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Uncategorized Published - 10 April, 2017    By - Dr Clemens
Surgery for Lumbar Spinal Stenosis in Individuals Aged 80 and Older

Authors: Charalampis Giannadakis, MD et al J Am Geriatr Soc. 2016;64(10):2011-2018. A Multicenter Observational Study Objectives: To compare clinical outcomes after decompressive surgery for central lumbar spinal stenosis (LSS) in individuals aged 80 and older with those of individuals aged 18–79. Design: Prospective data from the Norwegian Registry for Spine Surgery. Setting: Multicenter observational study. Participants: Individuals with central LSS […]

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Uncategorized Published - 10 April, 2017    By - Dr Clemens
Effects of a Fixed Low-Dose Ropivacaine With Different Volume and Concentrations on Interscalene Brachial Plexus Block

Authors: Wenwen Zhai et al BMC Anesthesiol. 2016;16(80) A Randomized Controlled Trial Background: Ultrasound guidance has reduced the amount of local anesthetics to achieve a successful block. Previous studies of the relationship between the volume or concentration of local anesthetics and the effects of the block were based on relatively high doses of local anesthetics. We tested […]

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Uncategorized Published - 7 April, 2017    By - Dr Clemens
Are Strong Opioids Equally Effective and Safe in the Treatment of Chronic Cancer Pain?

A Multicenter Randomized Phase IV ‘Real Life’ Trial on the Variability of Response to Opioids Authors: O. Corli et al Ann Oncol. 2016;27(6):1107-1115. Background: Guidelines tend to consider morphine and morphine-like opioids comparable and interchangeable in the treatment of chronic cancer pain, but individual responses can vary. This study compared the analgesic efficacy, changes of therapy and […]

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Uncategorized Published - 7 April, 2017    By - Dr Clemens
Assessment of Risk Factors for Cerebral Oxygen Desaturation During Neonatal and Infant General Anesthesia

Authors: Ilona Razlevice et al BMC Anesthesiol. 2016;16(107) An Observational, Prospective Study Background: Cerebral oxygen saturation (rSO2c) decrease from baseline greater than 20 % during infant cardiac surgery was associated with postoperative neurologic changes and neurodevelopmental impairment at 1 year of age. So far, there is no sufficient evidence to support the routine monitoring of rSO2c during […]

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Uncategorized Published - 7 April, 2017    By - Dr Clemens
Outpatient Multimodal Intravenous Analgesia in Patients Undergoing Day-case Surgery

Authors: Magdalena Serra et al BMC Anesthesiol. 2016;16(78) Description of a Three Year Experience Background: The use of elastomeric devices for ambulatory intravenous pain treatment in Major Ambulatory Surgery (MAS) has been described to improve postoperative pain management. The objective of the study was to describe the first 3 years experience of the use of elastomeric devices […]

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Uncategorized Published - 7 April, 2017    By - Dr Clemens
Awake Intubation Creates Feelings of Being in a Vulnerable Situation but Cared for in Safe Hands A Qualitative Study

Authors: Kati Knudsen et al BMC Anesthesiol. 2016;16(71) Background: Awake fiberoptic intubation is an alternative procedure for securing the airway and is a recommended option when a difficult airway is expected. The aim of the present study was to describe patient experiences with this procedure. Methods: A qualitative, descriptive design was used and patients were recruited from three […]

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Uncategorized Published - 7 April, 2017    By - Dr Clemens
A Randomized Controlled Trial of Music Use During Epidural Catheter Placement on Laboring Parturient Anxiety, Pain, and Satisfaction

AUTHORS: Drzymalski, Dan M. MD et al Anesthesia & Analgesia: February 2017 – Volume 124 – Issue 2 – p 542–547 BACKGROUND: Although music is frequently used to promote a relaxing environment during labor and delivery, the effect of its use during the placement of neuraxial techniques is unknown. Our study sought to determine the effects […]

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Uncategorized Published - 6 April, 2017    By - Dr Clemens
Dynamic Ultrasound-Guided Short-Axis Needle Tip Navigation Technique for Facilitating Cannulation of Peripheral Veins in Obese Patients

Authors: Ueda, Kenichi MD, PhD; Hussey, Patrick BA Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 831–833 This preliminary observational study evaluated a specific ultrasound technique for venous access. Ultrasound was utilized for navigating a needle and catheter within the vessel lumen after venopuncture. One hundred adult obese surgical patients without […]

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Uncategorized Published - 6 April, 2017    By - Dr Clemens
Predicting Fluid Responsiveness in Acute Liver Failure: A Prospective Study

AUTHORS: Audimoolam, Vinod Kumar MBBS et al Anesthesia & Analgesia: February 2017 – Volume 124 – Issue 2 – p 480–486 BACKGROUND: The profound hemodynamic changes seen in acute liver failure (ALF) resemble the hyperdynamic state found in the later stages of septic shock. Vasopressor support frequently is required after initial volume therapy. Markers of preload […]

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Uncategorized Published - 6 April, 2017    By - Dr Clemens
Opioids Common After Hospital Discharge; Storage Knowledge Poor

Authors: Ricki Lewis, PhD About 15% of a group of Medicare patients who had not used opioid medications in the previous 2 months filled opioid prescriptions within a week of hospital discharge, according to a research report published online June 13 in JAMA Internal Medicine. A second report finds “suboptimal” practices related to sharing, storing, and disposing of […]

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