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Uncategorized Published - 23 June, 2015    By - Dr Clemens
Apnea after Awake Regional and General Anesthesia in Infants: The General Anesthesia Compared to Spinal Anesthesia Study—Comparing Apnea and Neurodevelopmental Outcomes, a Randomized Controlled Trial

Published in Anesthesiology 7 2015, Vol.123, 38-54 Authors: Andrew J. Davidson, MD et al Background: Postoperative apnea is a complication in young infants. Awake regional anesthesia (RA) may reduce the risk; however, the evidence is weak. The General Anesthesia compared to Spinal anesthesia study is a randomized, controlled trial designed to assess the influence of general […]

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Uncategorized Published - 23 June, 2015    By - Dr Clemens
Decision Aid for Cigarette Smokers Scheduled for Elective Surgery

Published in Anesthesiology 7 2015, Vol.123, 18-28 Authors: David O. Warner, MD et al Background: Decision aids can increase patient involvement in decision-making about health care. The study goal was to develop and test a decision aid for use by clinicians in discussion options for changing smoking behavior before and after elective surgery. Methods: In formative work, a […]

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Uncategorized Published - 23 June, 2015    By - Dr Clemens
Hyperinsulinemic Normoglycemia Does Not Meaningfully Improve Myocardial Performance during Cardiac Surgery: A Randomized Trial

Published in Anesthesiology 6/2015 Authors: Andra E. Duncan, MD 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 administering a GIK […]

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Uncategorized Published - 23 June, 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

Published in Anesthesiology 5 2015 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 Affairs […]

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Uncategorized Published - 23 June, 2015    By - Dr Clemens
Shift From IV to Oral Sedation for Pain Procedures?

The transition from extensive use of intravenous (IV) sedation for interventional pain procedures to almost exclusive use of oral anxiolysis at an outpatient pain center led to significant improvements in patient satisfaction and recovery times, a new study shows. But not all practitioners are on board with such a policy, citing potential safety issues. “The […]

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