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Uncategorized Published - 13 July, 2017    By - Dr Clemens
Sleep-Disordered Breathing and Perioperative Outcomes – Current Controversies

Authors: Girish P. Joshi, M.B.B.S., M.D., FFARCSI ASA Monitor 07 2017, Vol.81, 16-18. Girish P. Joshi, M.B.B.S., M.D., FFARCSI, is Professor of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas. Sleep-disordered breathing (SDB) includes obstructive sleep apnea (OSA), central sleep apnea and obesity hypoventilation syndrome.OSA is an increasingly common disease1,2  of particular concern to […]

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Uncategorized Published - 13 July, 2017    By - Dr Clemens
Evidence-based Review and Recommendations for Intraoperative Management of Patients With Sleep Apnea

Authors: Crispiana Cozowicz, M.D.; Stavros G. Memtsoudis, M.D., Ph.D. ASA Monitor 07 2017, Vol.81, 14-15. Crispiana Cozowicz, M.D., is Research Fellow, Department of Anesthesiology, Hospital for Special Surgery, Weill Cornell Medical College, New York, New York; Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Private Medical University, Muellner Hauptstrasse, Salzburg, Austria. Stavros G. Memtsoudis, M.D., […]

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Uncategorized Published - 13 July, 2017    By - Dr Clemens
Preoperative Screening and Assessment of Patients With Obstructive Sleep Apnea: Perspectives From ASA, SAMBA and SASM

Authors: Frances Chung, M.B.B.S., FRCPC; Girish P. Joshi, M.B.B.S., M.D., FFARCSI ASA Monitor 07 2017, Vol.81, 10-12. Frances Chung, M.B.B.S., FRCPC, is Professor of Anesthesiology, University Health Network, University of Toronto, Ontario, Canada.     The management of patients with known or suspected obstructive sleep apnea (OSA) is an evolving field. It is known that patients with OSA […]

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Uncategorized Published - 12 July, 2017    By - Dr Clemens
A Contemporary Medicolegal Analysis of Implanted Devices for Chronic Pain Management

AUTHORS: Abrecht, Christopher R. MD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1304–1310 BACKGROUND: Analysis of closed malpractice claims allows the study of rare but serious complications and likely results in improved patient safety by raising awareness of such complications. Clinical studies and closed claims analyses have previously […]

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Uncategorized Published - 12 July, 2017    By - Dr Clemens
Continuous Transversus Abdominis Plane Nerve Blocks: Does Varying Local Anesthetic Delivery Method—Automatic Repeated Bolus Versus Continuous Basal Infusion—Influence the Extent of Sensation to Cold?: A Randomized, Triple-Masked, Crossover Study in Volunteers

AUTHORS: Khatibi, Bahareh MD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1298–1303 BACKGROUND: It remains unknown whether continuous or scheduled intermittent bolus local anesthetic administration is preferable for transversus abdominis plane (TAP) catheters. We therefore tested the hypothesis that when using TAP catheters, providing local anesthetic in repeated […]

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Uncategorized Published - 12 July, 2017    By - Dr Clemens
Transversus Abdominis Plane Block Versus Wound Infiltration for Analgesia After Cesarean Delivery: A Randomized Controlled Trial

AUTHORS: Tawfik, Mohamed Mohamed MD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1291–1297 BACKGROUND: Transversus abdominis plane (TAP) block and local anesthetic wound infiltration provide analgesia after cesarean delivery. Studies comparing the 2 techniques are scarce, with conflicting results. This double-blind, randomized controlled trial aimed to compare bilateral […]

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Uncategorized Published - 12 July, 2017    By - Dr Clemens
Mild Cognitive Impairment and Exposure to General Anesthesia for Surgeries and Procedures: A Population-Based Case–Control Study

AUTHORS: Sprung, Juraj MD, PhD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1277–1290 BACKGROUND: To examine whether exposure to general anesthesia for procedures at age ≥40 years is associated with prevalent mild cognitive impairment (MCI) in the elderly. METHODS: A case–control study nested within a population-based cohort. Olmsted […]

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Uncategorized Published - 12 July, 2017    By - Dr Clemens
Evaluation of Lung Function and Clinical Features of the Ultrasound-Guided Stellate Ganglion Block With 2 Different Concentrations of a Local Anesthetic: A Randomized Controlled Trial

AUTHORS: Kim, Won-Joong MD, PhD, FIPP et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1311–1316 BACKGROUND: One possible complication of stellate ganglion block (SGB) is respiratory compromise. No study has yet addressed the comparison of its effect on lung function and clinical features, including Horner’s syndrome, changes in temperature, […]

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Uncategorized Published - 11 July, 2017    By - Dr Clemens
Growth of Nonoperating Room Anesthesia Care in the United States: A Contemporary Trends Analysis

AUTHORS: Nagrebetsky, Alexander MD, MSc et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1261–1267 BACKGROUND: Although previous publications suggest an increasing demand and volume of nonoperating room anesthesia (NORA) cases in the United States, there is little factual information on either volume or characteristics of NORA cases at a […]

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Uncategorized Published - 11 July, 2017    By - Dr Clemens
Pediatric Cardiopulmonary Arrest in the Postanesthesia Care Unit, Rare but Preventable: Analysis of Data From Wake Up Safe, The Pediatric Anesthesia Quality Improvement Initiative

AUTHORS: Christensen, Robert E. MD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1231–1236 BACKGROUND: Nearly 20% of anesthesia-related pediatric cardiac arrests (CAs) occur during emergence or recovery. The aims of this case series were to use the Wake Up Safe database to describe the following: (1) the nature […]

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