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Uncategorized Published - 5 October, 2017    By - Dr Clemens
Postoperative Opioids: What’s the Optimal Prescription Length?

The optimal duration of postsurgical opioid prescriptions likely ranges from 4 to 15 days, depending on the procedure, a JAMA Surgery study suggests. Using a U.S. military health system database, researchers identified 215,000 opioid-naive adults up to age 64 who underwent one of eight common surgeries and filled an opioid prescription within 14 days after the procedure. […]

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Uncategorized Published - 5 October, 2017    By - Dr Clemens
Overfeeding and ARDS a Toxic Combination

Unintentional overfeeding of ICU patients with acute respiratory distress syndrome (ARDS) may increase the risk for infections, prolong mechanical ventilation and boost hospital length of stay (LOS), according to a study presented at the 2017 American Society for Parenteral and Enteral Nutrition Clinical Nutrition Week (CNW). The study, from Rush University Medical Center and the […]

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Uncategorized Published - 4 October, 2017    By - Dr Clemens
Effect of Intrathecal Bupivacaine Dose on the Success of External Cephalic Version for Breech Presentation: A Prospective, Randomized, Blinded Clinical Trial

Authors: Laurie A. Chalifoux, M.D. et al Anesthesiology 10 2017, Vol.127, 625-632 Background: Breech presentation is a leading cause of cesarean delivery. The use of neuraxial anesthesia increases the success rate of external cephalic version procedures for breech presentation and reduces cesarean delivery rates for fetal malpresentation. Meta-analysis suggests that higher-dose neuraxial techniques increase external cephalic version […]

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Uncategorized Published - 4 October, 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 published on September 21, 2017. 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 […]

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Uncategorized Published - 4 October, 2017    By - Dr Clemens
FDA: Don’t Withhold Methadone, Buprenorphine in Patients Taking CNS Depressants

Medication treatment for opioid addiction (e.g., “medication-assisted treatment” with methadone and buprenorphine) shouldn’t be withheld from patients who take benzodiazepines or other central nervous system depressants even though this combination can lead to serious adverse events, the FDA said on Wednesday. The agency said the benefit of stopping opioid misuse usually outweighs these risks. In […]

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