Uncategorized

Uncategorized Published - 26 October, 2015    By - Dr Clemens
Daytime Surgery Not Affected by Nighttime Work

Whether a surgeon works the night before performing surgery does not change the risk for adverse outcomes, a new study shows. “These data suggest that calls for broad-based policy shifts in duty hours and practices of attending surgeons may not be necessary at this time,” write Anand Govindarajan, MD, from the Institute for Clinical Evaluative […]

Read More
Uncategorized Published - 26 October, 2015    By - Dr Clemens
Temporal Trends in Anesthesia-related Adverse Events in Cesarean Deliveries, New York State, 2003–2012

Authors: Jean Guglielminotti, M.D., Ph.D. et al Anesthesiology 9 2015 Background: Cesarean delivery (CD) is associated with significantly increased risks of anesthesia-related adverse events (ARAEs) and nonanesthetic perioperative morbidity compared with vaginal delivery. Temporal trends in these adverse outcomes remain unknown despite efforts to improve maternal safety. This study examines temporal trends in ARAEs and nonanesthetic perioperative […]

Read More
Uncategorized Published - 23 October, 2015    By - Dr Clemens
The Association Between Sjogren Syndrome and Adverse Postoperative Outcomes: A Historical Cohort Study Using Administrative Health Data.

Anesthesia & Analgesia: Post Author Corrections: August 25, 2015 AUTHORS: Babazade, Rovnat MD et al BACKGROUND: Sjogren syndrome is a chronic autoimmune disorder of the exocrine glands associated with cardiovascular events. We aimed to evaluate postoperative complications in patients with Sjogren syndrome undergoing noncardiac surgery. Specifically, we tested the primary hypothesis that patients with Sjogren […]

Read More
Uncategorized Published - 23 October, 2015    By - Dr Clemens
Trends of Hemoglobin Oximetry: Do They Help Predict Blood Transfusion During Trauma Patient Resuscitation?.

Anesthesia & Analgesia: August 21, 2015 AUTHORS: Yang, Shiming PhD et al BACKGROUND: A noninvasive decision support tool for emergency transfusion would benefit triage and resuscitation. We tested whether 15 minutes of continuous pulse oximetry-derived hemoglobin measurements (SpHb) predict emergency blood transfusion better than conventional oximetry, vital signs, and invasive point-of-admission (POA) laboratory testing. We […]

Read More
Uncategorized Published - 23 October, 2015    By - Dr Clemens
Hypertensive Crisis Caused by Electrocauterization of the Adrenal Gland During Hepatectomy

Authros: A Ram Doo et BMC Surg. 2015;15(11) Background Hypertensive crisis (i.e., systolic blood pressure over 300 mmHg) is very rare during operation except pheochromocytoma, but it can be a fatal and embarrassing to surgeons and anesthesiologists. The right adrenal gland can be electrocauterized during a right hemi-hepatectomy. We report a case of hypertensive crisis […]

Read More
Uncategorized Published - 23 October, 2015    By - Dr Clemens
Statin Pretreatment and Risk of In-hospital Atrial Fibrillation Among Patients Undergoing Cardiac Surgery A Collaborative Meta-analysis of 11 Randomized Controlled Trials

Authors: Giuseppe Patti et al Europace. 2015;17(6):855-863. Abstract Aims Statin pretreatment in patients undergoing cardiac surgery is understood to prevent postoperative atrial fibrillation (AF). However, this is based on observational and limited randomized trial evidence, resulting in uncertainty about any genuine anti-arrhythmic benefits of these agents in this setting. We therefore aimed to quantify precisely […]

Read More
Uncategorized Published - 23 October, 2015    By - Dr Clemens
Studies Reveal How Anaesthesia’s Brain Effects Differ in Older Adults, Children

A series of papers published in the British Journal of Anaesthesia detail the differences in the way common anaesthetics affect the brains of older patients and children, findings that could lead to ways of improving monitoring technology and the safety of general anaesthesia for such patients. Recent investigations into the neurobiology underlying the effects of […]

Read More
Uncategorized Published - 22 October, 2015    By - Dr Clemens
Effects of Parecoxib on Analgesia Benefit and Blood Loss Following Open Prostatectomy A Multicentre Randomized Trial

Authors: Daniel Dirkmann et al BMC Anesthesiol. 2015;15(31) Background This multi-centre, prospective, randomized, double-blind, placebo-controlled study was designed to test the hypotheses that parecoxib improves patients’ postoperative analgesia without increasing surgical blood loss following radical open prostatectomy. Methods 105 patients (64 ± 7 years old) were randomized to receive either parecoxib or placebo with concurrent morphine patient […]

Read More
Uncategorized Published - 22 October, 2015    By - Dr Clemens
The Comparison of Intrathecal Morphine and IV Morphine PCA on Pain Control, Patient Satisfaction, Morphine Consumption, and Adverse Effects in Patients Undergoing Reduction Mammoplasty

Authors: Mehtap Karamese, MD et al ePlasty. 2015;15 Background Following breast reduction procedures, the level of postoperative pain can be severe, and sufficient pain control influences a patient’s physiological, immunological, and psychological status. Objective The aim of this study was to examine the use of intrathecal morphine (ITM) in breast reduction surgery with patient-controlled analgesia […]

Read More
Uncategorized Published - 22 October, 2015    By - Dr Clemens
‘Stratified’ Approach to Individualized Anaesthetic Care

Authors: S. Munirama et Br J Anaesth. 2015;114(4):543-545. Anaesthetists provide personalized care. Preoperative assessment guides decision-making, and awareness of risk based on clinical experience allows anaesthesia to be conducted in a way that aims to achieve the best possible clinical outcome for each patient while minimizing side-effects. This traditional approach has led to the use […]

Read More