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Uncategorized Published - 29 April, 2019    By - Dr Clemens
Evidence Basis for Regional Anesthesia in Ambulatory Anterior Cruciate Ligament Reconstruction

Authors: Vorobeichik, Leon, MD et al Anesthesia & Analgesia: January 2019 – Volume 128 – Issue 1 – p 58–65 The optimal management of pain after ambulatory anterior cruciate ligament reconstruction (ACLR) is unclear. Femoral nerve block (FNB) is purported to enhance postoperative analgesia, but its effectiveness in the setting of modern multimodal analgesia is unclear. […]

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Uncategorized Published - 29 April, 2019    By - Dr Clemens
Nasopharyngeal Alternative May Work In Difficult Ventilation Situations

Author: Michael Vlessides Anesthesiology News Nasopharyngeal ventilation, involving the placement of a regular endotracheal tube through the nose into the hypopharynx (Figure), is a viable alternative to mask ventilation in patients at risk for difficult mask ventilation, according to a new study. This technique, the researchers concluded, serves as a supraglottic airway, thereby offering an […]

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Uncategorized Published - 29 April, 2019    By - Dr Clemens
Ketamine Fails to Prevent Chronic Pain in Trauma Patients

Author: Nikki Kean Anesthesiology News To help prevent the development of chronic pain after acute trauma, clinicians have begun to study the use of continuous ketamine infusion in the ICU. However, preliminary data presented at the 2018 ACCP Global Conference on Clinical Pharmacy indicated problems with such a strategy. In a small retrospective study, Cara […]

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Uncategorized Published - 26 April, 2019    By - Dr Clemens
Nociception-guided versus Standard Care during Remifentanil–Propofol Anesthesia: A Randomized Controlled Trial

Authors: Fleur S. Meijer, M.D. et al Anesthesiology 5 2019, Vol.130, 745-755. What We Already Know about This Topic: The nociception level index (Medasense Biometrics Ltd., Ramat Gan, Israel), is a reliable measure of moderate to intense noxious stimulation during anesthesia and surgery What This Article Tells Us That Is New: In a randomized trial in […]

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Uncategorized Published - 26 April, 2019    By - Dr Clemens
Fibrin Sheath Formation during Mechanical Circulatory Support: Another Reason for Transesophageal Echocardiographic Monitoring

Autors: Michael Essandoh, M.D., F.A.S.E. Anesthesiology February 2019. Discontinuing mechanical circulatory support is often guided by transesophageal echocardiography (TEE).1,2  TEE was used to guide removal of an bicaval dual-lumen catheter (Avalon Elite, Maquet, Rastatt, Germany) after recovery of lung function in a patient supported with venovenous extracorporeal membrane oxygenation. TEE assessment of the right atrium showed […]

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