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Uncategorized Published - 15 February, 2018    By - Dr Clemens
Local Anesthetic Injection Through Catheter Improves Block Outcomes

A comparison of injection of local anesthetic through a catheter versus a needle for interscalene catheter placement has shown improved pain scores and reduced opioid requirements, suggesting that needle injection may be associated with secondary block failure. According to the study, patients receiving local anesthesia via a catheter rather than a needle had better pain […]

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Uncategorized Published - 14 February, 2018    By - Dr Clemens
The Assignment of American Society of Anesthesiologists Physical Status Classification for Adult Polytrauma Patients: Results From a Survey and Future Considerations

AUTHORS: Kuza, Catherine M. MD et al Anesthesia & Analgesia: December 2017 – Volume 125 – Issue 6 – p 1960–1966 BACKGROUND: The American Society of Anesthesiologists (ASA) physical status (PS) classification system assesses the preoperative health of patients. Previous studies demonstrated poor interrater reliability and variable ASA PS scores, especially in trauma scenarios. There are few […]

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Uncategorized Published - 14 February, 2018    By - Dr Clemens
Postoperative Complications Affecting Survival After Cardiac Arrest in General Surgery Patients

AUTHORS: Kim, Minjae MD, MS et al Anesthesia & Analgesia: September 7, 2017 BACKGROUND: Postoperative cardiac arrest is uncommon but associated with a high mortality risk in general surgery patients and is often preceded by postoperative complications. The relationships between previous complications and mortality after cardiac arrest in general surgery patients have not been completely evaluated. METHODS: retrospective, […]

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Uncategorized Published - 14 February, 2018    By - Dr Clemens
Delineating the Trajectory of Cognitive Recovery From General Anesthesia in Older Adults: Design and Rationale of the TORIE (Trajectory of Recovery in the Elderly) Project

AUTHORS: Mincer, Joshua S. MD, PhD et al Anesthesia & Analgesia: September 7, 2017 BACKGROUND: Mechanistic aspects of cognitive recovery after anesthesia and surgery are not yet well characterized, but may be vital to distinguishing the contributions of anesthesia and surgery in cognitive complications common in the elderly such as delirium and postoperative cognitive dysfunction. This article […]

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Uncategorized Published - 14 February, 2018    By - Dr Clemens
Debate Over Neurotoxicity in Pediatric Anesthesia Draws No Firm Conclusions

The potential risk to the brains of young children in relation to exposure to anesthesia remains undetermined and is a subject of contention. The answer may depend on how the question is posed—that is, the outcome measures used to define neurotoxicity. The issue is also important in that it determines how precious research dollars will […]

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