Uncategorized

Uncategorized Published - 24 April, 2015    By - Dr Clemens
Effects of stellate ganglion block on cardiovascular reaction and heart rate variability in elderly patients during anesthesia induction and endotracheal intubation.

PUBLISHED: J Clin Anesth. 2015 Mar;27(2):140-5 Authors: Chen YQ et al STUDY OBJECTIVE: To investigate the effects of stellate ganglion block (SGB) on cardiovascular response and heart rate (HR) variability in elderly patients during anesthesia induction and endotracheal intubation. DESIGN: A randomized, double-blinded, and placebo-controlled study. SETTING: University-affiliated teaching hospital. PARTICIPANTS: Eighty elderly patients (American Society […]

Read More
Uncategorized Published - 24 April, 2015    By - Dr Clemens
Catecholamine release induces elevation in plasma lactate levels in patients undergoing adrenalectomy for pheochromocytoma

PUBLISHED: J Clin Anesth. 2014 Dec;26(8):616-22 AUTHORS: Suzuki K et STUDY OBJECTIVE: To determine the relationship between preoperative catecholamine levels and intraoperative peak plasma lactate levels in patients who underwent adrenalectomy for pheochromocytoma. DESIGN: Retrospective observational study. SETTING: Operating room in one university hospital. MEASUREMENTS: The records of 27 ASA physical status 1 and 2 patients […]

Read More
Uncategorized Published - 23 April, 2015    By - Dr Clemens
A comparison of fentanyl with pethidine for pain relief during childbirth: a randomised controlled trial

PUBLISHED: BJOG. 2015 Jan 5. doi: 10.1111/1471-0528.13249 AUTHORS: Fleet J el at OBJECTIVE: To compare the efficacy of fentanyl administered via the subcutaneous (s.c.) or intranasal (i.n.) route with intramuscular (i.m.) pethidine in labouring women requesting analgesia. DESIGN: A randomised controlled trial three-armed, parallel-design. SETTING: A regional hospital and the largest tertiary maternity centre in South […]

Read More
Uncategorized Published - 23 April, 2015    By - Dr Clemens
Effect of acute arterial hypertension on morphine requirements and postsurgical pain

Published in J Clin Anesth. 2015 May;27(3):226-32 AUTHORS: Delfino AE et al STUDY OBJECTIVE: The study objective was to establish the impact of acute hypertension on morphine’s requirements after laparoscopic cholecystectomy. DESIGN: The design was a randomized, simple blinded study. SETTING: The settings were operating room, postoperative recovery area, and first postoperative day. PATIENTS: There were […]

Read More
Uncategorized Published - 23 April, 2015    By - Dr Clemens
Effect of hydroxyethyl starch 130/0.4 on ischemia-reperfusion determinants in minor lower extremity surgery with tourniquet application

Published in J Clin Anesth. 2015 Mar;27(2):105-10 AUTHORS: Pinar HU et al STUDY OBJECTIVE: To investigate the effect of 6% hydroxyethyl starch (HES) (130/0.4) infusion on ischemia-reperfusion determinants in minor lower extremity operations with tourniquet application. DESIGN: Prospective, randomized, clinical trial. SETTING: University hospital operation room. PATIENTS: American Society of Anesthesiologists I and II 40 patients […]

Read More
Uncategorized Published - 23 April, 2015    By - Dr Clemens
Overdose Death Risk Rises Dramatically as Opioid Users Age

This is another post for our pain providers to read. The study was published in Drug and Alcohol Dependence. As users of heroin and other opioids get older, their risk for overdose death increases dramatically, a new study of age trends in excess deaths shows. Although male users had almost double the rate of drug-related poisoning in early […]

Read More
Uncategorized Published - 23 April, 2015    By - Dr Clemens
Morphine Unsafe for Some Children After Tonsillectomy

After tonsillectomy, ibuprofen in combination with acetaminophen provides safe, effective analgesia for children. In contrast, morphine can cause life-threatening oxygen desaturation in certain children, and therefore its use should be avoided when possible. Lauren E. Kelly, PhD, from Western University, London, Ontario, Canada, and colleagues published the results of their prospective clinical trial in Pediatrics. Their study […]

Read More
Uncategorized Published - 22 April, 2015    By - Dr Clemens
Dose-dependency of dexamethasone on the analgesic effect of interscalene block for arthroscopic shoulder surgery using ropivacaine 0.5%: A randomised controlled trial.

Published in Eur J Anaesthesiol. 2015 Jan 17 Authors: Woo JH et al BACKGROUND: Dexamethasone prolongs the duration of single-shot interscalene brachial plexus block (SISB). However, dose-dependency of dexamethasone as an adjuvant for SISB remains insufficiently understood. OBJECTIVE: The objective of this study is to evaluate the effect of different doses of dexamethasone on the duration […]

Read More
Uncategorized Published - 22 April, 2015    By - Dr Clemens
Noncardiac Perioperative Risk Factors in Elderly Mapped

Patients older than 80 years have been found to do well after noncardiac surgery, with surprisingly few complications, according to a study from Japan. However, there are several factors that predict postoperative adverse events, including preoperative hypoalbuminemia, intraoperative blood transfusion, longer operative time and male gender. “The average life span has been rapidly increasing around […]

Read More
Uncategorized Published - 22 April, 2015    By - Dr Clemens
Study Clears Gum Chewing Before Endoscopy

The findings appeared in the journal Digestive Diseases and Sciences. Patients who are fasting before upper endoscopy can safely chew gum up until the time of the procedure, researchers have found. Guidelines on preoperative fasting from the American Society of Anesthesiologists do not explicitly address gum chewing. However, many anesthesia departments prohibit sedation in such patients […]

Read More