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Uncategorized Published - 21 February, 2017    By - Dr Clemens
Phrenic Nerve Block Caused by Interscalene Brachial Plexus Block

Breathing Effects of Different Sites of Injection Autors: Lars Bergmann et al BMC Anesthesiol. 2016;16(45) Background: Interscalene brachial plexus (ISB) block is often associated with phrenic nerve block and diaphragmatic paresis. The goal of our study was to test if the anterior or the posterior ultrasound guided approach of the ISB is associated with a lower incidence […]

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Uncategorized Published - 21 February, 2017    By - Dr Clemens
Neonatal Injury and Resuscitation: A Liability for Anesthesiologists? An Update From the Anesthesia Closed Claims Project

Authors: Karen B. Domino, M.D., M.P.H.; Joanna M. Davies, M.B.B.S., FRCA ASA Monitor 02 2017, Vol.81, 16-17. An anesthesiologist was called STAT for an emergency cesarean section for severe fetal bradycardia. The anesthesiologist rapidly anesthetized the mother using a rapid-sequence induction and a floppy, pale, non-responsive baby was delivered. An obstetric nurse and family practitioner attempted to […]

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Uncategorized Published - 20 February, 2017    By - Dr Clemens
Preoperative Heart Rate and Myocardial Injury After Non-cardiac Surgery

Results of a Predefined Secondary Analysis of the VISION Study Authors: T. E. F. Abbott et al Br J Anaesth. 2016;117(2):172-181. Background: Increased baseline heart rate is associated with cardiovascular risk and all-cause mortality in the general population. We hypothesized that elevated preoperative heart rate increases the risk of myocardial injury after non-cardiac surgery (MINS). Methods: We performed […]

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Uncategorized Published - 20 February, 2017    By - Dr Clemens
Low Tidal Volume Ventilation With Low PEEP During Surgery May Induce Lung Inflammation

Authors: Hitoshi Sato et al BMC Anesthesiol. 2016;16(47) Background: Compared to conventional tidal volume ventilation, low tidal-volume ventilation reduces mortality in cased of acute respiratory distress syndrome. The aim of the present study is to determine whether low tidal-volume ventilation reduces the production of inflammatory mediators in the lungs and improves physiological status during hepatic surgery. Methods: We […]

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Uncategorized Published - 20 February, 2017    By - Dr Clemens
Randomized Evaluation of Fibrinogen vs Placebo in Complex Cardiovascular Surgery (REPLACE)

A Double-blind Phase III Study of Haemostatic Therapy Authors: N. Rahe-Meyer et al Br J Anaesth. 2016;117(1):41-51. Background: Single-dose human fibrinogen concentrate (FCH) might have haemostatic benefits in complex cardiovascular surgery. Methods: Patients undergoing elective aortic surgery requiring cardiopulmonary bypass were randomly assigned to receive FCH or placebo. Study medication was administered to patients with a 5 min […]

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