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Uncategorized Published - 14 September, 2018    By - Dr Clemens
57% of Americans have been surprised by a medical bill, most say insurers are to blame

Written by Julie Spitzer |  Becker’s Hospital Review August 30, 2018 | Fifty-seven percent of Americans say they’ve received a surprise medical bill they thought would be covered by insurance, according to a recent survey conducted by NORC at the University of Chicago. NORC polled 1,002 individuals from a nationally representative sample of Americans using the AmeriSpeak Panel, a […]

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Uncategorized Published - 14 September, 2018    By - Dr Clemens
Differences of Recovery from Rocuronium-induced Deep Paralysis in Response to Small Doses of Sugammadex between Elderly and Nonelderly Patients

Authors: Takahiro Muramatsu, M.D. et al  Anesthesiology published on September 6, 2018. What We Already Know about This Topic: Sugammadex may be the best available drug to reverse residual neuromuscular blockade produced by rocuronium and vecuronium A 5% incidence of residual neuromuscular blockade has been reported after administering sugammadex without neuromuscular monitoring Elderly patients have been […]

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Uncategorized Published - 14 September, 2018    By - Dr Clemens
Brain Dynamics and Temporal Summation of Pain Predicts Neuropathic Pain Relief from Ketamine Infusion

Authors: Rachael L. Bosma, Ph.D. et al    Anesthesiology published on September 6, 2018. What We Already Know about This Topic: Ketamine is an N-methyl-d-aspartate antagonist with growing use in the management of chronic pain Descending pain modulatory circuits are key modulators of chronic pain What This Article Tells Us That Is New: The infusion of ketamine […]

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Uncategorized Published - 14 September, 2018    By - Dr Clemens
Intravenous Lidocaine for the Prevention of Cough: Systematic Review and Meta-analysis of Randomized Controlled Trials;

Authors: Clivio S et al Anesthesia & Analgesia (Aug 2018) BACKGROUND It remains unclear to what extent intravenous lidocaine prevents cough and whether there is dose-responsiveness and risk of harm. METHODS We searched electronic databases to January 1, 2017 for randomized trials comparing intravenous lidocaine with placebo for the prevention of cough in surgical patients. […]

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Uncategorized Published - 14 September, 2018    By - Dr Clemens
Improved Analgesia and Reduced Post-Operative Nausea and Vomiting After ERAS Implementation for Total Mastectomy

Authors: Catherine Chiu et al  BMC AnesthesiologyBMC series  April 2018 Background Enhanced Recovery After Surgery (ERAS) pathways have been shown in multiple surgical disciplines to improve outcomes, including reduced opioid consumption, length of stay, and post-operative nausea and vomiting (PONV). However, very few studies describe the application of ERAS to breast surgery and even fewer describe […]

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