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Uncategorized Published - 4 October, 2017    By - Dr Clemens
Effect of Intrathecal Bupivacaine Dose on the Success of External Cephalic Version for Breech Presentation: A Prospective, Randomized, Blinded Clinical Trial

Authors: Laurie A. Chalifoux, M.D. et al Anesthesiology 10 2017, Vol.127, 625-632 Background: Breech presentation is a leading cause of cesarean delivery. The use of neuraxial anesthesia increases the success rate of external cephalic version procedures for breech presentation and reduces cesarean delivery rates for fetal malpresentation. Meta-analysis suggests that higher-dose neuraxial techniques increase external cephalic version […]

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Uncategorized Published - 4 October, 2017    By - Dr Clemens
Prevalence and Prognosis Impact of Patient–Ventilator Asynchrony in Early Phase of Weaning According to Two Detection Methods

Authors: Camille Rolland-Debord, M.D. et al Anesthesiology published on September 21, 2017. Background: Patient–ventilator asynchrony is associated with a poorer outcome. The prevalence and severity of asynchrony during the early phase of weaning has never been specifically described. The authors’ first aim was to evaluate the prognosis impact and the factors associated with asynchrony. Their second aim […]

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Uncategorized Published - 4 October, 2017    By - Dr Clemens
FDA: Don’t Withhold Methadone, Buprenorphine in Patients Taking CNS Depressants

Medication treatment for opioid addiction (e.g., “medication-assisted treatment” with methadone and buprenorphine) shouldn’t be withheld from patients who take benzodiazepines or other central nervous system depressants even though this combination can lead to serious adverse events, the FDA said on Wednesday. The agency said the benefit of stopping opioid misuse usually outweighs these risks. In […]

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Uncategorized Published - 4 October, 2017    By - Dr Clemens
Not Too Little, Not Too Much: Finding the Goldilocks Zone for Spinal Anesthesia to Facilitate External Cephalic Version

Authors: Brendan Carvalho, M.B.B.Ch., F.R.C.A. et al Anesthesiology 10 2017, Vol.127, 596-598. APPROXIMATELY one third of all births in the United States are by cesarean delivery, and in most high-income countries the cesarean delivery rate also exceeds that recommended by the World Health Organization for optimal maternal and neonatal outcomes.1  This is concerning, because cesarean delivery, and […]

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Uncategorized Published - 4 October, 2017    By - Dr Clemens
Bariatric Surgery’s Benefits Last Over a Decade

The benefits of Roux-en-Y gastric bypass surgery appear to persist over a decade, according to a study in the New England Journal of Medicine. Researchers studied over 400 people with severe obesity who underwent Roux-en-Y gastric bypass, 400 who sought the procedure but did not receive it, and 300 obese people who did not seek or […]

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