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Uncategorized Published - 30 November, 2017    By - Dr Clemens
Buprenorphine and Surgery: What’s the Protocol?

Authors: Jeffrey J. Bettinger, PharmD , Jeffrey Fudin, PharmD, DAIPM, FCCP, FASHP and Charles E. Argoff, MD Surgery presents a plethora of inherent risks for patients receiving long-term opioid therapy. Patients may require higher-than-usual postoperative opioid doses for acute pain due to an underlying physical tolerance, and may transition to another opioid shortly after a major surgical procedure requiring […]

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Uncategorized Published - 29 November, 2017    By - Dr Clemens
Prevalence and Prognosis Impact of Patient–Ventilator Asynchrony in Early Phase of Weaning according to Two Detection Methods

Authors: Camille Rolland-Debord, M.D. et al Anesthesiology 12 2017, Vol.127, 989-997 Background: Patient–ventilator asynchrony is associated with a poorer outcome. The prevalence and severity of asynchrony during the early phase of weaning has never been specifically described. The authors’ first aim was to evaluate the prognosis impact and the factors associated with asynchrony. Their second aim was […]

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Uncategorized Published - 29 November, 2017    By - Dr Clemens
Association between Intrapartum Magnesium Administration and the Incidence of Maternal Fever: A Retrospective Cross-sectional Study

Authors: Elizabeth M. S. Lange, M.D. et al Anesthesiology 12 2017, Vol.127, 942-952. Background: Intrapartum maternal fever is associated with several adverse neonatal outcomes. Intrapartum fever can be infectious or inflammatory in etiology. Increases in interleukin 6 and other inflammatory markers are associated with maternal fever. Magnesium has been shown to attenuate interleukin 6–mediated fever in animal […]

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Uncategorized Published - 29 November, 2017    By - Dr Clemens
Opioid-Abuse Rates Level, But Remain “Disturbingly” High

Rates of opioid abuse in North America have levelled, but remain disturbingly high, and do not seem to be declining, according to results of a retrospective study presented on October 22 at the 2017 Annual Meeting of the American Society of Anesthesiologists (ASA). Using 2000 to 2014 data from the annual National Survey on Drug […]

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Uncategorized Published - 29 November, 2017    By - Dr Clemens
Professional Liability Trends in 2017: Things Are Stable for Now, But Hold on to Your Hats!

Author: Christopher M. Burkle, M.D., J.D. ASA Monitor 11 2017, Vol.81, 48-49. Each year, the ASA Committee on Professional Liability provides a report on changing trends in malpractice insurance premiums and characteristics impacting physician anesthesiologists. The Anesthesia Closed Claims Project conducted a survey of malpractice insurers in May-July 2017 on behalf of the committee. Twenty-seven medical liability […]

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