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Uncategorized Published - 17 August, 2017    By - Dr Clemens
Topical Ropivacaine in Prevention of Post-Tonsillectomy Pain in Adults

AUTHORS; Tolska, Hanna Kaisa MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1459–1466 BACKGROUND: Post-tonsillectomy pain is 1 of the most intense postoperative pain conditions. However, optimal and sufficient postoperative analgesic treatment remains unclear. We investigated the effect of topical ropivacaine for post-tonsillectomy pain in 160 adult outpatient […]

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Uncategorized Published - 17 August, 2017    By - Dr Clemens
Recombinant Factor VIIa Is Associated With Increased Thrombotic Complications in Pediatric Cardiac Surgery Patients

AUTHORS: Downey, Laura MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1431–1436 BACKGROUND: Recombinant factor VIIa (rFVIIa) is routinely used as an off-label hemostatic agent in children undergoing cardiac surgery. Despite evidence that rFVIIa use is associated with an increased incidence of thrombotic complications in adult cardiac surgery, […]

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Uncategorized Published - 17 August, 2017    By - Dr Clemens
Ketamine for Refractory Neuropathic Pain

Although the mechanisms underlying the development and maintenance of neuropathic pain are still poorly understood, both µ-opioid and NMDA receptors have been implicated. A randomized controlled trial investigating treatments for chronic neuropathic pain revealed that a ketamine regimen is superior to methadone, or ketamine combined with methadone, in alleviating neuropathic pain and associated sensory changes.1 […]

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Uncategorized Published - 16 August, 2017    By - Dr Clemens
Dopamine Release Reduced During Acute Migraine

In patients with migraine, structural and functional changes occur in brain regions that are not directly involved in processing pain signals, such as the striatum or basal ganglia. Acute migraine attacks are associated with a reduction in dopamine release, according to a study published in Neurology.1 In patients with migraine, structural and functional changes occur in […]

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Uncategorized Published - 16 August, 2017    By - Dr Clemens
Informed Consent for Pediatric Anesthesia: Minimums Met, but Agreement Lacking

The minimum criteria for informed consent (IC) are being met in pediatric anesthesia, but more can be done to obtain explicit agreement from patients’ parents, according to a prospective, cross-sectional study conducted at Seattle Children’s Hospital, in Washington. The findings come from analyses of recorded and transcribed conversations between parents of surgical patients aged 1 […]

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