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Uncategorized Published - 18 May, 2015    By - Dr Clemens
Biofeedback Detailing Fetal Decent Reduces Duration of Second Stage Labour With Epidural

Women receiving audio-visual biofeedback of the fetal decent during delivery show reductions in the duration of the second stage of labour, as well as lower rates of adverse outcomes, researchers reported here today at The Pregnancy Meeting, the 2015 Annual Meeting of the Society for Maternal-Fetal Medicine (SMFM). The common use of epidurals help reduce […]

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Uncategorized Published - 18 May, 2015    By - Dr Clemens
A Retrospective Comparison of Dexmedetomidine Versus Midazolam for Pediatric Patients with Congenital Heart Disease Requiring Postoperative Sedation

Published in Pediatr Cardiol. 2015 Feb 8 Authors: Jiang L et al Abstract We hypothesized that postoperative sedation with dexmedetomidine/fentanyl would be effective in infants and neonates with congenital heart disease and pulmonary arterial hypertension (PAH). Children who were <36 months of age, had congenital heart disease with PAH, and had been treated at our hospital between […]

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Uncategorized Published - 18 May, 2015    By - Dr Clemens
Intraoperative Tight Glucose Control Using Hyperinsulinemic Normoglycemia Increases Delirium after Cardiac Surgery

Published in Anesthesiology on 4 2015 Authors: Leif Saager, Dr. med et al Background: Postoperative delirium is common in patients recovering from cardiac surgery. Tight glucose control has been shown to reduce mortality and morbidity. Therefore, the authors sought to determine the effect of tight intraoperative glucose control using a hyperinsulinemic–normoglycemic clamp approach on postoperative delirium in […]

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Uncategorized Published - 18 May, 2015    By - Dr Clemens
Ultrasound Improves First-Attempt Success with Radial Arterial Line Placement

Published in Anaesthesia 2015 Apr 8 Authors: Ueda K et al. In this randomized, controlled trial of surgery patients, first-attempt radial arterial line placement by anesthesiologists was more successful when guided by ultrasound than palpation or Doppler. The radial artery is traditionally located by palpation, but this can be challenging in patients with hypotension, small-caliber vessels, or […]

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Uncategorized Published - 18 May, 2015    By - Dr Clemens
High-Flow Nasal Cannula Oxygen Does Not Prevent Desaturation During Intubation

Published in Intensive Care Med 2015 Apr 14 Authors: Vourc’h M et al. In an unblinded, randomized trial of ICU patients with hypoxemic respiratory failure, high-flow nasal cannula oxygenation did not reduce desaturation during intubation. Despite adequate preoxygenation, desaturation is common during endotracheal intubation in patients with respiratory disease. The use of high-flow nasal cannula oxygenation […]

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