Uncategorized

Uncategorized Published - 5 July, 2017    By - Dr Clemens
Calculating Ideal Body Weight: Keep It Simple

Authors: Olivier Moreault, M.D. et al Anesthesiology 7 2017, Vol.127, 203-204. To the Editor: We read with much interest the editorial on protective ventilation by Hedenstierna and Edmark in the December issue of Anesthesiology.1  We agree with most of the ideas put forward. However, as thoracic anesthesiologists, we strongly believe in the importance, during one-lung ventilation, of […]

Read More
Uncategorized Published - 5 July, 2017    By - Dr Clemens
Apneic Intubation: Video Laryngoscopy Lacks the Continuous Ventilation Offered by Other Airway Management Techniques

Authors: Seth T. Herway, M.D. et al Anesthesiology 7 2017, Vol.127, 201-202. To the Editor: The article by Aziz et al.1  significantly contributes toward understanding the response of anesthesiologists to failed intubation attempts with conventional direct laryngoscopy. We are concerned, however, that one unwise message that may be drawn from this paper is that video laryngoscopy is the sine […]

Read More
Uncategorized Published - 5 July, 2017    By - Dr Clemens
Assessing Success of Rescue Intubation Techniques after Failed Direct Laryngoscopy

Authors: Fu-Shan Xue, M.D. et al     Anesthesiology 7 2017, Vol.127, 198-200. To the Editor: In a multicentered, observational study comparing the success rate of commonly used rescue intubation techniques after a failed direct laryngoscopy, Aziz et al.1  showed that video laryngoscopy was associated with a higher success rate of rescue intubation and was more commonly used than […]

Read More
Uncategorized Published - 4 July, 2017    By - Dr Clemens
Happy Fourth of July

We hope our readers have a fabulous Independent Day and celebrate the greatest country ever with your friends, family and loved ones.

Read More
Uncategorized Published - 3 July, 2017    By - Dr Clemens
Management of Severe Bleeding in Patients Treated with Direct Oral Anticoagulants: An Observational Registry Analysis

Authors: Pierre Albaladejo, M.D., Ph.D. et al     Anesthesiology 7 2017, Vol.127, 111-120. Background: The use of prothrombin complex concentrates and the role of plasma concentration of anticoagulants in the management of bleeding in patients treated with direct oral anticoagulants are still debated. Our aim was to describe management strategies and outcomes of severe bleeding events in […]

Read More
Uncategorized Published - 3 July, 2017    By - Dr Clemens
A Systematic Review and Meta-analysis Examining the Impact of Incident Postoperative Delirium on Mortality

Authors: Gavin M. Hamilton, M.D., M.Sc. et al      Anesthesiology 7 2017, Vol.127, 78-88. Background: Delirium is an acute and reversible geriatric syndrome that represents a decompensation of cerebral function. Delirium is associated with adverse postoperative outcomes, but controversy exists regarding whether delirium is an independent predictor of mortality. Thus, we assessed the association between incident postoperative […]

Read More
Uncategorized Published - 3 July, 2017    By - Dr Clemens
Pain Catastrophizing Moderates Relationships between Pain Intensity and Opioid Prescription: Nonlinear Sex Differences Revealed Using a Learning Health System

Authors: Yasamin Sharifzadeh, B.S. et al Anesthesiology 7 2017, Vol.127, 136-146. Background: Pain catastrophizing is a maladaptive response to pain that amplifies chronic pain intensity and distress. Few studies have examined how pain catastrophizing relates to opioid prescription in outpatients with chronic pain. Methods: The authors conducted a retrospective observational study of the relationships between opioid prescription, pain […]

Read More
Uncategorized Published - 3 July, 2017    By - Dr Clemens
Epidural Neostigmine versus Fentanyl to Decrease Bupivacaine Use in Patient-controlled Epidural Analgesia during Labor: A Randomized, Double-blind, Controlled Study

Authors: Jessica Booth, M.D. et al Anesthesiology 7 2017, Vol.127, 50-57. Background: The addition of opioids to epidural local anesthetic reduces local anesthetic consumption by 20% but at the expense of side effects and time spent for regulatory compliance paperwork. Epidural neostigmine also reduces local anesthetic use. The authors hypothesized that epidural bupivacaine with neostigmine would decrease total […]

Read More
Uncategorized Published - 3 July, 2017    By - Dr Clemens
Panel Recommends Steps for Safer Epidural Injections

The risk for rare but potentially catastrophic neurological injuries from epidural steroid injections (ESIs) can be substantially reduced if anesthesiologists and other clinicians follow specific safety measures, according to members of a consensus panel representing 13 national medical organizations. “We acknowledge that catastrophic neurologic injuries can and do occur during epidural steroid injections. The actual […]

Read More
Uncategorized Published - 30 June, 2017    By - Dr Clemens
Central Neuropathic Pain Syndromes

In patients with impaired sensory discrimination, pain descriptors, localization, and pain triggers are often vague or poorly defined. At the 2017 annual meeting of the American Academy of Pain Medicine (AAPM), James C. Watson, MD, a neurologist and professor at the Mayo Clinic in Rochester, Minnesota, discussed the etiology, pathophysiology, and treatment of central neuropathic pain, including […]

Read More