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Uncategorized Published - 23 October, 2019    By - Dr Clemens
Epidural Analgesia During Childbirth and Postpartum Depressive Symptoms

AUTHORS: Eckerdal, Patricia PhD et al ; Anesthesia & Analgesia: June 24, 2019 BACKGROUND: Severe pain has been linked to depression, which raises the question of whether epidural analgesia (EDA) during childbirth is associated with a reduced risk of postpartum depression (PPD). This association has been explored previously, but the studies were restricted by small sample sizes […]

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Uncategorized Published - 23 October, 2019    By - Dr Clemens
Overnight Fluid Boluses For A “Low MAP”

Author: RISHI RK.MD 2 AM: “Hey doc, the patient’s MAP (mean arterial pressure) has been in the high 50s for the last hour. Urine output isn’t that great either. Wanna bolus some fluid?” This knee-jerk reaction is a practice that needs to change! Admittedly, some of it is driven by protocol and also seeing numbers […]

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Uncategorized Published - 23 October, 2019    By - Dr Clemens
Neonatal ICU Patients Recovering in the PACU: An Observational Analysis of Post-Extubation Complications.

AUTHORS: Long JB et al Paediatr Anaesth. 2019 Oct 6 BACKGROUND: Neonatal patients are at higher risk in the perioperative period than older infants and children. Extubation as an early goal for NICU patients presenting for surgery is undergoing a renaissance period and an exploration of adverse events following selection for extubation immediately after general […]

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Uncategorized Published - 23 October, 2019    By - Dr Clemens
Risk of Major Complications After Perioperative Norepinephrine Infusion Through Peripheral Intravenous Lines in a Multicenter Study.

Authors: Pancaro C et al Anesth Analg. 2019 Sep 27. BACKGROUND: Continuous infusions of norepinephrine to treat perioperative hypotension are typically administered through a central venous line rather than a peripheral venous catheter to avoid the risk of localized tissue necrosis in case of drug extravasation. There is limited literature to estimate the risk of skin […]

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Uncategorized Published - 22 October, 2019    By - Dr Clemens
Boerhaave Syndrome and anesthetic implications

Author: Elizabeth A. M. Frost, MD Anesthesiology News Rarities With Anesthetic Implications Boerhaave Syndrome What Is It? Originally described by Hermann Boerhaave in 1724, Boerhaave syndrome is defined as a spontaneous rupture or breakdown of the esophagus with a full-thickness tear due to a sudden increase in intraesophageal pressure combined with relatively negative intrathoracic pressure, […]

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