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Uncategorized Published - 13 January, 2015    By - Dr Clemens
Feasibility of Closed-loop Titration of Propofol and Remifentanil Guided by the Bispectral Monitor in Pediatric and Adolescent Patients: A Prospective Randomized Study

Published in Journal of the American Society of Anesthesiologists 12 2014 Authors: Gilles A. Orliaguet, M.D., Ph.D. et al Background: This study was designed to assess the feasibility of dual closed-loop titration of propofol and remifentanil guided solely by the Bispectral Index (BIS) monitor in pediatric and adolescent patients during anesthesia. Methods: Children undergoing elective […]

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Uncategorized Published - 12 January, 2015    By - Dr Clemens
Transfusion Thresholds Should Be Conservative for Patients with Septic Shock

Authors: Holst LB et al., N Engl J Med 2014 Oct 9; 371:1381 Transfusion thresholds of 7 g/dL or 9 g/dL yielded similar outcomes. Patients with septic shock are treated with early antibiotics, rapid fluid resuscitation, vasopressor/inotrope support, and blood transfusions. The Surviving Sepsis guidelines’recommendation for a transfusion hemoglobin target of 7 to 9 g/dL […]

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Uncategorized Published - 12 January, 2015    By - Dr Clemens
Persistent paralysis after spinal anesthesia for cesarean delivery

Published in Journal of Clinical Anesthesia (JCA) (Nov 2014) Authors: Zaphiratos V, McKeen D, Macaulay B, George R Anterior spinal artery syndrome has rarely been reported as a cause of permanent neurologic complications after neuraxial anesthesia in obstetric patients. A parturient developed anterior spinal artery syndrome after spinal anesthesia for cesarean delivery. A healthy 32-year-old […]

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Uncategorized Published - 12 January, 2015    By - Dr Clemens
Colorectal cancer treatment in octogenarians: elective or emergency surgery?

Authors: Guo Ming-gao et al Published in World Journal of Surgical Oncology 2014, 12:386 doi:10.1186/1477-7819-12-386 Background The purpose of this research was to assess the characteristics of octogenarian patients with colorectal cancer and compare specific outcomes due to different types of surgical procedures used to treat the disease. Methods A total of 346 octogenarian patients […]

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Uncategorized Published - 12 January, 2015    By - Dr Clemens
Why are so many people opposed to epidurals?

Regardless, health care providers who speak ill of epidurals are uninformed and I have to ask what they are really afraid of? A unmedicated delivery is not better in any medical sense it’s simply a choice. To make an informed choice you need facts not fear. To put this post in perspective the pain of […]

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