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Uncategorized Published - 21 July, 2015    By - Dr Clemens
Preoperative Tests Still Too Frequent for Cataract Surgery

More than half of Medicare beneficiaries undergoing cataract surgery undergo at least one preoperative test, despite strong evidence showing that preoperative tests are not associated with any improvement in outcomes, new research shows. Moreover, the prevalence of preoperative testing before cataract surgery is not different than it was 20 years ago, before the introduction of […]

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Uncategorized Published - 21 July, 2015    By - Dr Clemens
Reversal of Pipecuronium-Induced Moderate Neuromuscular Block with Sugammadex in the Presence of a Sevoflurane Anesthetic: A Randomized Trial

Anesthesia & Analgesia: April 28, 2015 Authors: Tassonyi, Edömér MD, PhD et al BACKGROUND: Pipecuronium is a steroidal neuromuscular blocking agent. Sugammadex, a relaxant binding [gamma]-cyclodextrin derivative, reverses the effect of rocuronium, vecuronium, and pancuronium. We investigated whether sugammadex reverses moderate pipecuronium-induced neuromuscular blockade (NMB) and the doses required to achieve reversal. METHODS: This single-center, […]

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Uncategorized Published - 21 July, 2015    By - Dr Clemens
Anesthesia and pain management during pregnancy

Anaesthesist 2015 May;64(5):347-56. doi: 10.1007/s00101-015-0023-9. Authors: Ninke T et al Abstract During the perioperative and postoperative care of pregnant women it is prudent to pay close attention to the changed physiology of these patients. The main principles of care are the preservation of maternal and fetal homeostasis as well as avoidance of any substances with toxic effects […]

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Uncategorized Published - 21 July, 2015    By - Dr Clemens
Epidural steroid injections compared with gabapentin for lumbosacral radicular pain: multicenter randomized double blind comparative efficacy study

BMJ 2015 Apr 16;350:h1748. Authors: Cohen SP et al OBJECTIVE: To evaluate whether an epidural steroid injection or gabapentin is a better treatment for lumbosacral radiculopathy. DESIGN: A multicenter randomized study conducted between 2011 and 2014. Computer generated randomization was stratified by site. Patients and evaluating physicians were blinded to treatment outcomes. SETTINGS: Eight military, Veterans Administration, […]

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Uncategorized Published - 20 July, 2015    By - Dr Clemens
Perceived Barriers to Computerised Quality Documentation During Anaesthesia

A Survey of Anaesthesia Staff BMC Anesthesiol. 2015;15(13) Authors: Johannes Wacker et al Background Underreporting of intraoperative events in anaesthesia is well-known and compromises quality documentation. The reasons for such omissions remain unclear. We conducted a questionnaire-based survey of anaesthesia staff to explore perceived barriers to reliable documentation during anaesthesia. Methods Participants anonymously completed a paper-based questionnaire. Predefined […]

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