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Uncategorized Published - 6 December, 2016    By - Dr Clemens
Flexible optical intubation via the Ambu Aura-i vs blind intubation via the single-use LMA Fastrach: a prospective randomized clinical trial

Authors: Artime C et al Journal of Clinical Anesthesia (JCA) 33 41-6 (Sep 2016) STUDY OBJECTIVE This study was designed to compare the Ambu Aura-i to the single-use LMA Fastrach regarding time to intubation, success rate, and airway morbidity in patients undergoing elective surgery requiring general anesthesia. DESIGN Prospective, randomized controlled trial. SETTING Academic medical […]

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Uncategorized Published - 6 December, 2016    By - Dr Clemens
Impact of spinal versus general anesthesia on postoperative pain and long term recurrence after surgery for pilonidal disease

Authors: Luedi M et al Journal of Clinical Anesthesia (JCA) 33 236-42 (Sep 2016) STUDY OBJECTIVE To assess the effect of the kind of anesthesia on postoperative pain and long term recurrence rate in pilonidal sinus disease. DESIGN Retrospective study. SETTING Surgical departments of German Armed Forces Hospitals in Hamburg, Bad Zwischenahn and Hamm. PATIENTS […]

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Uncategorized Published - 6 December, 2016    By - Dr Clemens
Addition of buprenorphine to local anesthetic in adductor canal blocks after total knee arthroplasty improves postoperative pain relief: a randomized controlled trial

Authors: Krishnan S et al Journal of Clinical Anesthesia (JCA) 33 432-7 (Sep 2016) BACKGROUND AND OBJECTIVES For the hundreds of thousands of patients who undergo total knee arthroplasty (TKA) in the United States each year, early mobilization has been demonstrated to improve functional outcomes and reduce complications. Management of postoperative pain is a critical […]

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Uncategorized Published - 6 December, 2016    By - Dr Clemens
Increasing body mass index and the incidence of intraoperative hypoxemia

Author: Kendale S, Blitz J Journal of Clinical Anesthesia (JCA) 33 97-104 (Sep 2016) STUDY OBJECTIVE Obese patients regularly present for surgery and have greater hypoxemia risk. This study aimed to identify the risk and incidence of intraoperative hypoxemia with increasing body mass index (BMI). DESIGN This was a retrospective cohort study. SETTING Operating room. […]

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Uncategorized Published - 6 December, 2016    By - Dr Clemens
No Benefit from Open Cardiac Massage Following Traumatic Arrest

Authors: Bradley MJ et al., J Trauma Acute Care Surg 2016 Nov 81:849 In this prospective observational study, survival was similar for patients undergoing open chest cardiac massage and those receiving only closed chest compressions. Open chest cardiac massage (OCCM) is an option following emergency department thoracotomy. Previous research has suggested OCCM may improve survival […]

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Uncategorized Published - 5 December, 2016    By - Dr Clemens
Evaluation of high-risk obstetric patients: a survey of US academic centers

Authors: Butwick A et al Journal of Clinical Anesthesia (JCA) 33 460-8 (Sep 2016) STUDY OBJECTIVES Obstetric anesthesiologists commonly care for high-risk obstetric patients. However, it is unclear how obstetricians refer these patients for anesthetic evaluation and whether obstetric anesthesia clinics (OACs) are used. Our study aims were to determine the availability and characteristics of […]

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Uncategorized Published - 5 December, 2016    By - Dr Clemens
A Case Report From the Anesthesia Incident Reporting System

ASA Monitor 12 2016, Vol.80, 40-42. Review of unusual patient care experiences is a cornerstone of medical education. Each month, the AQI-AIRS Steering Committee abstracts a patient history submitted to the Anesthesia Incident Reporting System (AIRS) and authors a discussion of the safety and human factors challenges involved. Real-life case histories often include multiple clinical […]

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Uncategorized Published - 5 December, 2016    By - Dr Clemens
Zika Virus: What Do We Need to Know?

Autors: Laura H. Lang, M.D. et al ASA Monitor 12 2016, Vol.80, 28-30. Although there are currently no reported anesthetic implications for patients exposed to the Zika virus (ZIKV), physician anesthesiologists should be prepared to answer questions from their patients regarding this global health issue. Babies of women who were infected with ZIKV during pregnancy […]

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Uncategorized Published - 5 December, 2016    By - Dr Clemens
The Anesthesiologist’s Role in Preventing Surgical Site Infection

Author:Amanda Rhee, M.D. ASA Monitor 12 2016, Vol.80, 24-26. Anesthesiologists have long been recognized as leaders in the field of medicine for promoting safety and quality. The prevention of hospital-acquired infections is no exception. While wound infections have once been thought of as solely related to surgical activities, there are aspects of the case managed […]

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Uncategorized Published - 5 December, 2016    By - Dr Clemens
Hand Hygiene: An Update on a Continuing Vulnerability

Authors: Vincent K. Lew, M.D. et al ASA Monitor 12 2016, Vol.80, 20-22. Health care-associated infections (HCAIs) occur in approximately 4-10 percent of hospitalized patients and account for more than 700,000 infections per year.  The annual reported cost associated with these HCAIs is around 30 billion dollars. Nationally, the trend among medical insurers has been to significantly decrease […]

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