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Uncategorized Published - 24 February, 2015    By - Dr Clemens
Replacement of Anesthesia Machines Improves Intraoperative Ventilation Parameters Associated With the Development of Acute Respiratory Distress Syndrome

Published in BMC Anesthesiol. 2014;14(44) Authors: James M Blum et al Background: The impact of anesthetic equipment on clinical practice parameters associated with development of acute respiratory distress syndrome (ARDS) has not been extensively studied. We hypothesized a change in anesthesia machines would be associated with parameters associated with lower rates of ARDS. Methods: We […]

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Uncategorized Published - 23 February, 2015    By - Dr Clemens
11 Tips for Better Opioid Prescribing

Roger Chou, MD, Charles E. Argoff, MD Editor’s Note: As part of its effort to facilitate responsible opioid prescribing, the American Academy of Addiction Psychiatry(AAAP) hosts a listserv where clinicians can submit clinical questions and receive responses from a rotating panel of pain experts. In conjunction with the AAAP, Medscape has selected 10 of the […]

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Uncategorized Published - 23 February, 2015    By - Dr Clemens
Hepatic Encephalopathy with Acute Decompensated Cirrhosis and Acute-on- Chronic Liver Failure

I wanted to share this due to we might see these patients in surgery. Authors: Romero-Gómez M et al., J Hepatol 2015 Feb 62:437 This review article stresses the importance of providing intensive care, identifying precipitating events, and administering selective treatments. Hepatic encephalopathy (HE) is one of the major complications of cirrhosis, and recent evidence […]

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Uncategorized Published - 23 February, 2015    By - Dr Clemens
Randomized Double-blinded Comparison of Norepinephrine and Phenylephrine for Maintenance of Blood Pressure during Spinal Anesthesia for Cesarean Delivery

Published in The Journal of the American Society of Anesthesiologists on 1 2015. Authors: Warwick D. Ngan Kee, M.B.Ch.B., M.D., F.A.N.Z.C.A., F.H.K.A.M. et al Background: During spinal anesthesia for cesarean delivery, phenylephrine can cause reflexive decreases in maternal heart rate and cardiac output. Norepinephrine has weak β-adrenergic receptor agonist activity in addition to potent α-adrenergic […]

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Uncategorized Published - 23 February, 2015    By - Dr Clemens
Aerobic Exercise ‘Most Effective Weapon’ for Fibromyalgia

For patients with fibromyalgia, treatment should be individualized and include nonpharmacologic approaches, which are often more effective than drugs, according to an expert in the field. “There is no magic drug against fibromyalgia and, in my opinion, there will never be. Psychotherapists don’t work miracles, but psychotherapy can help and, in a few cases, turn […]

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