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Uncategorized Published - 29 June, 2018    By - Dr Clemens
The Effect of Glycopyrrolate on the Incidence of Hypotension and Vasopressor Requirement During Spinal Anesthesia for Cesarean Delivery: A Meta-analysis

AUTHORS: Patel, Selina, D., BMedSci, MBBS, FRCA et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 552–558 BACKGROUND: The objective of this meta-analysis was to determine the efficacy of glycopyrrolate at reducing spinal hypotension during cesarean delivery. METHODS: A literature search was performed to identify randomized controlled trials investigating the effect of […]

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Uncategorized Published - 29 June, 2018    By - Dr Clemens
The Analgesic Effect of Ultrasound-Guided Quadratus Lumborum Block After Cesarean Delivery: A Randomized Clinical Trial

AUTHORS: Krohg, Anders, MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 559–565 BACKGROUND: Landmark and ultrasound-guided transversus abdominis plane blocks have demonstrated an opioid-sparing effect postoperatively after cesarean delivery. The more posterior quadratus lumborum (QL) might provide superior local anesthetic spread to the thoracolumbar fascia and paravertebral space. The […]

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Uncategorized Published - 29 June, 2018    By - Dr Clemens
Labor Analgesia Onset With Dural Puncture Epidural Versus Traditional Epidural Using a 26-Gauge Whitacre Needle and 0.125% Bupivacaine Bolus: A Randomized Clinical Trial

AUTHORS: Wilson, Sylvia, H., MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 545–551 BACKGROUND: Lumbar epidurals (LEs) provide excellent analgesia. Combined spinal epidural and dural puncture epidural (DPE) are 2 techniques to expedite neuraxial analgesia onset. In DPE, dura is punctured but medication is not administered in the cerebrospinal […]

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Uncategorized Published - 29 June, 2018    By - Dr Clemens
Randomized Controlled Trial of the Clinical Efficacy of Multiport Versus Uniport Wire-Reinforced Flexible Catheters for Labor Epidural Analgesia

AUTHORS: Philip, John, MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 537–544 BACKGROUND: The purpose of this prospective, randomized, controlled trial was to determine whether multiple ports improve the analgesic efficacy of wire-reinforced flexible catheters used for labor epidural analgesia (LEA). METHODS: Six hundred fifty laboring patients were randomized to […]

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Uncategorized Published - 28 June, 2018    By - Dr Clemens
Combined thoracic paravertebral and pectoral nerve blocks for breast surgery under sedation: a prospective observational case series

Authors: A. Pawa et al Anaesthesia Volume 73 Issue 4 April 2018 pages 438-443 Summary Avoidance of general anaesthesia for breast surgery may be because of clinical reasons or patient choice. There is emerging evidence that the use of regional anaesthesia and the avoidance of volatile anaesthetics and opioid analgesia may have beneficial effects on oncological […]

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