Author: Dr Clemens

Uncategorized Published - 13 December, 2019    By - Dr Clemens
Intraoperative Awareness With Recall

AUTHORS: Bombardieri, Anna Maria MD, PhD et al Anesthesia & Analgesia: November 2019 – Volume 129 – Issue 5 – p 1291-1297 BACKGROUND: Unintended intraoperative awareness with recall (AWR) is a potential complication of general anesthesia. Patients typically report recollections of (1) hearing sounds or conversations, (2) being unable to breathe or move, (3), feeling pain, […]

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Uncategorized Published - 13 December, 2019    By - Dr Clemens
A Novel 3-Dimensional Approach for the Echocardiographic Evaluation of Mitral Valve Area After Repair for Degenerative Disease

AUTHORS: Karamnov, Sergey MD et al Anesthesia & Analgesia: August 2019 BACKGROUND: Currently available 2-dimensional (2D) echocardiographic methods for accurately assessing the mitral valve orifice area (MVA) after mitral valve repair (MVr) are limited due to its complex 3-dimensional (3D) geometry. We compared repaired MVAs obtained with commonly used 2D and 3D echocardiographic methods to a 3D […]

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Uncategorized Published - 13 December, 2019    By - Dr Clemens
Scoring Systems to Detect Severe OSA Compared

Author: Michael Vlessides Anesthesiology News A modified STOP-Bang algorithm designed specifically to detect severe cases of obstructive sleep apnea (OSA) does not seem to offer significant improvement over the questionnaire’s original approach, Belgian researchers have concluded. The investigators also found that the DES-OSA score is the best of the commonly used OSA scales when it […]

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Uncategorized Published - 13 December, 2019    By - Dr Clemens
10 Common Pediatric Airway Problems—And Their Solutions

Author: Christine E. Whitten, MD Anesthesiology News Dr. Whitten is the author of “Anyone Can Intubate: A Step–by–Step Guide to Intubation and Airway Management” and “Pediatric Airway Management: A Step–by–Step Guide,” both from Mooncat Publications. She also blogs about airway management at AirwayJedi.com, and has created instructional DVDs on the topic. She reported no other relevant financial […]

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Uncategorized Published - 13 December, 2019    By - Dr Clemens
Anxiety, Depression Linked to More Opioid Use After Surgery

A study published in the Annals of Surgery could help clinicians mitigate that risk by identifying which patients are more likely to continue to use opioids after their immediate recovery period. “There is not much research on which surgical patients require more or less opioids, despite a push in the field for personalised medicine,” said Daniel Larach, […]

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Uncategorized Published - 12 December, 2019    By - Dr Clemens
Ipsilateral hemidiaphragmatic paresis after a supraclavicular and costoclavicular brachial plexus block

Authors: Sivashanmugam T et al European Journal of Anaesthesiology (Aug 2019) BACKGROUND The costoclavicular brachial plexus block (BPB) produces faster onset of sensory motor blockade than the lateral sagittal approach. However, the incidence of phrenic nerve palsy (PNP) after a costoclavicular BPB is not known. OBJECTIVES The current study compared the incidence of ipsilateral hemidiaphragmatic […]

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Uncategorized Published - 12 December, 2019    By - Dr Clemens
LeHeR, a simple novel approach for difficult airway in non-trauma patients

Authors: Yezid N et al BMJ Case Reports 12 (8), (Aug 2019) Managing the difficult airway presents a great challenge to anaesthesiologists and emergency physicians. Although there are many methods and scoring systems available to predict and anticipate difficult airway, the dictum in emergency airway is to always expect the unexpected. We have encountered a […]

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Uncategorized Published - 12 December, 2019    By - Dr Clemens
Virtual Reality during Pediatric Vascular Access

Authors: Tomas J. Caruso et al Pediatric Anesthesia November 2019 Background Vascular access is a minor procedure that is associated with reported pain and fear in pediatric patients, often resulting in procedural incompliance. Virtual reality has been shown to be effective in adult populations for reducing pain and anxiety in various medical settings, although large […]

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Uncategorized Published - 12 December, 2019    By - Dr Clemens
Vasopressor Infusion During Prone Spine Surgery and Acute Renal Injury

AUTHORS: Farag, Ehab MD, FRCA, FASA et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 896-904 BACKGROUND: Hypotension is associated with acute kidney injury, but vasopressors used to treat hypotension may also compromise renal function. We therefore tested the hypothesis that vasopressor infusion during complex spine surgery is not associated […]

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Uncategorized Published - 12 December, 2019    By - Dr Clemens
Weeding Out the Problem: The Impact of Preoperative Cannabinoid Use on Pain in the Perioperative Period

AUTHORS: Liu, Christopher W. BSc, MBBS, MMED et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 874-881 BACKGROUND: The recreational and medical use of cannabinoids has been increasing. While most studies and reviews have focused on the role of cannabinoids in the management of acute pain, no study has examined […]

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