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Uncategorized Published - 25 May, 2018    By - Dr Clemens
Intraneural Ultrasound-guided Sciatic Nerve Block: Minimum Effective Volume and Electrophysiologic Effects

AUTHORS: Gianluca Cappelleri, M.D. et al        Anesthesiology published on May 14, 2018. Background: Both extra- and intraneural sciatic injection resulted in significant axonal nerve damage. This study aimed to establish the minimum effective volume of intraneural ropivacaine 1% for complete sensory-motor sciatic nerve block in 90% of patients, and related electrophysiologic variations. Methods: Forty-seven consecutive […]

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Uncategorized Published - 24 May, 2018    By - Dr Clemens
Man donates blood weekly for 60 years, saves lives of 2.4 million babies

I thought this was interesting so I wanted to share with our readers. SYDNEY – An Australian man who has spent most of his life donating blood is retiring. James Harrison has donated blood nearly every week for 60 years. He’s made 1,100 donations, saving the lives of more than 2.4 million Australian babies, according to the Australian Red Cross Blood […]

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Uncategorized Published - 24 May, 2018    By - Dr Clemens
Does Surgery Contribute to Prescription Opioid Misuse in Adolescents?

Authors: Harbaugh CM et al.  Pediatrics 2017 Dec 4. Persistent postsurgical opioid use in adolescents was 5%, similar to the estimated rate in adults. Prescription opioids, though an important tool for pain management, are contributing to significant morbidity and mortality from opioid overuse and misuse in the U.S. Opioid prescribing practices vary widely, and opioids are […]

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Uncategorized Published - 24 May, 2018    By - Dr Clemens
Too Much Oxygen Is Harmful

Authors: Chu DK et al.  Lancet 2018 Apr 28. A meta-analysis shows significantly higher mortality with liberal use of supplemental oxygen in acutely ill patients. Supplemental oxygen can be a life-saving intervention for patients with hypoxemic respiratory failure; however, emerging evidence suggests that too much oxygen is harmful (NEJM JW Gen Med Dec 1 2016 and JAMA 2016; 316:1583). Small […]

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Uncategorized Published - 24 May, 2018    By - Dr Clemens
Amisulpride Prevents Postoperative Nausea and Vomiting in Patients at High Risk: A Randomized, Double-blind, Placebo-controlled Trial

AUTHORS: Peter Kranke, M.D., M.B.A. et al  Anesthesiology 6 2018, Vol.128, 1099-1106. Background: Postoperative nausea and vomiting causes distress for patients and can prolong care requirements. Consensus guidelines recommend use of multiple antiemetics from different mechanistic classes as prophylaxis in patients at high risk of postoperative nausea and vomiting. The prophylactic efficacy of the dopamine D2/D3 antagonist amisulpride […]

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