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Uncategorized Published - 27 July, 2017    By - Dr Clemens
Closed-Loop Feedback Computer-Controlled Phenylephrine for Maintenance of Blood Pressure During Spinal Anesthesia for Cesarean Delivery: A Randomized Trial Comparing Automated Boluses Versus Infusion

AUTHORS: Ngan Kee et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 117–123 BACKGROUND: We previously described the use of closed-loop feedback computer-controlled infusion of phenylephrine for maintaining blood pressure (BP) during spinal anesthesia for cesarean delivery. In this study, we report a modified system in which phenylephrine is delivered […]

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Uncategorized Published - 27 July, 2017    By - Dr Clemens
Anesthesiologists Found Underreporting Medication Errors

Medication errors are apparently significantly underreported by anesthesia providers, at least at certain institutions. These recent findings may reflect a culture of underreporting or fear of punitive action, despite the fact that approximately 10% of these reported medication errors caused at least temporary patient harm. “As we know from the Institute of Medicine report about […]

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Uncategorized Published - 27 July, 2017    By - Dr Clemens
Initial Opioid Prescription May Affect Long-Term Use

The odds of long-term opioid use increased most sharply in the first days of therapy, particularly after 5 days of taking the drugs. Doctors who limit the supply of opioids they prescribe to 3 days or less may help patients reduce their risk of dependence and addiction, according to research published in the U.S. Centers […]

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Uncategorized Published - 27 July, 2017    By - Dr Clemens
Glut of Anesthesia Guidelines a Disservice, Except for Lawyers

Anesthesia practice guidelines are out of control—too many to adopt, too anecdotal to accept and too political to take seriously! Every society seems to issue them now, in order to announce their existence, promote their brand or troll for members. I would ignore most of them, but unfortunately lawyers use society guidelines as standards of […]

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Uncategorized Published - 27 July, 2017    By - Dr Clemens
Scheduled Oral Analgesia for Superior Pain Control in Postcesarean Women

Oral pain medications administered postcesarean delivery on a fixed time interval basis resulted in significantly lower pain intensity and greater satisfaction with pain management. Prescheduled pain management strategies after cesarean delivery (CD) are superior to receiving medications on-demand, according to results of a new study published in the British Journal of Obstetrics and Gynaecology.1 Oral pain medications administered […]

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