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Uncategorized Published - 31 January, 2019    By - Dr Clemens
Anesthetic management of parturients with Arnold Chiari malformation-I: a multicenter retrospective study

Authors: T.R. Gruffi International Journal of Obstetric Anesthesia Highlights •Arnold-Chiari malformation was diagnosed after delivery in 20% of our cohort. •Neuraxial and general anesthetics were done with few complications. •Catastrophic neurological outcomes were not observed. Consensus regarding the safest mode of delivery and anesthetic management for parturients with Arnold Chiari malformation-I (ACM-I) remains controversial. This study […]

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Uncategorized Published - 31 January, 2019    By - Dr Clemens
Effect of Intravenous Lidocaine, Dexamethasone, and Their Combination on Postoperative Sore Throat: A Randomized Controlled Trial.

Authors: Subedi A et al Anesth Analg. 2018 Oct BACKGROUND: Postoperative sore throat (POST), hoarseness, and cough after tracheal intubation are not uncommon. Although both lidocaine and dexamethasone have been used independently to reduce these events, there is no study assessing the combined effects of lidocaine and dexamethasone. METHODS: This prospective, double-blind, randomized controlled study enrolled 180 patients requiring general anesthesia with endotracheal intubation for >90 […]

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Uncategorized Published - 31 January, 2019    By - Dr Clemens
The Trap of Overspecialization

What follows is an excerpt from “Medical Catastrophe: Confessions of an Anesthesiologist,” written by Ronald W. Dworkin, MD. In addition to his work as an anesthesiologist, Dr. Dworkin teaches political philosophy in the George Washington University Honors Program and has written essays on medicine, culture and politics for a variety of publications, including The Wall […]

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Uncategorized Published - 30 January, 2019    By - Dr Clemens
Ketamine Infusion Yields Chronic Pain Dividend in the Perioperative Period

Anesthesiology News Case Study Praba Boominathan, MD Yale New Haven Hospital Yale School of Medicine New Haven, Connecticut Pavan Tankha, DO VA Connecticut Healthcare System Department of Anesthesiology Yale School of Medicine New Haven, Connecticut Robert Schlessel, MD VA Connecticut Healthcare System Department of Surgery Yale School of Medicine New Haven, Connecticut Jessica Feinleib, MD, […]

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Uncategorized Published - 30 January, 2019    By - Dr Clemens
Perioperative Pain Management in Patients With Opioid Use Disorder

Although there has been an increasing focus on addressing opioid use disorders (OUDs) in outpatient settings, there is a dearth of research regarding perioperative pain management in people with a history of OUD. Opioid tolerance and medications used for OUD treatment present significant challenges in this setting. “Patients with OUD have been shown to have lowered pain […]

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