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Uncategorized Published - 16 October, 2015    By - Dr Clemens
Increase in Self-Harm Emergencies Noted After Bariatric Surgery

Patients undergoing bariatric surgery show a small but definite increase in self-harm emergencies after the procedure, researchers report in JAMA Surgery. Using Ontario provincial health records, the researchers compared rates of self-harm incidents in the 3 years preceding surgery versus the 3 years following it in some 8800 patients. Self-harm was measured as emergency visits for […]

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Uncategorized Published - 16 October, 2015    By - Dr Clemens
A Randomized Comparison Between Single- and Triple-Injection Subparaneural Popliteal Sciatic Nerve Block

Regional Anesthesia & Pain Medicine: July/August 2015 – Volume 40 – Issue 4 – p 315–320 Authors: Tiyaprasertkul, Worakamol MD Background and Objectives: This prospective randomized trial compared ultrasound-guided single-injection (SI) and triple-injection (TI) subparaneural popliteal sciatic nerve block. We hypothesized that multiple injections are not required when local anesthetic (LA) is deposited under the […]

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Uncategorized Published - 15 October, 2015    By - Dr Clemens
Psychiatric Comorbidity Is Associated Prospectively with Diminished Opioid Analgesia and Increased Opioid Misuse in Patients with Chronic Low Back Pain

Authors: Ajay D. Wasan, M.D., M.Sc. et al Anesthesiology 10 2015, Vol.123, 861-872. Background: Opioids are frequently prescribed for chronic low back pain (CLBP), but there are little prospective data on which patient subgroups may benefit. Psychiatric comorbidity, such as high levels of depression and anxiety symptoms (termed comorbid negative affect [NA]), is a common presentation and […]

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Uncategorized Published - 15 October, 2015    By - Dr Clemens
Association between Initial Fluid Choice and Subsequent In-hospital Mortality during the Resuscitation of Adults with Septic Shock

Authors: Karthik Raghunathan, M.D., M.P.H. et al Anesthesiology 9 2015 Background: Currently, guidelines recommend initial resuscitation with intravenous (IV) crystalloids during severe sepsis/septic shock. Albumin is suggested as an alternative. However, fluid mixtures are often used in practice, and it is unclear whether the specific mixture of IV fluids used impacts outcomes. The objective of this study […]

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Uncategorized Published - 15 October, 2015    By - Dr Clemens
he i-gel vs. the PRO-Breathe Laryngeal Mask Airway in Children

Authors: Drake-Brockman TF et al., Anaesthesia 2015 Sep 10; In anesthetized spontaneously breathing children, leakage volume was greater, device dislodgement was more common, and first-attempt insertion success was lower with the i-gel. The i-gel is an extraglottic device with a noninflatable cuff made of a flexible gelatinous material. The PRO-Breathe is a silicone-based standard laryngeal mask airway […]

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