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Uncategorized Published - 18 June, 2015    By - Dr Clemens
Tissue Oxygenation as a Target for Goal-directed Therapy in High-risk Surgery A Pilot Study

Authors: Paul A van Beest et al BMC Anesthesiol. 2014;14(122) Background Tissue hypoperfusion occurs frequently during surgery and may contribute to postoperative organ dysfunction. There is a need for perioperative treatment protocols aiming at improving tissue oxygenation (StO2). We hypothesised that intra-operative optimisation of StO2 improves tissue perfusion and thus reduces postoperative complications. Furthermore, we evaluated the feasibility […]

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Uncategorized Published - 18 June, 2015    By - Dr Clemens
Oral analgesia for relieving post-caesarean pain

Published in Cochrane Database Syst Rev. 2015 Mar 29 Authors: Mkontwana N et al BACKGROUND: Oral analgesia is a convenient and widely used form of pain relief following caesarean section. It includes various medications used at different doses alone or in adjunction to other form of analgesia. OBJECTIVES: To determine the effectiveness, safety and cost-effectiveness of […]

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Uncategorized Published - 18 June, 2015    By - Dr Clemens
Liposomal Bupivacaine No Better Than Standard Bupivacaine for Pain After Knee Replacement

Extended-release liposomal bupivacaine provides no benefit over standard bupivacaine for pain control after total knee replacement (TKA), according to a study presented here at the 2015 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS). William C. Schroer, MD, DePaul Hospital, St. Louis, Missouri, and colleagues randomised 111 patients undergoing primary TKA to receive […]

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Uncategorized Published - 18 June, 2015    By - Dr Clemens
Single-Shot Nerve Block Relieves Pain for Only a Short Time After Shoulder Surgery

The current gold standard for shoulder surgery pain management is a single-shot nerve block to reduce pain during and after surgery, which is still performed under general anaesthetic. Doctors had thought that this freezing, coupled with oral painkillers, would manage pain and keep patients comfortable for the first 24 to 48 hours after surgery. However, […]

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Uncategorized Published - 17 June, 2015    By - Dr Clemens
Will the Real Benefits of Single-Shot Interscalene Block Please Stand Up? A Systematic Review and Meta-Analysis

Published in Anesthesia & Analgesia: May 2015-Volume 120 Issue 5 page 1114-1129 Authors: Abdallah, Faraj W. MD et al BACKGROUND: Interscalene block (ISB) can provide pain relief after shoulder surgery, but a reliable quantification of its analgesic benefits is lacking. This meta-analysis examines the effect of single-shot ISB on analgesic outcomes during the first 48 […]

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