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Uncategorized Published - 7 October, 2015    By - Dr Clemens
Associations Between Age and Dosing of Volatile Anesthetics in 2 Academic Hospitals

Anesthesia & Analgesia: September 2015 – Volume 121 – Issue 3 – p 645–651 Authors: Van Cleve et al BACKGROUND: The inverse relationship between age and dose requirement for potent volatile anesthetics is well established, but the question of whether anesthetic providers consider this relationship in practice remains unanswered. We sought to determine whether there […]

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Uncategorized Published - 7 October, 2015    By - Dr Clemens
Pulmonary Impedance and Pulmonary Doppler Trace in the Perioperative Period

Anesthesia & Analgesia: September 2015 – Volume 121 – Issue 3 – p 601–609 Authors: Tousignant, Claude MD, FRCPC et al Abstract Pulmonary hypertension and associated vascular changes may frequently accompany left-sided heart disease in the adult cardiac surgical population. Perioperative assessment of right ventricular function using echocardiography is well established. In general, understanding the […]

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Uncategorized Published - 7 October, 2015    By - Dr Clemens
Preperitoneal Continuous Infusion of Local Anesthetics: What Is the Impact on Surgical Wound Infections in Humans?

Pain Med 2015 Aug Authors: Claroni C et al OBJECTIVE: Continuous surgical wound infusion with local anesthetics is an effective and widely used technique in postoperative pain management. Some aspects of this technique, however, require further investigation. The aim of this study was to retrospectively assess whether continuous infusion of ropivacaine delays the process of wound healing, […]

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Uncategorized Published - 6 October, 2015    By - Dr Clemens
Intravenous Ketamine for Rapid Opioid Dose Reduction, Reversal of Opioid-Induced Neurotoxicity, and Pain Control in Terminal Care: Case Report and Literature Review.

Pain Med 2015 Aug Authors: Winegarden Jet al OBJECTIVE: We report a case of opioid-induced neurotoxicity (OIN) in an actively dying hospice patient, its reversal and improved analgesia that followed opioid dosage reduction made possible after addition of IV ketamine. We briefly review the diagnosis and treatment of OIN. SETTING: OIN, particularly when associated with high […]

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Uncategorized Published - 6 October, 2015    By - Dr Clemens
Malignant hyperthermia: a review

Orphanet J Rare Dis  2015 Aug 4;10:93 Authors: Rosenberg H et al Abstract Malignant hyperthermia (MH) is a pharmacogenetic disorder of skeletal muscle that presents as a hypermetabolic response to potent volatile anesthetic gases such as halothane, sevoflurane, desflurane, isoflurane and the depolarizing muscle relaxant succinylcholine, and rarely, in humans, to stressors such as vigorous exercise and […]

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