Month: July 2019

Uncategorized Published - 2 July, 2019    By - Dr Clemens
Methylprednisolone Does Not Reduce Acute Postoperative Pain After Cardiac Surgery

AUTHORS: Turan, Alparslan MD et al Anesthesia & Analgesia: February 2019 BACKGROUND: Pain after cardiac surgery is largely treated with opioids, but their poor safety profile makes nonopioid medications attractive as part of multimodal pathways. Anti-inflammatory drugs reduce acute postoperative pain, but the role of steroids in reducing acute poststernotomy pain is unclear. We evaluated the […]

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Uncategorized Published - 2 July, 2019    By - Dr Clemens
Real-Time Ultrasound Improves Accuracy of Caudal Block in Children

AUTHORS: Adler, Adam C. MD, MS, FAAP, FASE et al Anesthesia & Analgesia: February 2019 BACKGROUND: Caudal block, the most common regional anesthetic in children, is predominantly performed using palpation to determine placement. The efficacy of the palpation technique is unknown with respect to block success. While ultrasound has been suggested for use during caudal block, its […]

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Uncategorized Published - 2 July, 2019    By - Dr Clemens
Training Robots to Relieve Chronic Pain

By Swinburne University of Technology Researchers at Swinburne have developed a collaborative robot system to automatically treat back, neck and head pain caused by soft tissue injury. Based on an analysis of the patient by a thermal camera, the system uses a collaborative robot to apply targeted laser therapy to identified pain ‘hot spots.” “Unlike conventional industrial robots […]

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Uncategorized Published - 2 July, 2019    By - Dr Clemens
Cardiovascular risk linked not to weight, but to body fat storage

By Maria Cohut Medical News Today By studying a large cohort of women who had already been through menopause, researchers have found that cardiovascular risk is associated with body shape, which results from how fat is distributed in the body. A new study suggests that in women over 50, body shape is associated with cardiovascular risk. […]

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Uncategorized Published - 2 July, 2019    By - Dr Clemens
Device detects deadly surgical bleeding earlier, study shows

“The device is very accurate to detect early bleeding… When you have half a liter of blood in the abdomen, the patient will be hypertensive, sweating and in shock. So we want to detect bleeding before this,” cardiologist Philippe Genereux told UPI. By Tauren Dyson UPI The Early Bird system detected bleeding in 63 percent […]

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Uncategorized Published - 2 July, 2019    By - Dr Clemens
AHIP wants more oversight over consolidation of hospitals and physicians

While most vertical mergers do not impair competition, it should not be assumed that all are benign, Senate Judiciary subcommittee hears. Author: Susan Morse Healthcare Fiance A major cause of rising healthcare costs is vertical consolidation among providers, the America’s Health Insurance Plans told a Senate Judiciary Subcommittee by statement. When more and more of […]

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Uncategorized Published - 1 July, 2019    By - Dr Clemens
General Anesthesia Versus Conscious Sedation for Intracranial Mechanical Thrombectomy

Authors: Yu Zhang et al Journal of the American Heart Association  18 Jun 2019  Background Endovascular therapy is the standard of care for severe acute ischemic stroke caused by large‐vessel occlusion in the anterior circulation, but there is uncertainty regarding the optimal anesthetic approach during this therapy. Meta‐analyses of observational studies suggest that general anesthesia […]

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Uncategorized Published - 1 July, 2019    By - Dr Clemens
The safety and efficiency of intravenous administration of tranexamic acid in coronary artery bypass grafting (CABG)

Authors: Yanting Zhang et al  BMC Anesthesiology 2019 19:104 Background The safety and efficiency of intravenous administration of tranexamic acid (TXA) in coronary artery bypass grafting (CABG) remains unconfirmed. Therefore, we conducted a meta-analysis on this topic. Methods We searched the Cochrane Central Register of Controlled Trials (CENTRAL), PUBMED and EMBASE for randomized controlled trials […]

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Uncategorized Published - 1 July, 2019    By - Dr Clemens
Remifentanil patient-controlled intravenous analgesia during labour: a retrospective observational study of 10 years’ experience

Authors: H. Murray et al International Journal of Obstetric Anesthesia May 2019 Highlights •More than 80% of 8100 women using remifentanil were satisfied with labour analgesia. •Monitoring relies heavily on the constant presence of a midwife. •Over 50% of women using remifentanil required supplemental oxygen. •Apgar scores were not less favourable than for epidural or […]

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Uncategorized Published - 1 July, 2019    By - Dr Clemens
FDA approves Lilly’s migraine drug as first ever cluster headache treatment

This is good for our readers who treat chronic pain patients. Author: Michael Erman Eli Lilly and Co’s migraine treatment Emgality on Tuesday became the first drug to gain U.S. approval for decreasing the frequency of episodic cluster headache attacks, the Food and Drug Administration said. Emgality belongs to a new class of drugs called […]

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