Author: Dr Clemens

Uncategorized Published - 11 December, 2019    By - Dr Clemens
Is Tube Thermosoftening Helpful for Videolaryngoscope-Guided Nasotracheal Intubation?

AUTHORS: Kim, Eun Mi MD, PhD et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 812-818 BACKGROUND: Thermosoftening of the endotracheal tube (ETT) and telescoping the ETT into a rubber catheter have been suggested as a method for reducing epistaxis during nasotracheal intubation (NTI). However, thermosoftening technique is known to […]

Read More
Uncategorized Published - 11 December, 2019    By - Dr Clemens
Bilateral Thoracic Paravertebral Blocks Compared to Thoracic Epidural Analgesia After Midline Laparotomy

AUTHORS: Sondekoppam, Rakesh V. MD et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 855-863 BACKGROUND: Bilateral paravertebral block (PVB) is a suitable alternative to thoracic epidural analgesia (TEA) for abdominal surgeries. This randomized clinical trial aims to determine if PVB is noninferior to TEA in terms of analgesia after […]

Read More
Uncategorized Published - 11 December, 2019    By - Dr Clemens
Feasibility and Rationale for Incorporating Frailty and Cognitive Screening Protocols in a Preoperative Anesthesia Clinic

AUTHORS: Amini, Shawna MPH et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 830-838 BACKGROUND: Advanced age, frailty, low education level, and impaired cognition are generally reported to be associated with postoperative cognitive complications. To translate research findings into hospital-wide preoperative assessment clinical practice, we examined the feasibility of implementing […]

Read More
Uncategorized Published - 11 December, 2019    By - Dr Clemens
Initial Postoperative Hemoglobin Values and Clinical Outcomes in Transfused Patients Undergoing Noncardiac Surgery

AUTHORS: Will, Nicholas D. MD et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 819-829 BACKGROUND: Intraoperative red blood cell (RBC) transfusion is common, yet transfusion strategies remain controversial as pretransfusion hemoglobin triggers are difficult to utilize during acute bleeding. Alternatively, postoperative hemoglobin values may provide useful information regarding transfusion […]

Read More
Uncategorized Published - 11 December, 2019    By - Dr Clemens
Local anesthetic pain catheters to reduce opioids use in massive weight loss patients undergoing abdominoplasty

Authors: Salvatore Giordano et al Journal of Plastic, Reconstructive & Aesthetic Surgery Nov 2019 Background Abdominoplasty is a common procedure for anatomical restoration of lower abdominal skin with a continuously increasing annual number of procedures performed. The significance of postoperative pain management is of crucial importance in patient’s perspective and also to ensure the achievement […]

Read More
Uncategorized Published - 10 December, 2019    By - Dr Clemens
Postoperative Corneal Injuries: Incidence and Risk Factors

AUTHORS: Deljou, Atousa MD et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 737-742 BACKGROUND: Previous studies of postoperative corneal injury rates relied on provider-initiated incident reports, which may underestimate the true incidence. Postoperative administration of proparacaine eye drops is used almost exclusively to diagnose corneal injury; therefore, identifying instances […]

Read More
Uncategorized Published - 10 December, 2019    By - Dr Clemens
Evaluation of Increase in Intraoperative Lactate Level as a Predictor of Outcome in Adults After Cardiac Surgery

Authors: Pooveshni Govender, MBChB, DA(SA), FCA(SA) et al Journal of Cardiothoracic and Vascular Anesthesia Nov 2019 Objectives Early onset hyperlactatemia develops intraoperatively or within the first 6 hours of admission to the intensive care unit (ICU) and is associated with a poor prognosis. The aim of the present study was to determine the utility of […]

Read More
Uncategorized Published - 10 December, 2019    By - Dr Clemens
Variability and Costs of Low-Value Preoperative Testing for Carpal Tunnel Release Surgery

AUTHORS: Harris, Alex H. S. PhD, MS et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 804-811 BACKGROUND: The American Society of Anesthesiologists (ASA) Choosing Wisely Top-5 list of activities to avoid includes “Don’t obtain baseline laboratory studies in patients without significant systemic disease (ASA I or II) undergoing low-risk […]

Read More
Uncategorized Published - 10 December, 2019    By - Dr Clemens
The Impact of Postoperative Intensive Care Unit Admission on Postoperative Hospital Length of Stay and Costs

AUTHORS: Thevathasan, Tharusan Cand Med et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 753-761 BACKGROUND: In this prespecified cohort study, we investigated the influence of postoperative admission to the intensive care unit versus surgical ward on health care utilization among patients undergoing intermediate-risk surgery. METHODS: Of adult surgical patients who […]

Read More
Uncategorized Published - 10 December, 2019    By - Dr Clemens
Transient neurological symptoms (TNS) following spinal anaesthesia with lidocaine versus other local anaesthetics in adult surgical patients

Cochrane Library Dec 2019 Spinal anaesthesia has been implicated as one of the possible causes of neurological complications following surgical procedures. This painful condition, occurring during the immediate postoperative period, is termed transient neurological symptoms (TNS) and is typically observed after the use of spinal lidocaine. Alternatives to lidocaine that can provide high‐quality anaesthesia without […]

Read More