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Uncategorized Published - 13 August, 2015    By - Dr Clemens
The Effect of Adding Functional Classification to ASA Status for Predicting 30-Day Mortality

Anesthesia & Analgesia: July 2015 – Volume 121 – Issue 1 – p 110–116 Authors: Visnjevac, Ognjen MD et al BACKGROUND: The functional capacity to perform the activities of daily living is identified as an independent predictor of perioperative mortality but is not formally incorporated in the American Society of Anesthesiologists (ASA) classification. Our primary […]

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Uncategorized Published - 13 August, 2015    By - Dr Clemens
Sedation-Analgesia with Propofol and Remifentanil: Concentrations Required to Avoid Gag Reflex in Upper Gastrointestinal Endoscopy

Anesthesia & Analgesia: July 2015 – Volume 121 – Issue 1 – p 90–96 Authors: Borrat, Xavier MD et al BACKGROUND: The purpose of this study was to identify optimal target propofol and remifentanil concentrations to avoid a gag reflex in response to insertion of an upper gastrointestinal endoscope. METHODS: Patients presenting for endoscopy received […]

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Uncategorized Published - 13 August, 2015    By - Dr Clemens
Initial Preference for Labor Without Neuraxial Analgesia and Actual Use: Results from a National Survey in France.

Anesthesia & Analgesia: June 2015 Authors: Kpéa, Laure RM, MPH et al BACKGROUND: The rate of neuraxial analgesia during labor in France is one of the highest among high-income countries: 77% of vaginal deliveries in 2010. In this context, the question of how women’s preferences for delivering without neuraxial analgesia relate to actual use is […]

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Uncategorized Published - 12 August, 2015    By - Dr Clemens
Paravertebral Block for Inguinal Herniorrhaphy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Anesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 556–569 Authors: Law, Lawrence Siu-Chun MD et al BACKGROUND: Paravertebral block (PVB) is a safe and effective anesthetic technique for thoracotomy and mastectomy. However, no systematic review or meta-analysis has focused on PVB for inguinal herniorrhaphy. Our study compares PVB with general […]

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Uncategorized Published - 12 August, 2015    By - Dr Clemens
Efficacy and Safety of Pregabalin in Patients with Fibromyalgia and Comorbid Depression Taking Concurrent Antidepressant Medication: A Randomized, Placebo-controlled Study.

J Rheumatol. 2015 Jul;42(7):1237-44. Authors: Arnold LM1 et al OBJECTIVE: To assess pregabalin efficacy and safety in patients with fibromyalgia (FM) with comorbid depression taking concurrent antidepressant medication. METHODS: This randomized, placebo-controlled, double-blind, 2-period, 2-way crossover study was composed of two 6-week treatment periods separated by a 2-week taper/washout phase. Patients with FM (aged ≥ […]

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Uncategorized Published - 12 August, 2015    By - Dr Clemens
Ultrasound guided subcostal transversus abdominis plane (TAP) infiltration with liposomal bupivacaine for patients undergoing robotic assisted hysterectomy: A prospective randomized controlled study

Gynecol Oncol. 2015 Jun 6. pii: S0090-8258(15)30029-9 Authors: Hutchins J et al INTRODUCTION: Optimal pain control after major surgery contributes to a patient’s recovery and satisfaction. The use of liposomal bupivacaine in subcostal transversus abdominis plane (TAP) blocks for postoperative pain control after robot assisted abdominal surgery has yet to be studied. METHODS: We conducted a prospective […]

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Uncategorized Published - 12 August, 2015    By - Dr Clemens
Effect of Differences in Extubation Timing on Postoperative Care Following Abdominal Aortic Replacement Surgery

A Comparison Study Authors: Naomi Ono et al BMC Anesthesiol. 2015;15(44) Background Abdominal aortic replacement requires an extensive incision and strict blood pressure control, making rapid extubation of the tracheal tube and pain management difficult. The effects of extubation timing on the postoperative course and medical costs in the intensive care unit (ICU) were analyzed. Methods Patients who […]

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Uncategorized Published - 12 August, 2015    By - Dr Clemens
Anesthesia Before Age 4 May Affect IQ, Language Comprehension

Children who underwent surgery with general anesthesia before 4 years of age later scored lower on tests for listening comprehension and performance IQ than children who did not undergo anesthesia, a study published in June’s Pediatrics has revealed. Although the researchers failed to find the kind of measurable neuronal deletion seen in animal studies of anesthesia use […]

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Uncategorized Published - 11 August, 2015    By - Dr Clemens
The Impact of a Shortage of Pharmacy-Prepared Ephedrine Syringes on Intraoperative Medication Use

Anesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 404–409 Authors: Ladha, Karim S. MD et al BACKGROUND: Anesthesia-related medication shortages have become increasingly common in the United States. We tested whether a local shortage of pharmacy-prepared ephedrine syringes, replaced by provider-prepared ephedrine, was associated with provider-level changes in ephedrine and […]

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Uncategorized Published - 11 August, 2015    By - Dr Clemens
Postoperative fentanyl patch versus subacromial bupivacaine infusion in arthroscopic shoulder surgery.

Arthroscopy 2013 Jul;29(7):1129-34 Authors: Merivirta R et al PURPOSE: The purpose of our study was to compare the effectiveness of subacromial bupivacaine infusion and a transdermal fentanyl patch in the treatment of postoperative pain after arthroscopic shoulder surgery. METHODS: Sixty patients with rotator cuff disease scheduled for elective arthroscopic shoulder surgery were enrolled in the study. For […]

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