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Uncategorized Published - 14 October, 2015    By - Dr Clemens
Survival after Perioperative Cardiopulmonary Resuscitation: Providing an Evidence Base for Ethical Management of Do-not-resuscitate Orders

Authors: Shona Kalkman, M.D. et al Anesthesiology 9 2015. Automatic suspension of do-not-resuscitate (DNR) orders during general anesthesia does not sufficiently address a patient’s right to self-determination and is a practice still observed among anesthesiologists today. To provide an evidence base for ethical management of DNR orders during anesthesia and surgery, the authors performed a systematic […]

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Uncategorized Published - 14 October, 2015    By - Dr Clemens
Visuospatial Ability as a Predictor of Novice Performance in Ultrasound-guided Regional Anesthesia

Authors: Atif Shafqat, M.B.B.S., D.A., M.Sc., M.R.C.A., Ph.D. et al Anesthesiology 9 2015 Background:: Visuospatial ability correlates positively with novice performance of simple laparoscopic tasks. The aims of this study were to identify whether visuospatial ability could predict technical performance of an ultrasound-guided needle task by novice operators and to describe how emotional state, intelligence, and fear […]

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Uncategorized Published - 14 October, 2015    By - Dr Clemens
Central Line Risks Vary by Insertion Site

Subclavian-vein catheterization was linked with a lower risk of bloodstream infection and symptomatic thrombosis, but a higher risk of pneumothorax, versus jugular vein or femoral vein catheterization, French researchers reported. In a comparison of insertion sites among more than 3,000 randomized ICU patients, the risk of blood infection or thrombosis was lowest for subclavian catheters […]

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Uncategorized Published - 14 October, 2015    By - Dr Clemens
Predicting Survival for Patients Receiving Extracorporeal Membrane Oxygenation

Authors: Schmidt M et al., Eur Heart J 2015 Sep 1; 36:2246 An internationally derived pre-ECMO risk model appears clinically useful. Extracorporeal membrane oxygenation (ECMO) is an effective treatment option in refractory, yet potentially reversible, cardiogenic shock. Because of its high rates of severe complications and high costs, patient selection on the basis of a predictive survival […]

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Uncategorized Published - 14 October, 2015    By - Dr Clemens
Unexpected Complete Heart Block and Anesthetic Implications

A&A Case Reports: 1 August 2015 – Volume 5 – Issue 3 – p 33–35 Authors: Torres, Arturo G. MD Abstract A healthy, active duty military 25-year-old female with a history of congenital complete heart block presented for a routine septorhinoplasty. During the preoperative interview, she did not disclose her heart condition. A preordered electrocardiogram […]

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