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Uncategorized Published - 11 December, 2019    By - Dr Clemens
Local anesthetic pain catheters to reduce opioids use in massive weight loss patients undergoing abdominoplasty

Authors: Salvatore Giordano et al Journal of Plastic, Reconstructive & Aesthetic Surgery Nov 2019 Background Abdominoplasty is a common procedure for anatomical restoration of lower abdominal skin with a continuously increasing annual number of procedures performed. The significance of postoperative pain management is of crucial importance in patient’s perspective and also to ensure the achievement […]

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Uncategorized Published - 10 December, 2019    By - Dr Clemens
Postoperative Corneal Injuries: Incidence and Risk Factors

AUTHORS: Deljou, Atousa MD et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 737-742 BACKGROUND: Previous studies of postoperative corneal injury rates relied on provider-initiated incident reports, which may underestimate the true incidence. Postoperative administration of proparacaine eye drops is used almost exclusively to diagnose corneal injury; therefore, identifying instances […]

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Uncategorized Published - 10 December, 2019    By - Dr Clemens
Evaluation of Increase in Intraoperative Lactate Level as a Predictor of Outcome in Adults After Cardiac Surgery

Authors: Pooveshni Govender, MBChB, DA(SA), FCA(SA) et al Journal of Cardiothoracic and Vascular Anesthesia Nov 2019 Objectives Early onset hyperlactatemia develops intraoperatively or within the first 6 hours of admission to the intensive care unit (ICU) and is associated with a poor prognosis. The aim of the present study was to determine the utility of […]

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Uncategorized Published - 10 December, 2019    By - Dr Clemens
Variability and Costs of Low-Value Preoperative Testing for Carpal Tunnel Release Surgery

AUTHORS: Harris, Alex H. S. PhD, MS et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 804-811 BACKGROUND: The American Society of Anesthesiologists (ASA) Choosing Wisely Top-5 list of activities to avoid includes “Don’t obtain baseline laboratory studies in patients without significant systemic disease (ASA I or II) undergoing low-risk […]

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Uncategorized Published - 10 December, 2019    By - Dr Clemens
The Impact of Postoperative Intensive Care Unit Admission on Postoperative Hospital Length of Stay and Costs

AUTHORS: Thevathasan, Tharusan Cand Med et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 753-761 BACKGROUND: In this prespecified cohort study, we investigated the influence of postoperative admission to the intensive care unit versus surgical ward on health care utilization among patients undergoing intermediate-risk surgery. METHODS: Of adult surgical patients who […]

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Uncategorized Published - 10 December, 2019    By - Dr Clemens
Transient neurological symptoms (TNS) following spinal anaesthesia with lidocaine versus other local anaesthetics in adult surgical patients

Cochrane Library Dec 2019 Spinal anaesthesia has been implicated as one of the possible causes of neurological complications following surgical procedures. This painful condition, occurring during the immediate postoperative period, is termed transient neurological symptoms (TNS) and is typically observed after the use of spinal lidocaine. Alternatives to lidocaine that can provide high‐quality anaesthesia without […]

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Uncategorized Published - 9 December, 2019    By - Dr Clemens
General versus Spinal Anesthesia for Total Joint Arthroplasty

Authors: Taylor Paziuk, MD et al The Journal of Arthroplasty Nov 2019 Background TJA can be successfully carried out under general (GA) or spinal anesthesia (SA). The existing literature does not adequately illustrate which technique is optimal. The purpose of this study was to prospectively compare the effects of anesthesia technique on TJA outcomes. Methods […]

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Uncategorized Published - 9 December, 2019    By - Dr Clemens
A Simple Method for Estimating Hand Hygiene Use Among Anesthesia Personnel: Development, Validation, and Use in a Quality Improvement Project

AUTHORS: Segal, Scott MD, MHCM et al Anesthesia & Analgesia: December 2019 – Volume 129 – Issue 6 – p 1549-1556 BACKGROUND: Frequent hand hygiene by anesthesia personnel may be an important factor in reducing contamination of IV lines and medication access ports and may reduce hospital-acquired infections. Measurement of hand hygiene frequency at the individual […]

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Uncategorized Published - 9 December, 2019    By - Dr Clemens
Device-Related Error in Patient-Controlled Analgesia: Analysis of 82,698 Patients in a Tertiary Hospital

AUTHORS: Son, Hyo-Jung MD et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 720-725 BACKGROUND: Patient-controlled analgesia (PCA) is one of the most popular and effective methods for managing postoperative pain. Various types of continuous infusion pumps are available for the safe and accurate administration of analgesic drugs. Here we […]

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Uncategorized Published - 9 December, 2019    By - Dr Clemens
Population Pharmacokinetics of Periarticular Ketorolac in Adult Patients Undergoing Total Hip or Total Knee Replacement Surgery

AUTHORS: Gurunathan, Usha FANZCA et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 701-708 BACKGROUND: Ketorolac tromethamine has been used for joint infiltration by the orthopedic surgeons as a part of postoperative multimodal analgesia. The objective of this study is to investigate the pharmacokinetic properties of S (−) and R […]

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