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Uncategorized Published - 20 May, 2015    By - Dr Clemens
Effect of 1.5% Topical Diclofenac on Clinical Neuropathic Pain

Published in Anesthesiology 5 2015 Authors: Shihab U. Ahmed, MBBS et al Background: Neuropathic pain is a condition resulting from injury to the peripheral and/or central nervous system. Despite extensive research over the last several decades, neuropathic pain remains difficult to manage. Methods: The authors conducted a randomized, placebo-controlled, double-blinded, and crossover clinical trial to examine the effect […]

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Uncategorized Published - 20 May, 2015    By - Dr Clemens
A Clinical Trial to Detect Subclinical Transfusion-induced Lung Injury during Surgery

Published in Anesthesiology on 5 2015 Authors: John R. Feiner, M.D. et al Background: Transfusion-related acute lung injury incidence remains the leading cause of posttransfusion mortality. The etiology may be related to leukocyte antibodies or biologically active compounds in transfused plasma, injuring susceptible recipient’s lungs. The authors have hypothesized that transfusion could have less severe effects that […]

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Uncategorized Published - 20 May, 2015    By - Dr Clemens
Propensity Score–matched Comparison of Postoperative Adverse Outcomes between Geriatric Patients Given a General or a Neuraxial Anesthetic for Hip Surgery: A Population-based Study

Authors: Chin-Chen Chu, M.D., Ph.D. et al Published in Anesthesiology 5 20150. Background: The effects of the mode of anesthesia on major adverse postoperative outcomes in geriatric patients are still inclusive. The authors hypothesized that a neuraxial anesthetic (NA) rather than a general anesthetic (GA) would yield better in-hospital postoperative outcomes for geriatric patients undergoing hip surgery. […]

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Uncategorized Published - 20 May, 2015    By - Dr Clemens
Surgical Risks No Higher in Pregnant Than Nonpregnant Women

Pregnant women face no greater morbidity or mortality risk from general surgery than nonpregnant women, according to a retrospective study in JAMA Surgery. Using a national surgical database, U.S. researchers matched some 2500 pregnant women who underwent nonobstetric operations with 2500 nonpregnant women undergoing similar procedures. Over 60 preoperative characteristics were used for matching. The […]

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Uncategorized Published - 20 May, 2015    By - Dr Clemens
Assessing and Comparing Anesthesiologists’ Performance on Mandated Metrics Using a Bayesian Approach

Published in Anesthesiology 4 2015. Authors: Emine Ozgur Bayman, Ph.D. et al Background: Periodic assessment of performance by anesthesiologists is required by The Joint Commission Ongoing Professional Performance Evaluation program. Methods: The metrics used in this study were the (1) measurement of blood pressure and (2) oxygen saturation (Spo2) either before or less than 5 min after anesthesia […]

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Uncategorized Published - 19 May, 2015    By - Dr Clemens
Effects of an Innovative Psychotherapy Program for Surgical Patients: Bridging Intervention in Anesthesiology—A Randomized Controlled Trial

Published in Anesthesiology 4 2015. Authors: Léonie F. Kerper, Ph.D. et al Background: The stepped care program Bridging Intervention in Anesthesiology (BRIA) aims at motivating and supporting surgical patients with comorbid mental disorders to engage in psychosocial mental healthcare options. This study examined the efficacy of BRIA. Methods: This randomized, parallel-group, open-label, controlled trial was conducted in the […]

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Uncategorized Published - 19 May, 2015    By - Dr Clemens
Dose-dependent Association between Intermediate-acting Neuromuscular-blocking Agents and Postoperative Respiratory Complications

Published in Anesthesiology 4 2015 Authors: Duncan J. McLean, M.B.Ch.B. et al Background: Duration of action increases with repeated administration of neuromuscular-blocking agents, and intraoperative use of high doses of neuromuscular-blocking agent may affect respiratory safety. Methods: In a hospital-based registry study on 48,499 patients who received intermediate-acting neuromuscular-blocking agents, the authors tested the primary hypothesis that neuromuscular-blocking […]

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Uncategorized Published - 19 May, 2015    By - Dr Clemens
Back pain during pregnancy

For many women, pregnancy is a wonderful experience. There are, however, many changes and challenges the mom-to-be can expect, and back pain is one of them. The good news for pregnant women is that the development of severe or debilitating low back pain is very rare. The incidence of symptomatic low back pain that is […]

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Uncategorized Published - 19 May, 2015    By - Dr Clemens
A Randomized, Double-blinded Trial of a “Rule of Threes” Algorithm versus Continuous Infusion of Oxytocin during Elective Cesarean Delivery

Published in Anesthesiology 4 2015 Authors: Vesela P. Kovacheva, M.D., Ph.D. et al Background: The administration of uterotonic agents during cesarean delivery is highly variable. The authors hypothesized a “rule of threes” algorithm, featuring oxytocin 3 IU, timed uterine tone evaluations, and a systematic approach to alternative uterotonic agents, would reduce the oxytocin dose required to obtain […]

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Uncategorized Published - 19 May, 2015    By - Dr Clemens
Compliance with Surgical Care Improvement Project for Body Temperature Management (SCIP Inf-10) Is Associated with Improved Clinical Outcomes

Published in Anesthesiology Newly Published on 4 2015 Authors: Andrew V. Scott, B.S. et al Background: In an effort to measure and improve the quality of perioperative care, the Surgical Care Improvement Project (SCIP) was introduced in 2003. The SCIP guidelines are evidence-based process measures designed to reduce preventable morbidity, but it remains to be determined whether […]

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