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Uncategorized Published - 27 March, 2018    By - Dr Clemens
Ibuprofen Is Effective for Postoperative Orthopedic Pain

Authors: Poonai N et al. CMAJ Oct 2017 Ibuprofen was as effective as oral morphine for treating pain in children and adolescents after outpatient minor orthopedic surgery. The overuse of opioids for treating pain in children is a serious concern. Researchers in Canada randomized 154 children aged 5 to 17 years to oral morphine (0.5 […]

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Uncategorized Published - 27 March, 2018    By - Dr Clemens
PACU Respiratory Status Predicts Risk for Opioid-Induced Respiratory Depression on General Hospital Floor

Noninvasive respiratory volume monitoring within the first two hours after surgery may be able to identify patients at risk for opioid-induced respiratory depression up to 48 hours later. According to an observational study that measured minute ventilation in patients after colorectal surgery, frequency of low minute ventilation at discharge from the PACU was predictive of […]

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Uncategorized Published - 27 March, 2018    By - Dr Clemens
Association of Hospital-Level Neuraxial Anesthesia Use for Hip Fracture Surgery with Outcomes

Anesthesiology · October 2017 Authors: Daniel I McIsaac, FRCPC et al There is consistent and significant variation in neuraxial anesthesia use for hip fracture surgery across jurisdictions. We measured the association of hospital-level utilization of neuraxial anesthesia, independent of patient-level use, with 30-day survival (primary outcome) and length of stay and costs (secondary outcomes). Methods: We conducted […]

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Uncategorized Published - 27 March, 2018    By - Dr Clemens
Intraoperative Positioning-Related Nerve Injury, or a Case of Mistaken Identity?: 3 Selected Cases

Taken from Anesthesiology News David Hardman, MD, MBA, FASA Professor of Anesthesiology Vice Chair for Professional Affairs Department of Anesthesiology University of North Carolina at Chapel Hill School of Medicine Chapel Hill, North Carolina Inadequate intraoperative patient positioning is not the only cause of perioperative peripheral nerve injuries. Anesthesiologists should take time to understand the differential […]

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Uncategorized Published - 27 March, 2018    By - Dr Clemens
Nonnarcotic Analgesics Possible Replacement for Narcotics to Manage Pain After Vaginal Reconstructive Surgery

Nonnarcotic analgesics may be feasible replacements for narcotics in managing postoperative pain in women who undergo perineal and vaginal reconstructive surgery, according to a study presented here at the 38th Annual Meeting of the American Urogynecologic Society (AUGS). Although narcotic analgesics are the most commonly administered drugs for pain after perineal and vaginal reconstructive surgery […]

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