clemens
Guiding Opioid Administration by 3 Different Analgesia Nociception Monitoring Indices During General Anesthesia Alters Intraoperative Sufentanil Consumption and Stress Hormone Release

AUTHORS: Funcke, Sandra MD et al Anesthesia & Analgesia: September 10, 2019 BACKGROUND: This pilot study investigated the effect of sufentanil titration by 3 different analgesia monitoring devices or clinical signs during general anesthesia. METHODS: Forty-eight patients undergoing radical retropubic prostatectomy with sevoflurane/sufentanil anesthesia were randomly assigned into 4 groups and received sufentanil guided either […]

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Uncategorized Published - 6 January, 2020    By - Dr Clemens
Fascia Iliaca Block Decreases Hip Fracture Postoperative Opioid Consumption

Authors: Thompson, Jeffrey DO et al Journal of Orthopaedic Trauma: January 2020 – Volume 34 – Issue 1 – p 49–54 Objectives:  To determine the efficacy of a preoperative fascia iliaca compartment block in decreasing postoperative pain and improving functional recovery after hip fracture surgery. Design: Randomized prospective Level 1 therapeutic. Setting: Academic Level 1 trauma center. Patients: […]

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Uncategorized Published - 6 January, 2020    By - Dr Clemens
Rocuronium vs. Succinylcholine in Rapid Sequence Intubation

Lauren M. Westafer, DO, MPH, MS reviewing Guihard B et al. JAMA 2019 Dec 17 This randomized controlled trial found rocuronium was not noninferior to succinylcholine for rapid sequence intubation. Rocuronium and succinylcholine are the most commonly used paralytics in rapid sequence intubation (RSI) in U.S. emergency departments (EDs). Some clinicians advocate for one medication over the other as […]

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Uncategorized Published - 6 January, 2020    By - Dr Clemens
Vitamin D deficiency on hospital admission associated with COVID-19 disease stage and mortality

DG Alerts Vitamin D deficiency on admission was associated with coronavirus disease 2019 (COVID-19) disease stage and mortality, according to a study published in the American Journal of Clinical Pathology. Dieter De Smet, MD, AZ Delta Medical Laboratories, Roeselare, Belgium, and colleagues conducted a retrospective observational trial in 186 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-infected […]

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