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Uncategorized Published - 26 July, 2021    By - Dr Clemens
The Effects of Intraoperative Caffeine on Postoperative Opioid Consumption and Related Outcomes After Laparoscopic Surgery

AUTHORS: Vlisides, Phillip E. MD et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 233-242 BACKGROUND:  Surgical patients are vulnerable to opioid dependency and related risks. Clinical-translational data suggest that caffeine may enhance postoperative analgesia. This trial tested the hypothesis that intraoperative caffeine would reduce postoperative opioid consumption. The secondary […]

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Uncategorized Published - 26 July, 2021    By - Dr Clemens
Qualities of Effective Vital Anaesthesia Simulation Training Facilitators Delivering Simulation-Based Education in Resource-Limited Settings

AUTHORS: Mossenson, Adam I. MBBS, MPH, FANZCA et al  Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 215-225 BACKGROUND:  Lack of access to safe and affordable anesthesia and surgical care is a major contributor to avoidable death and disability across the globe. Effective education initiatives are a viable mechanism to address […]

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Uncategorized Published - 26 July, 2021    By - Dr Clemens
Medicare Payments Delayed

Author: Tony Mira F1rst News Palmetto GBA has posted an alert of a problematic delay in processing Medicare payments with an unknown resolution time. Based in Columbia, S.C., Palmetto GBA is a leading provider of technical and administrative services for the federal government. Its principal business is providing administrative services for the Medicare program. The following […]

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Uncategorized Published - 26 July, 2021    By - Dr Clemens
Cannabinoid Receptor-2 Activation in Keratinocytes Contributes to Elevated Peripheral β-Endorphin Levels in Patients With Obstructive Jaundice

AUTHORS: Tao, Kunming MD, PhD et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 251-262 BACKGROUND:  Cholestatic diseases are often accompanied by elevated plasma levels of endogenous opioid peptides, but it is still unclear whether central or peripheral mechanisms are involved in this process, and little is known about the […]

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Uncategorized Published - 23 July, 2021    By - Dr Clemens
Association of Obstructive Sleep Apnea With Difficult Intubation

AUTHORS: Seet, Edwin MMed et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 196-204 BACKGROUND:  Obstructive sleep apnea (OSA) has been found to be associated with difficult airway, although there is a paucity of prospective studies investigating thresholds of OSA severity with difficult airway outcomes. The aim of this study […]

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Uncategorized Published - 23 July, 2021    By - Dr Clemens
Emergency Front-of-Neck Airway Rescue Via the Cricothyroid Membrane

AUTHORS: Fennessy, Paul MB, BCh, BAO et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 187-195 BACKGROUND:  Emergency front-of-neck airway rescue is recommended in a can’t intubate, can’t oxygenate clinical scenario. Cannula cricothyroidotomy has been reported as having a high failure rate. Our primary aim was to estimate the angle […]

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Uncategorized Published - 23 July, 2021    By - Dr Clemens
Association Between Cerebral Desaturation and Postoperative Delirium in Thoracotomy With One-Lung Ventilation

AUTHORS: Cui, Fan MD et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 176-186 BACKGROUND:  The association between cerebral desaturation and postoperative delirium in thoracotomy with one-lung ventilation (OLV) has not been specifically studied. METHODS: A prospective observational study performed in thoracic surgical patients. Cerebral tissue oxygen saturation (Scto2) was […]

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Uncategorized Published - 23 July, 2021    By - Dr Clemens
Comparison of Monotherapy Versus Combination of Intravenous Ibuprofen and Propacetamol (Acetaminophen) for Reduction of Postoperative Opioid Administration in Children Undergoing Laparoscopic Hernia Repair

AUTHORS: Lee, Hye-Mi MD et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 168-175 BACKGROUND:  Extensive efforts have been made toward reducing postoperative opioid use in children. In this study, we assessed whether propacetamol, or a nonsteroidal anti-inflammatory drug (NSAID), or their combination could effectively reduce opioid use in children […]

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Uncategorized Published - 23 July, 2021    By - Dr Clemens
Association Between Behavioral and Learning Outcomes and Single Exposures to Procedures Requiring General Anesthesia Before Age 3

AUTHORS: Warner, David O. MD et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 160-167 BACKGROUND:  Two prior population-based (children born in Olmsted County, MN), retrospective cohort studies both found that multiple exposures to anesthesia before age 3 were associated with a significant increase in the frequency of attention-deficit hyperactivity […]

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Uncategorized Published - 22 July, 2021    By - Dr Clemens
Difficulty in Advancing Flexible Epidural Catheters When Establishing Labor Analgesia

AUTHORS: Pancaro, Carlo MD et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 151-159 BACKGROUND:  While flexible epidural catheters reduce the risk of paresthesia and intravascular cannulation, they may be more challenging to advance beyond the tip of a Tuohy needle. This may increase placement time, number of attempts, and […]

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