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Uncategorized Published - 3 August, 2015    By - Dr Clemens
A Perioperative Course of Gabapentin Does Not Produce a Clinically Meaningful Improvement in Analgesia after Cesarean Delivery: A Randomized Controlled Trial

Anesthesiology 8 2015, Vol.123, 320-326. Authors: David T. Monks, MD et al Background: Studies examining the efficacy of a single preoperative dose of gabapentin for analgesia after cesarean delivery (CD) have been inconclusive. The authors hypothesized that a perioperative course of gabapentin would improve analgesia after CD. Methods:  This single-center, randomized, double-blind, placebo-controlled, parallel-group, superiority trial was […]

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Uncategorized Published - 3 August, 2015    By - Dr Clemens
Association between Withholding Angiotensin Receptor Blockers in the Early Postoperative Period and 30-day Mortality: A Cohort Study of the Veterans Affairs Healthcare System

Anesthesiology 8 2015, Vol.123, 288-306. Authors: Susan M Lee, MD, FRCPC et al Background: Despite widespread use, there is limited information to guide perioperative management of angiotensin receptor blockers (ARBs). Methods:  In this retrospective cohort study, the authors evaluated the patterns of postoperative ARB use in veterans regularly prescribed ARBs admitted for noncardiac surgery at the Veterans […]

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Uncategorized Published - 3 August, 2015    By - Dr Clemens
Hyperinsulinemic Normoglycemia Does Not Meaningfully Improve Myocardial Performance during Cardiac Surgery: A Randomized Trial

Anesthesiology 8 2015, Vol.123, 272-287. Authors: Andra E Duncan, MD et al Background:  Glucose–insulin–potassium (GIK) administration during cardiac surgery inconsistently improves myocardial function, perhaps because hyperglycemia negates the beneficial effects of GIK. The hyperinsulinemic normoglycemic clamp (HNC) technique may better enhance the myocardial benefits of GIK. The authors extended previous GIK investigations by (1) targeting normoglycemia while […]

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Uncategorized Published - 3 August, 2015    By - Dr Clemens
Need to Exchange a Tracheal Tube? Use Video Laryngoscopy

Authors: Mort TC and Braffett BH., Anesth Analg 2015 Jun 23; Video laryngoscopy improved first-attempt success and lowered rates of complications compared with direct laryngoscopy in a single-center registry study of endotracheal tube exchanges using airway exchange catheters. Endotracheal tube (ETT) exchange is required when ventilation is ineffective because of either cuff failure or tube size. The […]

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Uncategorized Published - 2 August, 2015    By - Dr Clemens
Weight Loss Linked to Improvement in Diabetic Neuropathy, Regardless of Haemoglobin A1C Levels

Weight loss in patients with types 1 and 2 diabetes is linked with an improvement in diabetic neuropathy, independent of blood glucose levels, according to results of a parallel-group study reported at the 75th Scientific Sessions of the American Diabetes Association meeting. “To our knowledge, weight loss has not been shown previously to improve diabetic […]

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