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Uncategorized Published - 18 October, 2019    By - Dr Clemens
What’s the Best Dosing Interval for Epinephrine in Cardiac Arrest?

Authors: Grunau B et al. Ann Emerg Med 2019 Jun 24 A large observational study found that shorter intervals (<3 minutes) were associated with increased odds of survival with good neurologic function. Guidelines advise giving epinephrine every 3 to 5 minutes during cardiac arrest, but there is no evidence to support this dosing frequency. To study […]

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Uncategorized Published - 17 October, 2019    By - Dr Clemens
Opioid Use Reduced When IV Ketorolac Added to Epidural Morphine Post-Cesarean

Author: Michael Vlessides Anesthesiology News Adding IV ketorolac to epidural morphine reduces opioid requirements after cesarean delivery without increasing estimated blood loss or blood pressure, compared with baseline. “When it comes to ketorolac, there are a couple of main considerations that we hear from our obstetric colleagues,” said John J. Kowalczyk, MD, who is currently […]

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Uncategorized Published - 17 October, 2019    By - Dr Clemens
WASTEFUL SPENDING IN U.S. HEALTHCARE ESTIMATED AT $760 BILLION TO $935 BILLION

BY CHRISTOPHER CHENEY Health Leaders Researchers focus on six categories of waste: failure of care delivery, failure of care coordination, overtreatment or low-value care, pricing failure, fraud and abuse, and administrative complexity. KEY TAKEAWAYS This new research updates earlier estimates of wasteful spending that focus on six categories identified by the Institute of Medicine. In the […]

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Uncategorized Published - 17 October, 2019    By - Dr Clemens
ERAS Protocols, Although Challenging, Proliferate at U.S. Hospitals

Author: Bob Kronemyer Anesthesiology News Patients undergoing colorectal surgical procedures are by far the most likely to be enrolled in an adult enhanced recovery after surgery (ERAS) protocol in the United States, according to a survey. “Early ERAS efforts focused mainly on colorectal patients, but recently have expanded to other surgical specialties,” said presenting author […]

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Uncategorized Published - 17 October, 2019    By - Dr Clemens
Gabapentinoid Medications Might Not Be as Benign as You Think

 Authors: Molero Y et al.  BMJ 2019 Jun 12 Multiple adverse behavioral and psychomotor associations are found with these drugs although the effects might be confined to pregabalin. Clinicians often prescribe gabapentin and pregabalin for pain, sleep, and anxiety symptoms, and some view these drugs as safe alternatives to benzodiazepines and opioids in, for example, patients […]

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