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Uncategorized Published - 31 December, 2015    By - Dr Clemens
The Effect of Epidural Steroid Injection on Postoperative Outcome in Patients From the Lumbar Spinal Stenosis Outcome Study

Authors. Tamas Fekete, MD et Study Design. Retrospective analysis of data from patients participating in the Lumbar Spinal Stenosis Outcome Study (LSOS). Objective. The aim of LSOS was to assess clinical outcomes after surgical or nonoperative treatment in patients with and without prior epidural steroid injections. Summary of Background Data. Epidural steroid injections (ESI), a common treatment modality, […]

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Uncategorized Published - 31 December, 2015    By - Dr Clemens
Does a Single Dose of Intravenous Dexamethasone Reduce Symptoms in Emergency Department Patients With Low Back Pain and RAdiculopathy (SEBRA)?

A Double-Blind Randomised Controlled Trial Authors: Ravichandra Balakrishnamoorthy et al Emerg Med J. 2015;32(7):525-530. Objective To assess the effect of a single dose of intravenous dexamethasone in addition to routine treatment on visual analogue scale (VAS) pain scores at 24 h in emergency department (ED) patients with low back pain with radiculopathy (LBPR). Methods Double-blind randomised controlled trial […]

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Uncategorized Published - 30 December, 2015    By - Dr Clemens
An Analysis of Near Misses Identified by Anesthesia Providers in the Intensive Care Unit

Authors: Angela K.M. Lipshutz et al BMC Anesthesiol. 2015;15(93) Background: Learning from adverse events and near misses may reduce the incidence of preventable errors. Current literature on adverse events and near misses in the ICU focuses on errors reported by nurses and intensivists. ICU near misses identified by anesthesia providers may reveal critical events, causal mechanisms and […]

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Uncategorized Published - 30 December, 2015    By - Dr Clemens
Perioperative Lung Protective Ventilation in Obese Patients

Authors: Ana Fernandez-Bustamante et al BMC Anesthesiol. 2015;15(56) Abstract The perioperative use and relevance of protective ventilation in surgical patients is being increasingly recognized. Obesity poses particular challenges to adequate mechanical ventilation in addition to surgical constraints, primarily by restricted lung mechanics due to excessive adiposity, frequent respiratory comorbidities (i.e. sleep apnea, asthma), and concerns of […]

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Uncategorized Published - 30 December, 2015    By - Dr Clemens
An Anatomical Study of Lumbar Epidural Catheterization

Authors: Huanwei Jiang et al BMC Anesthesiol. 2015;15(94) Background: We herein provide an analysis of lumbar epidural catheterization, which outlines a detailed anatomical description of the epidural anatomy, and may improve the success rate of neuraxial cannulation. Methods: Lumbar epidural catheters were placed in 50 adult embalmed cadavers. After catheterization, the lumbar dura and connecting structures between the […]

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