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Uncategorized Published - 6 November, 2019    By - Dr Clemens
Enhanced Recovery after Surgery (ERAS) for Ambulatory Surgery: Is It Necessary?

Authors: Chunyuan Qiu, M.D., M.Sc. et al Anesthesiology 2019 Introduction: Enhanced recovery after surgery (ERAS) has enjoyed tremendous success in changing surgical outcomes .1 However, the value for same day surgery has not been well studied, partially due to the difficulty in actuating additional safety, quality, and cost in the ambulatory setting. By using the ERAS principles, […]

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Uncategorized Published - 6 November, 2019    By - Dr Clemens
The Impact of Epidural Analgesia on Outcomes after Colorectal Surgery

Authors: Shadi Gadalla, M.B.,Ch.B.et al Anesthesiology 2019 INTRODUCTION: Patients undergoing colorectal surgery may experience high rates of complications. In addition to superior analgesia, the purported benefits of perioperative thoracic epidural analgesia (TEA) include the reduction in the incidence of pulmonary morbidity, namely pneumonia and myocardial events. Historical series have estimated upwards of 10% of patients […]

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Uncategorized Published - 6 November, 2019    By - Dr Clemens
Opioid Use Reduced in Patients Treated With NSAIDs After Arthroscopic Shoulder Instability Repair

Patients who receive a post-surgery prescription of ibuprofen with a rescue prescription of acetaminophen/oxycodone use less opioids than those only prescribed acetaminophen/oxycodone, according to a study presented at the 2019 American Orthopaedic Society for Sports Medicine Annual Meeting. “The current opioid epidemic demands [that] physicians seek ways to decrease patients’ requirements of narcotic medications without […]

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Uncategorized Published - 5 November, 2019    By - Dr Clemens
Addition of Infiltration Between the Popliteal Artery and the Capsule of the Posterior Knee and Adductor Canal Block to Periarticular Injection Enhances Postoperative Pain Control in Total Knee Arthroplasty

AUTHORS: Kim, David H. MD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 526-535 BACKGROUND: Periarticular injections (PAIs) are becoming a staple component of multimodal joint pathways. Motor-sparing peripheral nerve blocks, such as the infiltration between the popliteal artery and capsule of the posterior knee (IPACK) and the adductor […]

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Uncategorized Published - 5 November, 2019    By - Dr Clemens
Observational Study Examining the Association of Baseline Frailty and Postcardiac Surgery Delirium and Cognitive Change

AUTHORS: Nomura, Yohei MD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 507-514 BACKGROUND: Frailty is a geriatric syndrome thought to identify the most vulnerable older adults, and morbidity and mortality has been reported to be higher for frail patients after cardiac surgery compared to nonfrail patients. However, the […]

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