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Uncategorized Published - 15 November, 2019    By - Dr Clemens
Perioperative Anaphylaxis: Symptoms, Diagnosis, and Management

Author: Alma Juels, MD Anesthesiology News The Frost Series #351 Case Presentation A 34-year-old man without significant past medical history presented for shoulder arthroscopy. He reported an allergy to sulfa-containing drugs. The patient received midazolam en route to the OR. In the OR, cefazolin 2 g was administered. General anesthesia was induced with fentanyl, lidocaine, […]

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Uncategorized Published - 15 November, 2019    By - Dr Clemens
Common Antidepressants Interact With Tramadol to Lessen Pain Relief

Common antidepressants interact with tramadol to make it less effective for pain relief, according to a study published in Pharmacotherapy. The findings have important implications for the opioid epidemic, suggesting that some patients suspected of drug-seeking may in fact be under-medicated and just are seeking more effective pain relief. The results of the study could also […]

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Uncategorized Published - 15 November, 2019    By - Dr Clemens
Subanesthetic ketamine infusions for the management of pediatric pain in non‐critical care settings:

Authors: Melissa M. Masaracchia et al Acta Anaesthesiologica Scandinavica Background Guidelines issued by the American Society of Regional Anesthesia and Pain Medicine suggest that ketamine infusions for acute pain management are advantageous as a primary treatment or as an opioid adjunct. Despite significant data regarding its use in adult patients, there remains a paucity of […]

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Uncategorized Published - 15 November, 2019    By - Dr Clemens
Opioid prescribing and use drop significantly after state imposes regulations

Study results find drastic reduction in the quantity of opioids prescribed and used but no signs of inadequate pain management AMERICAN COLLEGE OF SURGEONS A state-mandated policy restricting opioid prescriptions along with increased public awareness and education about the opioid epidemic preceded drastic reductions in opioid prescribing and use for surgical patients at the University […]

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Uncategorized Published - 14 November, 2019    By - Dr Clemens
Profound Lip and Tongue Swelling After Anesthesia Induction

Authors: Stephen Richardson, MD et al Anesthesiology News Abstract We report profound lip and tongue swelling and hypotension in a 71-year-old woman after anesthesia induction. There was no bronchospasm, urticaria, or rash, so anaphylaxis was not initially suspected. She was treated with phenylephrine, ephedrine and boluses of fluid. When hypotension was refractory to these interventions, […]

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