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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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Uncategorized Published - 9 October, 2015    By - Dr Clemens
Transversus Abdominis Plane Block Versus Surgical Site Infiltration for Pain Management After Open Total Abdominal Hysterectomy

Anesth Analg. 2015 Aug Authors: Gasanova I et al BACKGROUND: Surgical site infiltration and transversus abdominis plane (TAP) blocks are commonly used to improve pain relief after lower abdominal surgery. This randomized, observer-blinded study was designed to compare the analgesic efficacy of TAP blocks with surgical site infiltration in patients undergoing open total abdominal hysterectomy via a […]

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Uncategorized Published - 9 October, 2015    By - Dr Clemens
Effectiveness of Local Anesthetics in Laparoscopic Cholecystectomy: A Randomized Clinical Trial.

Surg Laparosc Endosc Percutan Tech. 2015 Aug;25(4):317-20 Authors: Souto MM et al BACKGROUND: Laparoscopic cholecystectomy is the gold standard for gallstone disease. Postoperative pain still is considerable and may prevent early discharge. METHODS: A randomized controlled blind clinical trial was designed for all patients undergoing laparoscopic cholecystectomy. The groups were control (group A), preincisional trocar wound infiltration […]

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Uncategorized Published - 9 October, 2015    By - Dr Clemens
Dexmedetomidine Improves Intubating Conditions Without Muscle Relaxants in Children After Induction With Propofol and Remifentanil

Anesthesia & Analgesia: September 2015 – Volume 121 – Issue 3 – p 785–790 Authors: Wei, Lingxin MD et al BACKGROUND: Anesthesia induction using propofol (3 mg/kg) and remifentanil (2 μg/kg) without the use of muscle relaxants has been associated with a lower incidence of successful intubation. Dexmedetomidine has been found to effectively decrease the […]

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