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Uncategorized Published - 14 March, 2016    By - Dr Clemens
Florida Legislature Sends Governor Out-of-Network Payments Legislation

On March 11, the Florida Legislature approved legislation (S1442 / H221) requiring new payment processes for out-of-network providers of emergency and nonemergency services. The legislation was strongly opposed by the Florida Society of Anesthesiologists and a number of stakeholders including the Florida Radiological Society. Once Florida Governor Rick Scott (R) receives the bill, he has […]

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Uncategorized Published - 14 March, 2016    By - Dr Clemens
Adductor Canal Block Provides Noninferior Analgesia and Superior Quadriceps Strength Compared with Femoral Nerve Block in Anterior Cruciate Ligament Reconstruction

Authors: Faraj W. Abdallah, M.D. et al Anesthesiology published on 02 2016 Background: By targeting the distal branches of the femoral nerve in the mid-thigh, the adductor canal block (ACB) can preserve quadriceps muscle strength while providing analgesia similar to a conventional femoral nerve block (FNB) for inpatients undergoing major knee surgery. In this randomized, double-blind, noninferiority […]

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Uncategorized Published - 14 March, 2016    By - Dr Clemens
Discontinue Aspirin Before Coronary Artery Surgery?

Authors: Myles PS et al., N Engl J Med 2016 Feb 25; 374:728 It neither helps nor harms, but continuing the medication might be the wiser choice. A common question with patients undergoing coronary artery surgery is whether to discontinue aspirin. Inexplicably, we have little evidence to guide our practice. To address this issue, researchers randomized 2100 […]

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Uncategorized Published - 14 March, 2016    By - Dr Clemens
Effect of Exogenous Albumin on the Incidence of Postoperative Acute Kidney Injury in Patients Undergoing Off-pump Coronary Artery Bypass Surgery with a Preoperative Albumin Level of Less Than 4.0 g/dl

Authors: Eun-Ho Lee, M.D. et al Anesthesiology published on 2 2016 Background:: Hypoalbuminemia may increase the risk of acute kidney injury (AKI). The authors investigated whether the immediate preoperative administration of 20% albumin solution affects the incidence of AKI after off-pump coronary artery bypass surgery. Methods:: In this prospective, single-center, randomized, parallel-arm double-blind trial, 220 patients with preoperative […]

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Uncategorized Published - 14 March, 2016    By - Dr Clemens
Severe Nausea and Vomiting in the Elimination of Nitrous Oxide in the Gas Mixture for Anesthesia II Trial

Authors: Paul S. Myles, M.B., B.S., M.P.H., M.D., F.C.A.I., F.A.N.Z.C.A., F.R.C.A., F.A.H.M.S. et al Anesthesiology published on 2 2016 Background: The Evaluation of Nitrous oxide in the Gas Mixture for Anesthesia II trial randomly assigned 7,112 noncardiac surgery patients to a nitrous oxide or nitrous oxide–free anesthetic; severe postoperative nausea and vomiting (PONV) was a prespecified secondary end […]

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Uncategorized Published - 11 March, 2016    By - Dr Clemens
Perioperative Anesthesia Care For Obese Patients

Abdullah S. Terkawi, MD Department of Anesthesiology University of Virginia Charlottesville, Virginia, USA Department of Anesthesiology King Fahad Medical City Riyadh, Saudi Arabia Outcomes Research Consortium Cleveland Clinic Cleveland, Ohio, USA Marcel E. Durieux, MD PhD Department of Anesthesiology University of Virginia Charlottesville, Virginia, USA The authors reported no relevant financial disclosures. The marked increase in the […]

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Uncategorized Published - 11 March, 2016    By - Dr Clemens
Training for Routine Emergencies: Should It Be Mandatory?

Spoof: Airline Pilots Follow Lead of Anesthesiologists: Demand Training for Routine Emergencies Should Not Be Mandatory Following the lead of their counterpart U.S. anesthesiologists, a bevy of U.S. commercial pilots have signed petitions demanding that the Federal Aviation Administration (FAA) no longer require mandatory, routine training for flying emergencies. Led by the articulate, charismatic Capt. […]

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Uncategorized Published - 11 March, 2016    By - Dr Clemens
Anesthesia Complications Reduced for Cesarean Deliveries

… But Other Perioperative Complications Rise There has been a 25% fall in anesthesia-related complications for women undergoing cesarean deliveries, with mortality rates falling as well, a comprehensive study of New York state hospital records has found. The bad news: Nonanesthetic perioperative complications jumped nearly 50%. The study (Anesthesiology2015;123:1013-1023) examined 785,854 cesarean deliveries in hospitals […]

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Uncategorized Published - 11 March, 2016    By - Dr Clemens
Tramadol-Paracetamol Combination for Postoperative Pain Relief in Elective Single-level Microdisectomy Surgery

J Neurosurg Anesthesiol. 2016 Jan AUTHORS: Dogar SA et al BACKGROUND: The tramadol and paracetamol combination is used frequently for postoperative pain management. The literature on the use of this combination for vertebral surgery is limited. Our objective was to compare a combination of paracetamol 1 g and a lower dose of tramadol (1 mg/kg: group […]

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Uncategorized Published - 11 March, 2016    By - Dr Clemens
Continuous Lidocaine Infusions to Manage Opioid-Refractory Pain in a Series of Cancer Patients in a Pediatric Hospital

Pediatr Blood Cancer. 2016 Jan AUTHORS: Gibbons K et al BACKGROUND: Research on the safety and efficacy of continuous lidocaine infusions (CLIs) for the treatment of pain in the pediatric setting is limited. This article describes a series of pediatric oncology patients who received lidocaine infusions for refractory, longstanding, cancer-related pain. PROCEDURE: This is a retrospective […]

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