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Uncategorized Published - 13 December, 2016    By - Dr Clemens
Development and Validation of a Risk Stratification Score for Children With Congenital Heart Disease Undergoing Noncardiac Surgery

Anesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 824–830 AUTHORS: Faraoni, David MD, PhD et al BACKGROUND: Children with major and severe congenital heart disease (CHD) undergoing noncardiac surgery are at increased risk of mortality. The objective of this study was to identify the predictors for in-hospital mortality, and to […]

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Uncategorized Published - 13 December, 2016    By - Dr Clemens
ADRB2 gly16gly Genotype, Cardiac Output, and Cerebral Oxygenation in Patients Undergoing Anesthesia for Abdominal Aortic Aneurysm Surgery

Anesthesia & Analgesia: December 2016 – Volume 123 – Issue 6 – p 1408–1415 AUTHORS: Staalsø, Jonatan Myrup MD, PhD et al BACKGROUND: Gly16arg polymorphism of the adrenergic β2-receptor is associated with the elevated cardiac output (Q) in healthy gly16-homozygotic subjects. We questioned whether this polymorphism also affects Q and regional cerebral oxygen saturation (SCO2) during anesthesia in […]

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Uncategorized Published - 13 December, 2016    By - Dr Clemens
Obese pts

One-third of American adults are obese. Due diligence and proper screening are the keys to preventing problems. While difficult airways are common in obese patients, BMI shouldn’t be the lone determining factor when deciding whether to treat them.  There are other considerations which are just as important including a patient’s Mallampati score and neck circumference. […]

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Uncategorized Published - 12 December, 2016    By - Dr Clemens
Structural Integrity of a Simple Method to Repair Disrupted Tracheal Tube Pilot Balloon Assemblies

Anesthesia & Analgesia: November 2016 – Volume 123 – Issue 5 – p 1158–1162 AUTHORS: Dayan, Amir C. MD et al BACKGROUND: An intact pilot balloon assembly is crucial to the proper function of a cuffed tracheal tube. Disruption of the pilot balloon, transection of the inflation line, or valve incompetence results in cuff deflation, […]

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Uncategorized Published - 12 December, 2016    By - Dr Clemens
Baseline Pulse Pressure, Acute Kidney Injury, and Mortality After Noncardiac Surgery

Anesthesia & Analgesia: December 2016 – Volume 123 – Issue 6 – p 1480–1489 AUTHORS: Oprea, Adriana D. MD et al BACKGROUND: Increased pulse pressure (PP) is an important independent predictor of cardiovascular outcome and acute kidney injury (AKI) after cardiac surgery. The objective of this study was to determine whether elevated baseline PP is […]

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Uncategorized Published - 9 December, 2016    By - Dr Clemens
Prevalence and Location of Neuropathic Pain in Lumbar Spinal Disorders Analysis of 1804 Consecutive Patients With Primary Lower Back Pain

Authors: Sumihisa Orita, MD, PhD et al Spine. 2016;41(15):1224-1231. Study Design. A cross-sectional study of 1804 consecutive patients. Objective. The aim of this study was to investigate the prevalence of pathological pain and its distribution features in patients with chronic lumbar spinal disorders. Summary of Background Data. Clinical spinal disorders can involve pathological neuropathic pain (NeP) as well as […]

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Uncategorized Published - 9 December, 2016    By - Dr Clemens
Are Strong Opioids Equally Effective and Safe in the Treatment of Chronic Cancer Pain?

Authors: O. Corli; I. Floriani 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 safety profile over time of four strong opioids given for cancer pain. Patient […]

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Uncategorized Published - 9 December, 2016    By - Dr Clemens
Evaluation of the Efficacy and Safety of a Standardised Intracameral Combination of Mydriatics and Anaesthetics for Cataract Surgery

Authors: Marc Labetoulle et al Br J Ophthalmol. 2016;100(7):976-985. Background/aims To compare the efficacy and safety of intracameral (IC) administration at the beginning of cataract surgery, of Mydrane, a standardised ophthalmic combination of tropicamide 0.02%, phenylephrine 0.31% and lidocaine 1%, to a standard topical regimen. Methods In this international phase III, prospective, randomised study, the selected eye of […]

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Uncategorized Published - 9 December, 2016    By - Dr Clemens
Surgeon Specialization and Operative Mortality in United States: Retrospective Analysis

Authors: Nikhil R Sahni et al BMJ. 2016;354(i3571) Objective To measure the association between a surgeon’s degree of specialization in a specific procedure and patient mortality. Design Retrospective analysis of Medicare data. Setting US patients aged 66 or older enrolled in traditional fee for service Medicare. Participants 25 152 US surgeons who performed one of eight procedures (carotid endarterectomy, coronary […]

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Uncategorized Published - 9 December, 2016    By - Dr Clemens
Video Laryngoscopy To Manage Unanticipated Severe Lingual Tonsil Hypertrophy

Fouad Ghazi Souki, MD Assistant Professor Shweta Rahul Yemul-Golhar, MD Transplant Anesthesia Fellow Yosaf Zeyed, MD Transplant Anesthesia Fellow Ernesto A. Pretto Jr, MD, MPH Professor Department of Anesthesiology Division of Transplantation University of Miami/Jackson Health System Miami, Florida The authors reported no relevant financial disclosures. Case Description A 46-year-old woman presented for incisional hernia […]

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