Author: Dr Clemens

Uncategorized Published - 12 November, 2019    By - Dr Clemens
US-Born Residents More Than Five Times Likely To Use Prescription Opioids Than New Immigrants

The longer immigrants live in the United States, the more likely they are to use prescription opioids—a fact that contradicts popular views linking wealth and health, and suggests that American culture is uniquely favorable toward prescribing opioids. A new study from the University of Michigan and Dartmouth University found that in an adjusted analysis, immigrants […]

Read More
Uncategorized Published - 11 November, 2019    By - Dr Clemens
Ventilator Mode Does Not Influence Blood Loss or Transfusion Requirements During Major Spine Surgery

AUTHORS: Dunn, Lauren K. MD, PhD et al Anesthesia & Analgesia: July 17, 2019 BACKGROUND: Blood loss during adult spinal deformity surgery is multifactorial. Anesthetic-related factors, such as mode of mechanical ventilation, may contribute to intraoperative blood loss. The aim of this study was to determine the influence of ventilator mode and ventilator parameters on intraoperative blood […]

Read More
Uncategorized Published - 11 November, 2019    By - Dr Clemens
Major Neurologic Complications Associated With Postdural Puncture Headache in Obstetrics

AUTHORS: Guglielminotti, Jean MD, PhD et al Anesthesia & Analgesia: November 2019 – Volume 129 – Issue 5 – p 1328-1336 BACKGROUND: Increased risks of cerebral venous thrombosis or subdural hematoma, bacterial meningitis, persistent headache, and persistent low back pain are suggested in obstetric patients with postdural puncture headache (PDPH). Acute postpartum pain such as PDPH […]

Read More
Uncategorized Published - 11 November, 2019    By - Dr Clemens
Trials Focusing on Prevention and Treatment of Delirium After Cardiac Surgery

Authors: Marina Pieri, MD  et al Journal of Cardiothoracic and Vascular Anesthesia Oct 2019 Background Delirium after cardiac surgery is associated with adverse outcomes, including prolonged hospital stay, prolonged intensive care unit stay, and increased mortality. Effective preventive interventions and treatments still are largely unknown. Aim This systematic review aimed to gather and summarize the […]

Read More
Uncategorized Published - 11 November, 2019    By - Dr Clemens
Retroclavicular vs Infraclavicular block for brachial plexus anesthesia

Authors: Andrés Felipe Gil Blanco et al BMC Anesthesiology volume 19, Article number: 193 (2019) Background The coracoid approach is a simple method to perform ultrasound-guided brachial plexus regional anesthesia (RA) but its simplicity is counterbalanced by a difficult needle visualization. We hypothesized that the retroclavicular (RCB) approach is not longer to perform when compared to the coracoid (ICB) approach, […]

Read More
Uncategorized Published - 11 November, 2019    By - Dr Clemens
Patient and System Factors Affecting Anesthesiologist First Case Start Performance

Authors: George Hoffman, M.D. et al Introduction: Performance of anesthesiologists, surgical teams, and perioperative systems is commonly measured by the percent of first case on time start (FCOTS) as percent of first cases of the day (FCOD) and by first case start delay (FCSD) time. Although these metrics have reported variable relationships to other measures […]

Read More
Uncategorized Published - 8 November, 2019    By - Dr Clemens
Preoperative Blood Pressure Complexity Indices as a Marker for Frailty in Patients Undergoing Cardiac Surgery

Authors: Valluvan Rangasamy, MD, DESA  et al Journal of Cardiothoracic and Vascular Anesthesia Oct 2019 Objective Frailty, a state of decreased physiological reserve, increases the risk of adverse outcomes. There is no standard tool for frailty during perioperative period. Autonomic dysfunction, an underlying process in frailty, could result in hemodynamic fluctuations. Complexity, the physiological adaptability […]

Read More
Uncategorized Published - 8 November, 2019    By - Dr Clemens
The influence of time to surgery on mortality after a hip fracture

Authors: Johan Kristiansson et al Anaesthesiologica Scandinavica Oct 2019 Background The effect of time‐to‐surgery on mortality in acute hip fracture (AHF) patients has been debated and studies are inconsistent regarding from what time‐limit mortality starts to increase. At Sahlgrenska University Hospital/Mölndal, surgery is recommended within 24 hours leaving little time for preoperative optimisation. However, internationally […]

Read More
Uncategorized Published - 8 November, 2019    By - Dr Clemens
Investigational Capsaicin Therapy After Bunionectomy Reduces Pain, Opioid Reliance

Author: Bob Kronemyer Anesthesiology News The novel, water-soluble prodrug CA-008 (Concentric Analgesics), coupled with standard of care treatment that included a Mayo block with bupivacaine hydrochloride (HCl), was found to significantly reduce both pain and opioid reliance after bunionectomy surgery, according to two randomized, placebo-controlled studies. “CA-008 is a prodrug of trans-capsaicin, the substance in […]

Read More
Uncategorized Published - 8 November, 2019    By - Dr Clemens
Ketamine Administration During Hospitalization Is Not Associated With Posttraumatic Stress Disorder Outcomes in Military Combat Casualties

AUTHORS: Highland, Krista B. PhD et al Anesthesia & Analgesia: July 17, 2019 BACKGROUND: Ketamine is routinely used within the context of combat casualty care. Despite early concerns that ketamine administration may be associated with elevated risk of posttraumatic stress disorder (PTSD), more recent evidence suggests no relationship. Because PTSD occurs with regular frequency in Operation Iraqi […]

Read More