Uncategorized

Uncategorized Published - 14 April, 2017    By - Dr Clemens
Two Approaches to Lessen Need for Reintubation

Author: Jaber S et al. JAMA 2016 Mar 15. Hernández G et al. JAMA 2016 Mar 15.Spoletini G et al. JAMA 2016 Mar 15. High-flow oxygen and noninvasive positive pressure ventilation lowered reintubation rates in selected patient populations. During the past few years, interest has grown in using high-flow oxygen (HFO) and noninvasive positive pressure ventilation (NPPV) in lieu of intubation and […]

Read More
Uncategorized Published - 14 April, 2017    By - Dr Clemens
Lower Oxygen Saturation Goals Are Safe in Mechanically Ventilated Patients

Authors: Panwar R et al. Am J Respir Crit Care Med 2016 Jan 1. Targeting to 88%–92% did not cause harm. The optimal oxygenation goal for patients who are receiving invasive mechanical ventilation remains unclear. Clinicians usually target resolution of hypoxemia and pay little attention to weaning levels of oxygen once 100% saturation has been achieved. However, harms […]

Read More
Uncategorized Published - 13 April, 2017    By - Dr Clemens
Nitrous Oxide During Labor: Maternal Satisfaction Does Not Depend Exclusively on Analgesic Effectiveness

AUTHORS: Richardson, Michael G. MD et Anesthesia & Analgesia: February 2017 – Volume 124 – Issue 2 – p 548–553 BACKGROUND: Evidence on the analgesic effectiveness of nitrous oxide for labor pain is limited. Even fewer studies have looked at patient satisfaction. Although nitrous oxide appears less effective than neuraxial analgesia, it is unclear whether labor […]

Read More
Uncategorized Published - 13 April, 2017    By - Dr Clemens
Haloperidol Versus Ondansetron for Treatment of Established Nausea and Vomiting Following General Anesthesia: A Randomized Clinical Trial

AUTHORS: Vanda G. MD et al Anesthesia & Analgesia: February 2017 – Volume 124 – Issue 2 – p 438–444 BACKGROUND: Haloperidol is an antipsychotic. At low doses, it is a useful agent for the prophylaxis of postoperative nausea and vomiting (PONV). However, its use for treating established PONV has not been well studied. METHODS: This […]

Read More
Uncategorized Published - 13 April, 2017    By - Dr Clemens
Improving Prediction of Postoperative Myocardial Infarction With High-Sensitivity Cardiac Troponin T and NT-proBNP

AUTHORS: Kopec, Michael MD et al Anesthesia & Analgesia: February 2017 – Volume 124 – Issue 2 – p 398–405 BACKGROUND: This study sought to determine whether preoperatively measured high-sensitivity cardiac troponin T (hs-cTnT) and N-terminal pro-brain natriuretic peptide (NT-proBNP) improve cardiac risk prediction in patients undergoing major noncardiac surgery compared with the standard risk indices. METHODS: […]

Read More
Uncategorized Published - 13 April, 2017    By - Dr Clemens
Common Analgesics May Increase Risk for Hearing Loss

Prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs) or acetaminophen modestly increases the risk for hearing loss in older women, a prospective analysis of data from the Nurses’ Health Study (NHS) I has found. A similar relationship was not seen with aspirin. The effect may not be large, but “given the high prevalence of analgesic use, […]

Read More
Uncategorized Published - 13 April, 2017    By - Dr Clemens
Opioid-related hospital stays spike 64%, cost billions in ER, hospital care each year

Overdoses kill 90 people in the United States each day; opioid poisonings Cst more than $20 billion emergency department, hospital care. Hospital stays involving the misuse of prescription painkillers, or the use of illicit opioids like heroin, spiked 64 percent between 2005 and 2014, according to a report by the Agency for Healthcare Research and Quality. […]

Read More
Uncategorized Published - 12 April, 2017    By - Dr Clemens
Advanced Uses of Pulse Oximetry for Monitoring Mechanically Ventilated Patients

Authors: Tusman, Gerardo MD et al Anesthesia & Analgesia: January 2017 – Volume 124 – Issue 1 – p 62–71 Pulse oximetry is an undisputable standard of care in clinical monitoring. It combines a spectrometer to detect hypoxemia with a plethysmograph for the diagnosis, monitoring, and follow-up of cardiovascular diseases. These pulse oximetry capabilities are extremely […]

Read More
Uncategorized Published - 12 April, 2017    By - Dr Clemens
Zika Virus and Patient Blood Management

AUTHORS: Goodnough, Lawrence T. MD et al Anesthesia & Analgesia: January 2017 – Volume 124 – Issue 1 – p 282–289 Sporadic Zika virus infections had only occurred in Africa and Asia until an outbreak in Micronesia (Oceania) in 2007. In 2013 to 2014, several outer Pacific Islands reported local outbreaks. Soon thereafter, the virus was […]

Read More
Uncategorized Published - 12 April, 2017    By - Dr Clemens
Implications of Perioperative Team Setups for Operating Room Management Decisions

AUTHORS: Doll, Dietrich MD, PhD et al Anesthesia & Analgesia: January 2017 – Volume 124 – Issue 1 – p 262–269 BACKGROUND: Team performance has been studied extensively in the perioperative setting, but the managerial impact of interprofessional team performance remains unclear. We hypothesized that the interplay between anesthesiologists and surgeons would affect operating room turnaround […]

Read More