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Uncategorized Published - 9 January, 2017    By - Dr Clemens
‘Value Agenda’ Advocate Lists 6 Key Components Of Change

Redefining the economics of health care is certainly a daunting undertaking, but nonetheless it is necessary to ensure the long-term global viability of the industry, including the practice of anesthesiology. While many panaceas have been proposed over the past five decades, Michael E. Porter, PhD, a professor at Harvard Business School, in Boston, believes he […]

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Uncategorized Published - 7 January, 2017    By - Dr Clemens
High-Frequency Spinal Cord Stimulation Provides Better Results in Chronic Back, Leg Pain

For patients with severe, chronic back and leg pain, a new high-frequency spinal cord stimulation (SCS) technique provides superior clinical outcomes, compared to conventional low-frequency SCS, reports a clinical trial in the November issue of Neurosurgery. The new ‘HF10′ technique offers lasting reductions in back and leg pain after other treatments have failed, according to […]

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Uncategorized Published - 7 January, 2017    By - Dr Clemens
Stop ACE Inhibitors, ARBs Before Noncardiac Surgery

For patients undergoing noncardiac surgery, rates of death, stroke, and myocardial injury are reduced when angiotensin-converting-enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs) are discontinued 24 hours before the procedure, according to new research. “We believe clinicians should consider withholding ACE inhibitors and ARBs in major noncardiac surgery patients in the 24 hours before surgery,” […]

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Uncategorized Published - 6 January, 2017    By - Dr Clemens
Applied Cardiovascular Physiology in Theatre: Measuring the Cardiovascular Effects of Propofol Anaesthesia

Author: M. R. Pinsky Br J Anaesth. 2016;116(6):736-738. Cardiovascular homeostasis is a complex and beautiful interplay between the functional differences between various vascular circuits in the body and their tissue’s metabolic demand, the physical nature of the endothelial barrier to fluid flux, the circulating blood volume, and reflex-mediated autonomic tone. When at rest, as occurs during […]

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Uncategorized Published - 6 January, 2017    By - Dr Clemens
Efficacy and Safety of Intravenous Lidocaine for Postoperative Analgesia and Recovery After Surgery A Systematic Review With Trial Sequential Analysis

Authors: S. Weibel et al Br J Anaesth. 2016;116(6):770-783. Background: Improvement of postoperative pain and other perioperative outcomes remain a significant challenge and a matter of debate among perioperative clinicians. This systematic review aims to evaluate the effects of perioperative i.v. lidocaine infusion on postoperative pain and recovery in patients undergoing various surgical procedures. Methods: CENTRAL, MEDLINE, EMBASE, […]

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