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Uncategorized Published - 28 June, 2017    By - Dr Clemens
Femoral plus Single-Injection Sciatic Peripheral Nerve Block vs. Periarticular Injection for Total Knee Arthroplasty

Anesthesiology · March 2, 2017 Background: Multimodal analgesia is standard practice for total knee arthroplasty; however, the role of regional techniques in improved perioperative outcomes remains unknown. The authors hypothesized that peripheral nerve blockade would result in lower pain scores and opioid consumption than two competing periarticular injection solutions. Methods: This three-arm, nonblinded trial randomized 165 adults undergoing unilateral […]

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Uncategorized Published - 28 June, 2017    By - Dr Clemens
Dose of Bupivacaine in Spinal-Epidural Analgesia For External Cephalic Version Does Not Affect Success

The dose of local anesthetic used in spinal-epidural analgesia for external cephalic version has no influence on the success rate of the procedure, according to a randomized controlled trial. The conclusion contradicts earlier meta-analyses. Although the trial investigators found dose-dependent changes in some secondary outcomes, they noted that these results highlight the importance of blinding […]

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Uncategorized Published - 28 June, 2017    By - Dr Clemens
Psychosocial Factors Predict Analgesic Response to Morphine

Despite the common use of opioid analgesics in the management of chronic pain, no factors have been identified that could predict optimal efficacy of these agents. A study published in the March 2017 issue of Pain showed that psychosocial variables such as depression and anxiety predict the response to morphine analgesia in patients with low back pain […]

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Uncategorized Published - 27 June, 2017    By - Dr Clemens
Updated Surgical Site Infection Guidelines Include Patient Warming and Supplemental Oxygen

Anesthesiologists must be key participants in the process of reducing surgical site infections, including ensuring that the correct prophylactic antimicrobial therapy is given 30 to 60 minutes before incision. This is just one of many updated SSI guidelines that were recently published in the Journal of the American College of Surgeons (2017;224:59-74). “Anesthesiologists need to embrace their […]

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Uncategorized Published - 27 June, 2017    By - Dr Clemens
Mini-fluid Challenge of 100 ml of Crystalloid Predicts Fluid Responsiveness in the Operating Room

Authors: Matthieu Biais, M.D., Ph.D. et al Anesthesiology published on June 22, 2017 Background: Mini-fluid challenge of 100 ml colloids is thought to predict the effects of larger amounts of fluid (500 ml) in intensive care units. This study sought to determine whether a low quantity of crystalloid (50 and 100 ml) could predict the effects of […]

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