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Uncategorized Published - 11 September, 2017    By - Dr Clemens
Arterial Pressure and the Rate of Elimination of Crystalloid Fluid

AUTHOR: Hahn, Robert G. MD, PhD Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1824–1833 Excretion of crystalloid fluid is slow during general anesthesia. The distribution and elimination of buffered Ringer’s solution were analyzed to determine whether the rate of elimination correlates with a hemodynamic factor, consciousness, patient posture, or the […]

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Uncategorized Published - 11 September, 2017    By - Dr Clemens
Measuring and Improving the Quality of Preprocedural Assessments

AUTHORS: Manji, Farah MD, MPH et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1846–1854 BACKGROUND: Preprocedural assessments are used by anesthesia providers to optimize perioperative care for patients undergoing invasive procedures. When these assessments are performed in advance by providers who are not caring for the patient during the […]

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Uncategorized Published - 11 September, 2017    By - Dr Clemens
Diabetics Given Dexamethasone for ENT Surgery At Risk for Postoperative Hyperglycemia

Although dexamethasone may be a beneficial adjunct to surgery in terms of its antiemetic and anti-inflammatory effects, a team of researchers from Thomas Jefferson University Hospital has found that it may have a darker side, particularly in diabetic patients. A pilot study concluded that dexamethasone administration was associated with significant postoperative hyperglycemia in these patients […]

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Uncategorized Published - 11 September, 2017    By - Dr Clemens
Clinical Effectiveness and Safety of Intraoperative Methadone in Patients Undergoing Posterior Spinal Fusion Surgery: A Randomized, Double-Blinded, Controlled Trial

Anesthesiology · April 24, 2017 BACKGROUND Patients undergoing spinal fusion surgery often experience severe pain during the first three postoperative days. The aim of this parallel-group randomized trial was to assess the effect of the long-duration opioid methadone on postoperative analgesic requirements, pain scores, and patient satisfaction after complex spine surgery. METHODS One hundred twenty patients were […]

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Uncategorized Published - 11 September, 2017    By - Dr Clemens
Dexamethasone Versus Standard Treatment for Postoperative Nausea and Vomiting in Gastrointestinal Surgery: Randomised Controlled Trial (DREAMS Trial)

BMJ · April 18, 2017 Objectives To determine whether preoperative dexamethasone reduces postoperative vomiting in patients undergoing elective bowel surgery and whether it is associated with other measurable benefits during recovery from surgery, including quicker return to oral diet and reduced length of stay. Design Pragmatic two arm parallel group randomised trial with blinded postoperative care and outcome assessment. […]

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