Month: May 2019

Uncategorized Published - 3 May, 2019    By - Dr Clemens
Digital Quality Improvement Approach Reduces the Need for Rescue Antiemetics in High-Risk Patients

AUTHORS: Gabel, Eilon, MD et al Anesthesia & Analgesia: May 2019 – Volume 128 – Issue 5 – p 867–876 BACKGROUND: Affecting nearly 30% of all surgical patients, postoperative nausea and vomiting (PONV) can lead to patient dissatisfaction, prolonged recovery times, and unanticipated hospital admissions. There are well-established, evidence-based guidelines for the prevention of PONV; yet […]

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Uncategorized Published - 3 May, 2019    By - Dr Clemens
Daily Caffeine Consumption Does Not Influence Acupuncture Analgesia in Healthy Individuals

AUTHORS: Cao, Jin, MD, PhD et al Anesthesia & Analgesia: December 24, 2018 Animal studies suggest that caffeine may interfere with acupuncture analgesia. This study investigated the modulation effect of daily caffeine intake on acupuncture analgesia in 27 healthy subjects using a crossover design. We found that real acupuncture increased pain thresholds compared to sham acupuncture. […]

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Uncategorized Published - 2 May, 2019    By - Dr Clemens
New Pediatric Sedation Handbook Published

I wanted to share this however I get zero financial interest in posting this. Oxford University Press (www.oup.com/academic) has announced the publication of “The Pediatric Procedural Sedation Handbook,” whose editors include Cheryl K. Gooden, MD, FAAP, FASA, a member of the Anesthesiology News editorial advisory board, who is an associate professor of anesthesiology and pediatrics, Pediatric Anesthesia […]

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Uncategorized Published - 2 May, 2019    By - Dr Clemens
Post-op Hypotension Found Common, Prolonged and Mostly Undetected

Author: Michael Vlessides Anesthesiology News Postoperative hypotension is a common occurrence on the surgical ward and frequently undetected by nursing staff using routine monitoring practices, a study has concluded. The Cleveland Clinic researchers noted that detection may be ameliorated through the use of continuous monitoring devices, which can detect significantly more hypotension than nursing measurements […]

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Uncategorized Published - 2 May, 2019    By - Dr Clemens
Comparison of the potency of phenylephrine and norepinephrine bolus doses used to treat post-spinal hypotension during elective caesarean section

Authors: M. Mohta et al International Journal of Obstetric Anesthesia Highlights •ED95 of phenylephrine was 43.1 µg (95% CI 39.5 to 65.0 µg). •ED95 of norepinephrine was 3.7 µg (95% CI 3.5 to 4.7 µg). •Potency ratio of these vasopressors was 11.3 (95% CI 8.1 to 16.9). •Phenylephrine 100 μg is approximately equivalent to norepinephrine 8.8 μg. Background Phenylephrine, although considered […]

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Uncategorized Published - 2 May, 2019    By - Dr Clemens
Accidental dural puncture during labor analgesia and obstetric outcomes in nulliparous women

Authors: K. Shea et al International Journal of Obstetric Anesthesia Highlights •The impact of accidental dural puncture on obstetric outcomes is unknown. •We performed a retrospective cohort study to address this knowledge gap. •Nulliparous women with accidental dural puncture were compared to those without. •Accidental dural puncture was associated with prolonged second stage of labor. […]

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Uncategorized Published - 2 May, 2019    By - Dr Clemens
Anesthesia’s Long-Term Effects on Ped Brains Still Elusive

Author: Meghan Lee Callaghan Anesthesiology News Increasing Research Is One Thing Experts Can Agree On On Dec. 14, 2016, the FDA released a warning now considered either famous or infamous within the field of pediatric anesthesia, depending on whom you talk to: “Repeated or lengthy use of general anesthetic and sedation drugs,” it read, “during […]

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Uncategorized Published - 1 May, 2019    By - Dr Clemens
From no cure to no trace | Central Texas girl’s inoperable brain tumor disappears

I wanted to share this great story with our readers. Author: Kalyn Norwood A Hays County girl who had a rare brain tumor is now cancer free, and doctors are amazed because medically it just doesn’t make sense. HAYS COUNTY, Texas — A little girl’s inoperable brain tumor is gone and doctors have no explanation. Today, […]

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Uncategorized Published - 1 May, 2019    By - Dr Clemens
New Guidance Outlines Recommendations for Infection Control in Anaesthesiology

The Society for Healthcare Epidemiology of America (SHEA) has issued a new expert guidance on how hospitals and healthcare providers may reduce infections associated with anaesthesiology procedures and equipment in the operating room. The guidance, published in Infection Control & Hospital Epidemiology, recommends steps to improve infection prevention through increased hand hygiene, environmental disinfection, and continuous […]

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Uncategorized Published - 1 May, 2019    By - Dr Clemens
Early Postpartum Opioids Linked With Persistent Usage

A study published in the American Journal of Obstetrics and Gynecology shows that, regardless of whether a woman delivers a child by caesarean section or vaginal birth, if they fill prescriptions for opioid pain medications early in the postpartum period, they are at increased risk of developing persistent opioid use. Sarah Osmundson, MD, Vanderbilt University Medical Center, […]

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