Author: Dr. Clemens

Uncategorized Published - 10 October, 2014    By - Dr. Clemens
Anesthesia Management: Robots not necessarily more cost-effective, safer for surgery

Robots may not be the most effective surgical tools compared to regular minimally invasive surgery, according to new research from Columbia University in the journal Obstetrics & Gynecology. The technology is more expensive and has a higher rate of complications when removing ovaries and ovarian cysts, according to an article on the study in the […]

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Uncategorized Published - 9 October, 2014    By - Dr. Clemens
Anesthesia Management: Billing and Collections: Fibromyalgia: Patients Hypersensitive to Nonpain Sensations

Brain scans of patients with fibromyalgia showed that they processed nonpainful stimuli, such as sound and touch, differently than the brains of people without the disorder. This may explain why patients often complain of hypersensitivity to sensations in everyday life, author Marina López-Solà, PhD, from the Department of Psychology and Neuroscience at the University of […]

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Uncategorized Published - 9 October, 2014    By - Dr. Clemens
Anesthesia Management: Rates of successful insertion did not differ, but the i-gel and second-generation LMAs performed best

Researchers compared performance of the i-gel and the laryngeal mask airway (LMA) in a meta-analysis of randomized, controlled trials involving patients undergoing elective surgery. The i-gel was compared to a first-generation LMA (Classic, La Premiere, AuraOnce, Solus, Unique) in 18 trials and to a second-generation LMA (ProSeal, Supreme) in 16. Rates of successful insertion did […]

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Uncategorized Published - 9 October, 2014    By - Dr. Clemens
Anesthesia Management: Disposable Laryngoscope Blades and Reusable Handles: What Combination Maximizes Light Intensity?

Authors: Milne AD et al., Anaesthesia 2014 Jul 14; Although all disposable blades delivered more than 500 lux with any handle, a reusable blade was best. Disposable laryngoscope blades increasingly are used because of infection concerns and convenience. Clinical studies of light intensity through disposable blades have offered conflicting results and are difficult to compare […]

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Uncategorized Published - 9 October, 2014    By - Dr. Clemens
Anesthesia Management: Mindfulness May Benefit Migraine

Mindfulness-based stress reduction (MBSR) can be a safe and effective means of lessening the effect of migraine headache and can be carried out while patients continue to take migraine medication, results of a pilot study suggest. “Although the small sample size of this pilot trial did not provide power to detect statistically significant changes in […]

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Uncategorized Published - 9 October, 2014    By - Dr. Clemens
Anesthesia Management: Fenoldopam: Not for Acute Kidney Injury After Cardiac Surgery

Authors: Bove T et al., JAMA 2014 Sep 29; No difference between placebo and this renal vasodilator was seen, except for fenoldopam-associated hypotension. Acute kidney injury (AKI) commonly occurs after cardiac surgery and can increase costs, morbidity, and mortality. Effective strategies to prevent AKI have been elusive. Small, single-center trials and meta-analyses have suggested that […]

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Uncategorized Published - 9 October, 2014    By - Dr. Clemens
Anesthesia Management: Stanford researcher creating a novel device to study pain

Academics hope to enhance a new mouse model created to better understand how pain is transmitted in the body. Ada Poon, an assistant professor of electrical engineering at Stanford University, is working as part of a team to build a wireless device that incorporates existing optogenetics research. Her work, as part of interdisciplinary efforts backed […]

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Uncategorized Published - 8 October, 2014    By - Dr. Clemens
Anesthesia Management: Comparison of intravenous lidocaine versus morphine in alleviating pain in patients with critical limb ischaemia

Published in Emerg Med J. 2014 Aug 21. pii: emermed-2014-203944. Authors: Vahidi E et al BACKGROUND: Numerous drugs have been proposed to alleviate ischaemic limb pain, but none have been successful in relieving ischaemic pain thoroughly and rapidly. OBJECTIVE: To compare the effectiveness of intravenous lidocaine and intravenous morphine in decreasing pain in patients with […]

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Uncategorized Published - 8 October, 2014    By - Dr. Clemens
Anesthesia Management: The effectiveness of ambulatory continuous peripheral nerve blocks for postoperative pain management in children and adolescents

Published in Paediatr Anaesth. 2014 Nov;24(11):1141-8 Authors: Visoiu M et al BACKGROUND: Ambulatory continuous peripheral nerve blocks (CPNBs) are feasible for pediatric patients. We sought to evaluate the efficacy of CPNBs in a pediatric population. METHODS: This retrospective report of 33-month prospectively collected data investigates patient, parent, and nurse pain control satisfaction score (PCSS), the […]

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Uncategorized Published - 8 October, 2014    By - Dr. Clemens
Anesthesia Management: Eye Color a Potential Cue to Pain Tolerance

Physicians often flag patients with red hair, given its understood role as a biomarker for resistance to anesthetics; now, new research suggests that eye color may indicate how individuals will respond to pain as well. According to the results of a recent study involving 58 pregnant, white women—24 with dark-colored eyes (brown or hazel) and […]

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