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Uncategorized Published - 14 July, 2015    By - Dr Clemens
Adding Dexamethasone to Brachial Plexus Block Extends Duration and Eases Postoperative Pain

Adding perineural dexamethasone as an adjunct to traditional brachial plexus block radically extends the duration of the block and improves postoperative pain outcomes, a meta-analysis has found. Additionally, no reports of persistent nerve injury were attributed to perineural dexamethasone administration in the nine trials comprising the analysis. “Our group has done quite a bit of […]

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Uncategorized Published - 14 July, 2015    By - Dr Clemens
The Ability of esCCO(TM) and ECOM(TM) Monitors to Measure Trends in Cardiac Output During Alveolar Recruitment Maneuver After Cardiac Surgery: A Comparison with the Pulmonary Thermodilution Method

Anesthesia & Analgesia: April 2015 Authors: Thonnerieux, Magalie MD et al BACKGROUND: Alveolar recruitment maneuvers (ARMs) are known to improve perioperative morbidity but can transiently impact cardiac output (CO). This reproducible hemodynamic perturbation creates a clinical opportunity to test multiple devices during acute changes in CO. The objective of this study was to evaluate the […]

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Uncategorized Published - 14 July, 2015    By - Dr Clemens
The ED90 of Prophylactic Oxytocin Infusion After Delivery of the Placenta During Cesarean Delivery in Laboring Compared with Nonlaboring Women: An Up-Down Sequential Allocation Dose-Response Study

Anesthesia & Analgesia: July 2015 Volume 121 pages 159-164 Authors: Lavoie, Anne MD et al BACKGROUND: Prophylactic administration of oxytocin as a part of active management of the third stage of labor reduces the risk of postpartum hemorrhage. Prophylactic oxytocin is often administered as an infusion rather than a bolus. The aim of the current […]

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Uncategorized Published - 14 July, 2015    By - Dr Clemens
Sedation-Analgesia with Propofol and Remifentanil: Concentrations Required to Avoid Gag Reflex in Upper Gastrointestinal Endoscopy

Anesthesia & Analgesia: July 2015 Volume 121 page 90-96 Authors: Borrat, Xavier MD  et al BACKGROUND: The purpose of this study was to identify optimal target propofol and remifentanil concentrations to avoid a gag reflex in response to insertion of an upper gastrointestinal endoscope. METHODS: Patients presenting for endoscopy received target-controlled infusions (TCI) of both […]

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Uncategorized Published - 14 July, 2015    By - Dr Clemens
The Incidence of Perioperative Hypersensitivity Reactions: A Single-Center, Prospective, Cohort Study

Anesthesia & Analgesia: July 2015 Volume 121 page 117-123 Authors: Berroa, Felicia MD, PhD et al BACKGROUND: The incidence of perioperative hypersensitivity reactions, which can be life-threatening, ranges from 1 in 20,000 to 1 in 1361. These reactions are usually classified as IgE or non-IgE mediated. The aim of this study was to determine the […]

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