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Uncategorized Published - 18 May, 2017    By - Dr Clemens
Severe Intraoperative Hyperglycemia Is Independently Associated With Postoperative Composite Infection After Craniotomy: An Observational Study.

AUTHORS: Gruenbaum, Shaun E. MD; Toscani, Laura MD et al Anesthesia & Analgesia: February 8, 2017 BACKGROUND: Postoperative infection after craniotomy carries an increased risk of morbidity and mortality. Identification and correction of the risk factors should be prioritized. The association of intraoperative hyperglycemia with postoperative infections in patients undergoing craniotomy is inadequately studied. METHODS: A […]

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Uncategorized Published - 17 May, 2017    By - Dr Clemens
Do We Harm Patients by Intubating During In-Hospital Codes?

Authors: Angus DC., JAMA 2017 Feb 7; 317:477 Intubation during arrest was associated with worse outcomes. The 2015 American Heart Association Advanced Cardiovascular Life Support guidelines deemphasize advanced airway placement as a component of initial resuscitation. Out-of-hospital–arrest data suggest lower survival among patients who are intubated in the field (NEJM JW Emerg Med Feb 2013 and JAMA 2013; 309:257). To determine […]

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Uncategorized Published - 17 May, 2017    By - Dr Clemens
Mixing Opioids and Alcohol May Increase Likelihood of Respiratory Depression

Taking 1 oxycodone tablet together with even a modest amount of alcohol increases the risk of respiratory depression, according to a study published online first in the journal Anesthesiology. The study also found that elderly people were especially likely to experience this complication. “Unfortunately, we’re seeing more fatalities and people in emergency rooms after having […]

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Uncategorized Published - 17 May, 2017    By - Dr Clemens
Hypotension During Bypass Increases Adverse Effects

In one of the first studies of its kind, researchers at the University of Ottawa Heart Institute have found that hypotension during cardiopulmonary bypass is associated with postoperative cardiovascular accidents, such as stroke. The researchers also found evidence of a dose–response relationship with increasing severity and duration of hypotension. “Although the etiology of stroke is […]

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Uncategorized Published - 17 May, 2017    By - Dr Clemens
Protocol Lacking for Post-op Delirium

While 70% of anesthesiologists say they “frequently” or “occasionally” encounter postoperative delirium in their practices, more than three-fourths (77%) lack a process to screen for at-risk patients. A survey of nearly 300 anesthesiologists revealed that postoperative delirium is extraordinarily common worldwide, with 95% of respondents reporting they have had such a patient. However, 60% said […]

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