Associate Professor, Anesthesia and Perioperative Care, UCSF School of Medicine

Anesthesiology

Christian Apfel practices Anesthesiology. Christian Apfel is also a published doctor. He has 99 paper published. The most recent paper is: Transnasal transesophageal echocardiography: a modified application mode for cardiac examination in ventilated patients.

Publications

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• Effect of i.v. acetaminophen on total hip or knee replacement surgery: A case-matched evaluation of a national patient database.
• The Relationship of Pain and Nausea in Postoperative Patients for One Week after Ambulatory Surgery.
• Consensus guidelines for the management of postoperative nausea and vomiting.
• Incidence and predictors of postdischarge nausea and vomiting in a 7-day population.
• Hypercapnia and surgical site infection: a randomized trial.
• Transversus Abdominis Block: Clinical Uses, Side Effects, and Future Perspectives.
• Intravenous acetaminophen reduces postoperative nausea and vomiting: a systematic review and meta-analysis.
• Evidence-based analysis of risk factors for postoperative nausea and vomiting.
• Elderly Age as a Prognostic Marker of 1-year Poor Outcome for Subarachnoid Hemorrhage Patients Through Its Interaction with Admission Hydrocephalus.
• Who Is at Risk for Postdischarge Nausea and Vomiting after Ambulatory Surgery?
• Supplemental intravenous crystalloids for the prevention of postoperative nausea and vomiting: quantitative review.
• Computed Tomography-Estimated Specific Gravity at Hospital Admission Predicts 6-Month Outcome in Mild-to-Moderate Traumatic Brain Injury Patients Admitted to the Inten...
• An admission bioclinical score to predict 1-year outcomes in patients undergoing aneurysm coiling.
• Intravenous, Oral, and the Combination of Intravenous and Oral Ramosetron for the Prevention of Nausea and Vomiting After Laparoscopic Cholecystectomy: A Randomized, D...
• Pharmacologic management of postoperative nausea and vomiting.
• Neurokinin-1 and novel serotonin antagonists for postoperative and postdischarge nausea and vomiting.
• Myths hardly ever die, but even if they do, one cannot be sure about it.
• Transdermal scopolamine for the prevention of postoperative nausea and vomiting: a systematic review and meta-analysis.
• Two serial check valves can prevent cross-contamination through intravenous tubing during total intravenous anesthesia.
• Nausea and vomiting after office-based anesthesia.
• Transdermal nicotine patch failed to improve postoperative pain management.
• The role of neurokinin-1 receptor antagonists for the management of postoperative nausea and vomiting.
• Does supplemental oxygen reduce postoperative nausea and vomiting? A meta-analysis of randomized controlled trials.
• A simple clinical maneuver to reduce laparoscopy-induced shoulder pain: a randomized controlled trial.
• Comparative pharmacodynamic modeling using bispectral and narcotrend-index with and without a pharmacodynamic plateau during sevoflurane anesthesia.
• Influence of intraoperative conversion from off-pump to on-pump coronary artery bypass grafting on costs and quality of life: a cost-effectiveness analysis.
• Identification of risk factors for postoperative nausea and vomiting in the perianesthesia adult patient.
• The additive interactions between ondansetron and droperidol for preventing postoperative nausea and vomiting.
• Diagnostic accuracy of transesophageal echocardiography, helical computed tomography, and magnetic resonance imaging for suspected thoracic aortic dissection: systemat...
• Does neostigmine administration produce a clinically important increase in postoperative nausea and vomiting?
• Ways to prevent and treat pulmonary aspiration of gastric contents.
• An international multicenter protocol to assess the single and combined benefits of antiemetic interventions in a controlled clinical trial of a 2x2x2x2x2x2 factorial ...
• Risk assessment of postoperative nausea and vomiting.
• Anesthesia management of patients undergoing hyperthermic isolated limb perfusion with melphalan for melanoma treatment: an analysis of 17 cases.
• The relation between left ventricular wall stress shortening and preload changes in ventilated patients.
• Relation of echocardiographic preload indices to stroke volume in critically ill patients with normal and low cardiac index.
• Effects of nitrous oxide on intraoperative bowel distension.
• Preventing postoperative nausea and vomiting: post hoc analysis of pooled data from two randomized active-controlled trials of aprepitant.
• The effect of an anatomically classified procedure on antiemetic administration in the postanesthesia care unit.
• A randomized, double-blind study to evaluate the efficacy and safety of three different doses of palonosetron versus placebo in preventing postoperative nausea and vom...
• Transnasal transesophageal echocardiography: a modified application mode for cardiac examination in ventilated patients.
• Documentation of post-operative nausea and vomiting in routine clinical practice.
• Importance of the Spanish Expert Guidelines for the prevention and treatment of postoperative nausea and vomiting.
• Is palonosetron also effective for opioid-induced and post-discharge nausea and vomiting?
• Acustimulation of P6: an antiemetic alternative with no risk of drug-induced side-effects.
• Ondansetron has similar clinical efficacy against both nausea and vomiting.
