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Uncategorized Published - 10 April, 2018    By - Dr Clemens
Diphenhydramine Decreases Pain During Colonoscopy for Chronic Opioid Users

The mean sedation scores were statistically significant in favor of the diphenhydramine group as judged by a physician and nurse. For patients using chronic opioids, use of diphenhydramine in addition to conventional sedatives appears to decrease pain and is associated with improved sedation during colonoscopy, according to a study presented at the World Congress of […]

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Uncategorized Published - 10 April, 2018    By - Dr Clemens
Adductor Canal Block in Arthroscopic Knee and ACL Surgeries Questioned

Although documented as an effective analgesic technique for major knee surgeries, the adductor canal block provides only minor analgesic benefit after ambulatory arthroscopic knee surgery, a study has concluded. In addition, a systematic review and meta-analysis found that the role of the block in anterior cruciate ligament (ACL) reconstruction also may be limited. “Adductor canal […]

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Uncategorized Published - 10 April, 2018    By - Dr Clemens
Adding Intrathecal Morphine to Multimodal Analgesia Benefits Total Joint Patients

In patients undergoing total joint arthroplasty who are already receiving multimodal analgesia, there may be added benefit to incorporating intrathecal morphine. According to a recent retrospective study, the addition of intrathecal morphine to a multimodal analgesic regimen improved analgesia after surgery and reduced postoperative opioid consumption and postoperative nausea and vomiting (PONV). “These data suggest […]

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Uncategorized Published - 10 April, 2018    By - Dr Clemens
No Significant Association Between the Transfusion of Small Volumes of Leukocyte-Depleted Red Blood Cells and Mortality Over 7 Years of Follow-up in Patients Undergoing Cardiac Surgery: A Propensity Score Matched Analysis

AUTHORS: Koster, Andreas et al Anesthesia & Analgesia: October 19, 2017 BACKGROUND: The impact of red blood cell (RBC) transfusion on long-term clinical outcome is controversial. METHODS: We prospectively recorded follow-up data of 6124 cardiac surgical patients who received no transfusion (RBC− group) or 1–2 units of leukocyte-depleted RBC (RBC+ group) at our institution. The primary end point […]

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Uncategorized Published - 9 April, 2018    By - Dr Clemens
US homes need Narcan to aid in opioid overdose epidemic, surgeon general advises

Amid an opioid crisis that is claiming tens of thousands of lives each year, the U.S. surgeon general on Thursday urged Americans to start carrying a drug that reverses overdoses. It marks the first time in 13 years that the nation’s top doctor has issued a public health advisory. Speaking at the National Rx Drug […]

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