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Uncategorized Published - 19 September, 2017    By - Dr Clemens
Not Too Little, Not Too Much: Finding the Goldilocks Zone for Spinal Anesthesia to Facilitate External Cephalic Version

Authors: Brendan Carvalho, M.B.B.Ch., F.R.C.A. et al Anesthesiology 10 2017, Vol.127, 596-598. APPROXIMATELY one third of all births in the United States are by cesarean delivery, and in most high-income countries the cesarean delivery rate also exceeds that recommended by the World Health Organization for optimal maternal and neonatal outcomes.1  This is concerning, because cesarean delivery, and […]

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Uncategorized Published - 19 September, 2017    By - Dr Clemens
Labor Epidural Analgesia and Breastfeeding

Author: David H. Chestnut, M.D. Anesthesiology 10 2017, Vol.127, 593-595. “BREASTFEEDING is an important public health concern.”1  So begins—correctly—a fine clinical research publication in this issue of Anesthesiology.1  Breastfeeding incurs substantial health benefits for both the mother and the baby.2.3 Short-term maternal benefits of breastfeeding include decreased postpartum blood loss and more rapid involution of the uterus. An exhaustive […]

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Uncategorized Published - 18 September, 2017    By - Dr Clemens
Recovery after Nulliparous Birth: A Detailed Analysis of Pain Analgesia and Recovery of Function

Authors: Ryu Komatsu, M.D. et al Anesthesiology 10 2017, Vol.127, 684-694. Background: The majority of parturients in the United States first return for evaluation by their obstetric practitioner 6 weeks after delivery. As such, there is little granular data on the pain experience, analgesic requirements, and functional recovery during the postpartum period. This prospective observational study was […]

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Uncategorized Published - 18 September, 2017    By - Dr Clemens
Combined Thoracic Ultrasound Assessment during a Successful Weaning Trial Predicts Postextubation Distress

Authors: Stein Silva, M.D., Ph.D. et al Anesthesiology 10 2017, Vol.127, 666-674 Background: Recent studies suggest that isolated sonographic assessment of the respiratory, cardiac, or neuromuscular functions in mechanically ventilated patients may assist in identifying patients at risk of postextubation distress. The aim of the present study was to prospectively investigate the value of an integrated thoracic […]

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Uncategorized Published - 18 September, 2017    By - Dr Clemens
Preventing Retained Central Venous Catheter Guidewires: A Randomized Controlled Simulation Study Using a Human Factors Approach

Authors: Maryanne Z. A. Mariyaselvam, M.B.B.S. et al Anesthesiology 10 2017, Vol.127, 658-665. Background: Retained central venous catheter guidewires are never events. Currently, preventative techniques rely on clinicians remembering to remove the guidewire. However, solutions solely relying upon humans to prevent error inevitably fail. A novel locked procedure pack was designed to contain the equipment required for […]

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