• Droperidol has comparable clinical efficacy against both nausea and vomiting.
• The unrecognised difficult extubation: a call for vigilance.
• Cisplatin-induced emesis: systematic review and meta-analysis of the ferret model and the effects of 5-HT₃ receptor antagonists.
• Can central antiemetic effects of opioids counter-balance opioid-induced nausea and vomiting?
• Effect of increased body mass index and anaesthetic duration on recovery of protective airway reflexes after sevoflurane vs desflurane.
• Prevention of postdural puncture headache after accidental dural puncture: a quantitative systematic review.
• Evaluation of bispectral index and auditory evoked potentials for hypnotic depth monitoring during balanced xenon anaesthesia compared with sevoflurane.
• Effect of oral gabapentin on postoperative epidural analgesia.
• Does the efficacy of supplemental oxygen for the prevention of postoperative nausea and vomiting depend on the measured outcome, observational period or site of surgery?
• The influence of the weather and the phase of the moon on post-operative nausea and vomiting.
• Patients'' willingness to pay for anti-emetic treatment.
• Incidence of postoperative nausea and emetic episodes after xenon anaesthesia compared with propofol-based anaesthesia.
• [Nausea and vomiting in the postoperative phase. Expert- and evidence-based recommendations for prophylaxis and therapy].
• Remifentanil for general anaesthesia: a systematic review.
• Study of postoperative nausea and vomiting: recommending risk models for group comparisons.
• [Tropisetron for prevention of postoperative nausea and vomiting: a quantitative systematic review].
• [New facts on the risks of aspiration?].
• How to study postoperative nausea and vomiting.
• Volatile anaesthetics may be the main cause of early but not delayed postoperative vomiting: a randomized controlled trial of factorial design.
• Comparison of predictive models for postoperative nausea and vomiting.
• What can be expected from risk scores for predicting postoperative nausea and vomiting?
• [What importance have original papers on the prevention of nausea and vomiting in our clinical practice?].
• The influence of a dominating centre on a quantitative systematic review of granisetron for preventing postoperative nausea and vomiting.
• The detection of interatrial flow patency in awake and anesthetized patients: a comparative study using transnasal transesophageal echocardiography.
• [Risk factors for nausea and vomiting after general anesthesia: fictions and facts].
• [Is a score for prediction of emesis after pelvic laparoscopy possible? Remarks on a paper in Der Anaesthesist (1999) 48:705-712].
• Bias in a further model for predicting PONV may not advance current knowledge.
• Reported data on granisetron and postoperative nausea and vomiting by Fujii et al. Are incredibly nice!
• A simplified risk score for predicting postoperative nausea and vomiting: conclusions from cross-validations between two centers.
• Methodological problems arising from ''serial publishing'' on the effectiveness of granisetron in PONV.
• Patient selection and presentation of antiemetic outcome variables.
• Non-systematic serial publishing is not appropriate and ethically questionable.
• [Postoperative vomiting. A score for prediction of vomiting risk following inhalation anesthesia].
• The discriminating power of a risk score for postoperative vomiting in adults undergoing various types of surgery.
• A risk score to predict the probability of postoperative vomiting in adults.
• [Blocking nociceptive afferents by retrobulbar bupivacaine does not decrease nausea and vomiting after propofol-remifentanil anaesthesia].
• [A factorial trial of six interventions for the prevention of postoperative nausea and vomiting].
• Comparison of surgical site and patient''s history with a simplified risk score for the prediction of postoperative nausea and vomiting.
• [Postoperative nausea and vomiting].
• [Pathophysiology, risk factors and assessment for nausea and vomiting in the postoperative phase].
• [Nausea and vomiting following anesthesia: improved understanding and better strategies. I].
• Factorial design provides evidence to guide practice of anaesthesia.
• PONV: a problem of inhalational anaesthesia?
• Prospective application of a simplified risk score to prevent postoperative nausea and vomiting.
• A factorial trial of six interventions for the prevention of postoperative nausea and vomiting.
• A risk score-dependent antiemetic approach effectively reduces postoperative nausea and vomiting--a continuous quality improvement initiative.
• A risk adapted approach reduces the overall institutional incidence of postoperative nausea and vomiting.
• Consensus guidelines for managing postoperative nausea and vomiting.
• A randomized, double-blind comparison of the NK1 antagonist, aprepitant, versus ondansetron for the prevention of postoperative nausea and vomiting.
• Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain: a retrospective cohort study.
• Routine use of nasogastric tubes does not reduce postoperative nausea and vomiting.
• The effect of postoperative fasting on vomiting in children and their assessment of pain.

Doctors Specialties

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• Anesthesiology

Accepted Insurances

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Hospital

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• UCSF Medical Center

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