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Uncategorized Published - 14 April, 2017    By - Dr Clemens
Two Approaches to Lessen Need for Reintubation

Author: Jaber S et al. JAMA 2016 Mar 15. Hernández G et al. JAMA 2016 Mar 15.Spoletini G et al. JAMA 2016 Mar 15. High-flow oxygen and noninvasive positive pressure ventilation lowered reintubation rates in selected patient populations. During the past few years, interest has grown in using high-flow oxygen (HFO) and noninvasive positive pressure ventilation (NPPV) in lieu of intubation and […]

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Uncategorized Published - 14 April, 2017    By - Dr Clemens
Lower Oxygen Saturation Goals Are Safe in Mechanically Ventilated Patients

Authors: Panwar R et al. Am J Respir Crit Care Med 2016 Jan 1. Targeting to 88%–92% did not cause harm. The optimal oxygenation goal for patients who are receiving invasive mechanical ventilation remains unclear. Clinicians usually target resolution of hypoxemia and pay little attention to weaning levels of oxygen once 100% saturation has been achieved. However, harms […]

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Uncategorized Published - 13 April, 2017    By - Dr Clemens
Nitrous Oxide During Labor: Maternal Satisfaction Does Not Depend Exclusively on Analgesic Effectiveness

AUTHORS: Richardson, Michael G. MD et Anesthesia & Analgesia: February 2017 – Volume 124 – Issue 2 – p 548–553 BACKGROUND: Evidence on the analgesic effectiveness of nitrous oxide for labor pain is limited. Even fewer studies have looked at patient satisfaction. Although nitrous oxide appears less effective than neuraxial analgesia, it is unclear whether labor […]

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Uncategorized Published - 13 April, 2017    By - Dr Clemens
Haloperidol Versus Ondansetron for Treatment of Established Nausea and Vomiting Following General Anesthesia: A Randomized Clinical Trial

AUTHORS: Vanda G. MD et al Anesthesia & Analgesia: February 2017 – Volume 124 – Issue 2 – p 438–444 BACKGROUND: Haloperidol is an antipsychotic. At low doses, it is a useful agent for the prophylaxis of postoperative nausea and vomiting (PONV). However, its use for treating established PONV has not been well studied. METHODS: This […]

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Uncategorized Published - 13 April, 2017    By - Dr Clemens
Improving Prediction of Postoperative Myocardial Infarction With High-Sensitivity Cardiac Troponin T and NT-proBNP

AUTHORS: Kopec, Michael MD et al Anesthesia & Analgesia: February 2017 – Volume 124 – Issue 2 – p 398–405 BACKGROUND: This study sought to determine whether preoperatively measured high-sensitivity cardiac troponin T (hs-cTnT) and N-terminal pro-brain natriuretic peptide (NT-proBNP) improve cardiac risk prediction in patients undergoing major noncardiac surgery compared with the standard risk indices. METHODS: […]

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