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Uncategorized Published - 9 May, 2018    By - Dr Clemens
Effect of Remote Ischemic Preconditioning on Outcomes in Adult Cardiac Surgery: A Systematic Review and Meta-analysis of Randomized Controlled Studies

AUTHORS: Xie, Jianfeng, MD et al Anesthesia & Analgesia: November 2017 BACKGROUND: Remote ischemic preconditioning (RIPC) has been demonstrated to prevent organ dysfunction in cardiac surgery patients. However, recent large, prospective, multicenter, randomized controlled trials (RCTs) had controversial results. Thus, a meta-analysis of RCTs was performed to investigate whether RIPC can reduce the incidence of acute myocardial […]

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Uncategorized Published - 8 May, 2018    By - Dr Clemens
Anti-Dopaminergic Drug Could Help Ease Postoperative Nausea and Vomiting in High-Risk Patents

The Pharmaceutical Journal April 2018 Researchers found that 57.7% of patients given amisulpride at induction of inhaled general anaesthetic did not require postoperative rescue medication compared with 46.6% of those assigned to placebo Dopamine antagonists were used in the past for managing postoperative nausea and vomiting (PONV). However, their use for this purpose has declined […]

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Uncategorized Published - 8 May, 2018    By - Dr Clemens
Seven-year-old boy recovering well after five-organ transplant

Pioneering surgery on Jay Crouch at Birmingham hospital allows him to eat for first time Author: Kevin Rawlinson  Jay Crouch received two kidneys, a pancreas, liver and bowel during a single 10-hour operation. A seven-year-old boy has become the first child to undergo a five-organ transplant in a single operation. Jay Crouch, who has a […]

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Uncategorized Published - 8 May, 2018    By - Dr Clemens
Effect of an Intravenous Dexamethasone Added to Caudal Local Anesthetics to Improve Postoperative Pain: A Systematic Review and Meta-analysis With Trial Sequential Analysis

AUTHORS: Kawakami, Hiromasa, MD et al Anesthesia & Analgesia: December 2017 – Volume 125 – Issue 6 – p 2072–2080 BACKGROUND: Caudal anesthesia has been used for postoperative pain control in pediatric surgical patients, but the duration of the analgesic effect is occasionally unsatisfactory. Intravenous steroids have been shown to be effective for postsurgical pain management after […]

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Uncategorized Published - 8 May, 2018    By - Dr Clemens
Selective Serotonin Reuptake Inhibitors and Serotonin–Norepinephrine Reuptake Inhibitors Are Not Associated With Bleeding or Transfusion in Cardiac Surgical Patients

AUTHORS: Smith, Mark, M., MD et al Anesthesia & Analgesia: November 22, 2017 BACKGROUND: Selective serotonin reuptake inhibitor (SSRI) and serotonin–norepinephrine reuptake inhibitor (SNRI) use is known to alter platelet activation and aggregation leading to impairment in hemostasis. Previous studies are ambiguous with regard to bleeding, transfusion, and perioperative complications in patients undergoing cardiac surgery. The purpose […]

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