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Uncategorized Published - 20 June, 2019    By - Dr Clemens
Multimodal Analgesia Model for Post–C-Section Halves Opioids Prescribed at Discharge

Author: Bob Kronemyer Anesthesiology News A multimodal analgesic approach to post–cesarean delivery pain management decreased the number of opioid tablets prescribed at discharge by 52%, according to a retrospective chart review presented at PAINWeek 2018. The multimodal approach at Mount Sinai Hospital, in Chicago, consisted of analgesics with various mechanisms of action for an additive […]

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Uncategorized Published - 20 June, 2019    By - Dr Clemens
Ultrasound guided continuous Quadratus Lumborum block hastened recovery in patients undergoing open liver resection: a randomized controlled

AUTHORS: Qiang Zhu et al  BMC Anesthesiology 2019 19:23 Background Quadratus lumborum (QL) block is increasingly being used as a new abdominal nerve block technique. In some studies of mid and lower abdominal and hip analgesia, continuous QL block achieved favorable outcomes as an alternative to continuous intravenous analgesia with opioids. However, the use of […]

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Uncategorized Published - 20 June, 2019    By - Dr Clemens
Preoperative revised cardiac risk index predicts postoperative cardiac complications and death following posterior lumbar decompression.

Authors: Bronheim RS et al. Spine 2019 Feb 1 The Revised Cardiac Risk Index (RCRI; NEJM JW Gen Med Oct 1 1999 and Circulation 1999; 100:1043) predicts postoperative adverse cardiac events after noncardiac surgery; however, its applicability to patients undergoing high-risk spinal surgeries has not been demonstrated. Investigators used data from the National Surgical Quality Improvement Program […]

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Uncategorized Published - 20 June, 2019    By - Dr Clemens
Resistin Is a Novel Marker for Postoperative Pain Intensity

AUTHORS: Hozumi, Jun, MD et al Anesthesia & Analgesia: March 2019 – Volume 128 – Issue 3 – p 563–568 BACKGROUND: Pro- and anti-inflammatory cytokines (adipokines) associated with adipose tissue can modulate inflammatory processes and lead to systemic inflammatory conditions such as metabolic syndrome. In the present pilot study, we investigated 3 major adipokines (leptin, adiponectin, […]

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Uncategorized Published - 19 June, 2019    By - Dr Clemens
Importance of intraoperative oliguria during major abdominal surgery: findings of the Restrictive versus Liberal Fluid Therapy in Major Abdominal Surgery trial

AUTHORS: Paul S. Myles et al British Journal of Anesthesia June 2019 Volume 122, Issue 6, Pages 726–733 Background The association between intraoperative oliguria during major abdominal surgery and the subsequent development of postoperative acute kidney injury (AKI) remains poorly defined. We hypothesised that, in such patients, intraoperative oliguria would be an independent predictor of subsequent […]

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