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Uncategorized Published - 8 November, 2019    By - Dr Clemens
Investigational Capsaicin Therapy After Bunionectomy Reduces Pain, Opioid Reliance

Author: Bob Kronemyer Anesthesiology News The novel, water-soluble prodrug CA-008 (Concentric Analgesics), coupled with standard of care treatment that included a Mayo block with bupivacaine hydrochloride (HCl), was found to significantly reduce both pain and opioid reliance after bunionectomy surgery, according to two randomized, placebo-controlled studies. “CA-008 is a prodrug of trans-capsaicin, the substance in […]

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Uncategorized Published - 8 November, 2019    By - Dr Clemens
Ketamine Administration During Hospitalization Is Not Associated With Posttraumatic Stress Disorder Outcomes in Military Combat Casualties

AUTHORS: Highland, Krista B. PhD et al Anesthesia & Analgesia: July 17, 2019 BACKGROUND: Ketamine is routinely used within the context of combat casualty care. Despite early concerns that ketamine administration may be associated with elevated risk of posttraumatic stress disorder (PTSD), more recent evidence suggests no relationship. Because PTSD occurs with regular frequency in Operation Iraqi […]

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Uncategorized Published - 8 November, 2019    By - Dr Clemens
Pain Management Protocol Sends 92% of Patients Home Without Opioids After Cancer Surgery

A specialised pain management program for patients who underwent robotic surgery for urologic cancers resulted in just 8% going home with narcotics after discharge, compared with 100% who would have received them without this enhanced recovery protocol. What’s more, the group of patients who did receive narcotics went home with fewer medications than they would […]

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Uncategorized Published - 7 November, 2019    By - Dr Clemens
Marginal Improvement in Survival Post-Heart Transplantation in Patients With Prior Left Ventricular Assist Device

AUTHORS: Nirvik Pal, MD et al Journal of Cardiothoracic and Vascular Anesthesia Objective An increasing number of patients undergoing heart transplantation are being bridged with left ventricular assist devices (LVADs). Bridge-to-transplantation (BTT) LVAD has improved wait list survival remarkably. Historically, post-heart transplantation survival in BTT-LVAD patients, however, has remained inferior to that of primary heart […]

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Uncategorized Published - 7 November, 2019    By - Dr Clemens
Use of ultrasound-measured internal jugular vein collapsibility index to determine static intracardiac pressures in patients with presumed pulmonary hypertension

Authors: aj Parikh et al Annals of Intensive Care volume 9, Article number: 124 (2019) Background Bedside ultrasound helps to estimate volume status in critically ill patients and has traditionally relied on diameter, respiratory variation, and collapsibility of the inferior vena cava (IVC) to reflect fluid status. We evaluated collapsibility of the internal jugular vein (IJ) with ultrasound and correlated […]

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