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Uncategorized Published - 28 April, 2016    By - Dr Clemens
Perioperative Diastolic Dysfunction in Patients Undergoing Noncardiac Surgery Is an Independent Risk Factor for Cardiovascular Events: A Systematic Review and Meta-analysis

Authors: Ashraf Fayad, M.D., M.Sc., F.R.C.P.C., F.A.C.C., F.A.S.E. et al Anesthesiology published on 4 2016 Background: The prognostic value of perioperative diastolic dysfunction (PDD) in patients undergoing noncardiac surgery remains uncertain, and the current guidelines do not recognize PDD as a perioperative risk factor. This systematic review aimed to investigate whether existing evidence supports PDD as an […]

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Uncategorized Published - 27 April, 2016    By - Dr Clemens
Severe Nausea and Vomiting in the Evaluation of Nitrous Oxide in the Gas Mixture for Anesthesia II Trial

Authors: Paul S. Myles, M.B., B.S., M.P.H., M.D., F.C.A.I., F.A.N.Z.C.A., F.R.C.A., F.A.H.M.S. et al Anesthesiology 5 2016, Vol.124, 1032-1040 Background: The Evaluation of Nitrous oxide in the Gas Mixture for Anesthesia II trial randomly assigned 7,112 noncardiac surgery patients to a nitrous oxide or nitrous oxide–free anesthetic; severe postoperative nausea and vomiting (PONV) was a prespecified secondary […]

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Uncategorized Published - 27 April, 2016    By - Dr Clemens
Why Fentanyl Is So Much More Deadly Than Heroin

When prescription opioids started getting too difficult or too expensive to procure, people addicted to them started turning to heroin–a shift that’s created an “epidemic” of heroin use in whole new groups of people. Now, a new opioid is rising in use and overdose: Fentanyl, a synthetic opioid, is 50-100 times more potent than morphine, according […]

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Uncategorized Published - 27 April, 2016    By - Dr Clemens
Oxygen Reserve Index: A Novel Noninvasive Measure of Oxygen Reserve—A Pilot Study

Authors: Peter Szmuk, M.D. et al Anesthesiology 4 2016, Vol.124, 779-784 Background: Pulse oximetry provides no indication of downward trends in Pao2 until saturation begins to decrease. The Oxygen Reserve Index (ORI) is a novel pulse oximeter–based nondimensional index that ranges from 1 to 0 as Pao2 decreases from about 200 to 80 mmHg and is measured by optically […]

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Uncategorized Published - 27 April, 2016    By - Dr Clemens
Injury and Liability Associated with Implantable Devices for Chronic Pain

Authors: Dermot R. Fitzgibbon, M.D. et al Anesthesiology published on 4 2016 Background:: Due to an increase in implantable device–related anesthesia pain medicine claims, the authors investigated anesthesia liability associated with these devices. Methods:: After institutional review board approval, the authors identified 148 pain medicine device claims from 1990 or later in the Anesthesia Closed Claims Project Database. […]

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