Author: Dr Clemens

Uncategorized Published - 8 January, 2019    By - Dr Clemens
Pediatric Migraine and Obesity: What We Know and Where We’re Going

As in adults, headache and obesity are highly common in the pediatric population, with conservative estimates indicating a prevalence of 17.1% and 18.5%, respectively.1,2 Both have been linked with substantial morbidity, functional impairment, and cost, and a growing body of research suggests important associations between the 2 conditions, including frequent comorbidity and potentially overlapping risk factors, pathophysiologic mechanisms, […]

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Uncategorized Published - 8 January, 2019    By - Dr Clemens
Percutaneous Dilatational Tracheostomy Safe For ECMO Patients With Acute Respiratory Distress Syndrome

Author: Thomas Rosenthal Anesthesiology News Percutaneous dilatational tracheostomy (PDT) may be an effective and safe alternative to open tracheostomy in critically ill patients with acute respiratory distress syndrome (ARDS) who are receiving venovenous extracorporeal membrane oxygenation (VV-ECMO), according to researchers. “Percutaneous tracheostomy appears to be associated with a decrease in bleeding events, and earlier utilization […]

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Uncategorized Published - 8 January, 2019    By - Dr Clemens
Lung-Protective Ventilation Varies With Mechanical Type

Author: Thomas Rosenthal Anesthesiology News Delivery of lung-protective ventilation (LPV) varies significantly according to the mode of mechanical ventilation (MV) that ICU patients receive. While some systems can be chosen to enhance ventilation for patients with low compliance or those with lung conditions, specific methods can be harnessed to protect lung health for the majority […]

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Uncategorized Published - 7 January, 2019    By - Dr Clemens
Measuring non-technical skills of anaesthesiologists in the operating room: a systematic review of assessment tools and their measurement properties

Authors: Boet et al British Journal of Anesthesia Dec 2018 Vol 121 Issue 6 pages 1218-1222 Background Non-technical skills, such as communication or leadership, are integral to clinical competence in anaesthesia. There is a need for valid and reliable tools to measure anaesthetists’ non-technical performance for both initial and continuing professional development. This systematic review aims […]

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Uncategorized Published - 7 January, 2019    By - Dr Clemens
Sevoflurane based anaesthesia does not affect already impaired cerebral autoregulation in patients with type 2 diabetes mellitus

Authors: N. .H. Sperna Weiland et al British Journal of Anesthesia Dec 18 Vol 121 Issue 6 pages 1298-1309 Background The baroreflex regulates arterial blood pressure (BP). During periods when blood pressure changes, cerebral blood flow (CBF) is kept constant by cerebral autoregulation (CA). In patients with diabetes mellitus (DM), low baroreflex sensitivity (BRS) is […]

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Uncategorized Published - 7 January, 2019    By - Dr Clemens
Repeated Lidocaine Infusion Therapy Effective for Neuropathic Pain

Administration of low-dose lidocaine infusiontherapy was effective at providing short-term relief to patients with refractory neuropathic pain, and pain relief was more pronounced when repeated infusions were administered to patients. This research will be presented at the 17th World Congress on Pain in Boston, Massachusetts. The prospective, randomized, double-blind, placebo-controlled parallel study evaluated the efficacy and safety […]

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Uncategorized Published - 7 January, 2019    By - Dr Clemens
No Benefit to Energy Dense Enteral Nutrition in Critically Ill Patients

TARGET Investigators, for the the ANZICS Clinical Trials Group.  N Engl J Med 2018 Oct  Patients who received 100% of target caloric requirement did not fare better than those who received 70%. When to start enteral nutrition and how much to feed a critically ill patient is a subject of ongoing debate. Previous studies suggest that […]

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Uncategorized Published - 7 January, 2019    By - Dr Clemens
Pregabalin and Celecoxib Reduced Need for Morphine After Lumbar Spine Surgery

Together, pregabalin and celecoxib demonstrated pain control benefits following lumbar spine fusion surgery, resulting in a lower morphine intake. The results from this randomized, controlled study will be presented at the 2018 World Congress on Pain in Boston, Massachusetts. The focus of this study was to evaluate the efficacy of preemptive pregabalin in combination with celecoxib […]

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Uncategorized Published - 7 January, 2019    By - Dr Clemens
Rethinking Workflow Reduces Cost and Wasted Time, And Improves Patient Experience

Author: Michael Vlessides Anesthesiology News Sometimes budgetary pressure is a good thing. So say clinicians and administrators at Thomas Jefferson University Hospital who, faced with constraints that threatened to shut down a preanesthesia testing center (PAT), instead redesigned patient and work flows throughout the center with a renewed focus on efficiency, cost containment, best practices […]

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Uncategorized Published - 4 January, 2019    By - Dr Clemens
Anesthesia and Cancer Recurrence: Context for Divergent Study Outcomes

Authors: Daniel I. Sessler, M.D. et al  Anesthesiology 1 2019, Vol.130, 3-5. “…to the extent that propofol–total intravenous anesthesia reduces cancer recurrence … benefit is most probable in patients having major cancer surgery.” Intraoperative mortality is now so low that its rate is hard to measure. In contrast, postoperative mortality remains common, with about 2% of […]

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