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Uncategorized Published - 8 May, 2017    By - Dr Clemens
Clinical Effectiveness and Safety of Intraoperative Methadone in Patients Undergoing Posterior Spinal Fusion Surgery: A Randomized, Double-blinded, Controlled Trial

Authors: Glenn S. Murphy, M.D. et al Anesthesiology 5 2017, Vol.126, 822-833. Background: Patients undergoing spinal fusion surgery often experience severe pain during the first three postoperative days. The aim of this parallel-group randomized trial was to assess the effect of the long-duration opioid methadone on postoperative analgesic requirements, pain scores, and patient satisfaction after complex spine […]

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Uncategorized Published - 8 May, 2017    By - Dr Clemens
Lack of Association between Preoperative Statin Use and Respiratory and Neurologic Complications after Cardiac Surgery

Authors: Ryu Komatsu, M.D. et al Anesthesiology 5 2017, Vol.126, 799-809. Background: Statins may reduce the risk of pulmonary and neurologic complications after cardiac surgery. Methods: The authors acquired data for adults who had coronary artery bypass graft, valve surgery, or combined procedures. The authors matched patients who took statins preoperatively to patients who did not. First, the […]

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Uncategorized Published - 5 May, 2017    By - Dr Clemens
Malignant Hypercompliance

Author: Kirk Hogan, M.D., J.D. Anesthesiology 5 2017, Vol.126, 759-762. AT the University of Wisconsin, Madison, Wisconsin, in the 1970s, a circulating nurse was designated to maintain a list of all malignant hyperthermia (MH) family surnames taped to the inside of the swinging doors to the operating suite to be cross-checked by everyone responsible for preoperatively […]

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Uncategorized Published - 5 May, 2017    By - Dr Clemens
Searching for the Optimal Pain Management Technique after Knee Arthroplasty: Analgesia Is Just the Tip of the Iceberg

Authors: Brian M. Ilfeld, M.D., M.S. et al Anesthesiology 5 2017, Vol.126, 768-770. TOTAL knee arthroplasty (TKA) is among the most common and painful surgical procedures, with more than 700,000 performed annually within the United States alone. Due to the difficulty of providing adequate pain relief, practitioners have proposed and evaluated a plethora of analgesic techniques. […]

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Uncategorized Published - 5 May, 2017    By - Dr Clemens
The Devil Is in the Detail: Remote Ischemic Preconditioning for Perioperative Kidney Protection

Authors: Felix Kork, M.D., M.Sc. et al Anesthesiology 5 2017, Vol.126, 763-765. ACUTE kidney injury (AKI) is a leading postoperative complication and is associated with higher mortality and higher morbidity.1  Even minor postoperative creatinine increases below AKI criteria are associated with adverse outcome in both noncardiac surgery2  and cardiac surgery patients.3  Hence, a method for the effective prevention of […]

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