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Uncategorized Published - 14 October, 2015    By - Dr Clemens
Predicting Survival for Patients Receiving Extracorporeal Membrane Oxygenation

Authors: Schmidt M et al., Eur Heart J 2015 Sep 1; 36:2246 An internationally derived pre-ECMO risk model appears clinically useful. Extracorporeal membrane oxygenation (ECMO) is an effective treatment option in refractory, yet potentially reversible, cardiogenic shock. Because of its high rates of severe complications and high costs, patient selection on the basis of a predictive survival […]

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Uncategorized Published - 14 October, 2015    By - Dr Clemens
Unexpected Complete Heart Block and Anesthetic Implications

A&A Case Reports: 1 August 2015 – Volume 5 – Issue 3 – p 33–35 Authors: Torres, Arturo G. MD Abstract A healthy, active duty military 25-year-old female with a history of congenital complete heart block presented for a routine septorhinoplasty. During the preoperative interview, she did not disclose her heart condition. A preordered electrocardiogram […]

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Uncategorized Published - 13 October, 2015    By - Dr Clemens
Early versus late removal of the laryngeal mask airway (LMA) for general anaesthesia

The Cochrane Database of Systematic Reviews 8 CD007082 Aug 2015 Authors: Mathew P et al BACKGROUND The laryngeal mask airway (LMA) is a safe and effective modality to maintain the airway for general anaesthesia during surgical procedures. The LMA is removed at the end of surgery and anaesthesia, when the patient maintains an adequate respiratory […]

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Uncategorized Published - 13 October, 2015    By - Dr Clemens
A New Approach to Pathogen Containment in the Operating Room: Sheathing the Laryngoscope After Intubation

Anesthesia & Analgesia July 2015 Authors: Birnbach D et al BACKGROUND Anesthesiologists may contribute to postoperative infections by means of the transmission of blood and pathogens to the patient and the environment in the operating room (OR). Our primary aims were to determine whether contamination of the IV hub, the anesthesia work area, and the […]

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Uncategorized Published - 12 October, 2015    By - Dr Clemens
Safety and Efficacy of Combined Epidural/General Anesthesia During Major Abdominal Surgery in Patients With Increased Intracranial Pressure

BMC Anesthesiol. 2015; 15(76) Authors: Igor Zabolotskikh et al Background: The increased intracranial pressure can significantly complicate the perioperative period in major abdominal surgery, increasing the risk of complications, the length of recovery from the surgery, worsening the outcome. Epidural anesthesia has become a routine component of abdominal surgery, but its use in patients with increased […]

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Uncategorized Published - 12 October, 2015    By - Dr Clemens
Effects of Preoperative Serotonin-Receptor-Antagonist Administration in Spinal Anesthesia-Induced Hypotension: A Randomized, Double-blind Comparison Study of Ramosetron and Ondansetron.

Reg Anesth Pain Med. 2015 Sep-Oct;40(5):583-8 Authors: Shin HJ et al BACKGROUND AND OBJECTIVES: The adverse effects of spinal anesthesia (SA) include arterial hypotension and bradycardia. The aim of this study was to compare the effects of 2 type 3 serotonin receptor antagonists in SA-induced adverse effects. Specifically, we assessed whether ramosetron was more effective than ondansetron […]

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Uncategorized Published - 12 October, 2015    By - Dr Clemens
Intraoperative Blood Pressure Affects 30-Day Mortality

Authors: Mascha EJ et al., Anesthesiology 2015 Jul 123:79 Intraoperative hypotension was much more important than intraoperative hypertension or BP variability. Adverse effects of severe hypotension during surgery are quite clear. But what about intraoperative hypertension or marked variability of blood pressure (BP) during surgery? Two studies shed light on this question. A study from six U.S. […]

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Uncategorized Published - 12 October, 2015    By - Dr Clemens
The Effect of Low-Dose Dexmedetomidine as an Adjuvant to Levobupivacaine in Patients Undergoing Vitreoretinal Surgery Under Sub-Tenon’s Block Anesthesia

Anesth Analg. 2015 Sept Authors: Ghali AM et al BACKGROUND: This study evaluated the motor and sensory block durations and the postoperative analgesic effects of adding dexmedetomidine to levobupivacaine for sub-Tenon’s block anesthesia in patients undergoing vitreoretinal surgery. Motor and sensory block durations were considered as a primary end point. METHODS: Sixty ASA physical status I to […]

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Uncategorized Published - 9 October, 2015    By - Dr Clemens
Stridor in Neonates After Using the Microcuff® and Uncuffed Tracheal Tubes: A Retrospective Review

Anesth Analg. 2015 Aug Authors: Sathyamoorthy M et al BACKGROUND: We conducted a retrospective chart review to determine the frequency of stridor and contributing factors after the use of Microcuff® and uncuffed tracheal tubes (TTs) in neonates. METHODS: All neonates in our neonatal intensive care unit whose airways were intubated between May 2011 and June 2012 were […]

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Uncategorized Published - 9 October, 2015    By - Dr Clemens
Continuous Spinal Analgesia for Labor and Delivery: An Observational Study with a 23-Gauge Spinal Catheter

Anesth Analg. 2015 Aug Authors: Tao W et al BACKGROUND: The aim of the study was to assess postdural puncture headache, pain relief, motor blockade, and success rate of conversion to cesarean delivery anesthesia of a 23-gauge spinal catheter (Wiley Spinal®) for labor analgesia. METHODS: After insertion of the spinal catheter, intrathecal bupivacaine 2.5 mg was administered, […]

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