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Uncategorized Published - 17 July, 2017    By - Dr Clemens
Recombinant Factor VIIa Is Associated With Increased Thrombotic Complications in Pediatric Cardiac Surgery Patients

AUTHORS: Downey, Laura MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1431–1436 BACKGROUND: Recombinant factor VIIa (rFVIIa) is routinely used as an off-label hemostatic agent in children undergoing cardiac surgery. Despite evidence that rFVIIa use is associated with an increased incidence of thrombotic complications in adult cardiac surgery, […]

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Uncategorized Published - 17 July, 2017    By - Dr Clemens
Patient-Controlled Lollipop Anesthesia Effective for Awake Intubation

Patient-controlled anesthesia for the upper airway can be an effective strategy to prepare patients for awake intubation, a recent study has found. A 2% lidocaine “lollipop” helps patients cooperate using an easy, inexpensive and readily available means, the researchers said. “We recognize this technique doesn’t ensure directed local anesthetic application and requires additional topicalization techniques,” […]

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Uncategorized Published - 17 July, 2017    By - Dr Clemens
Discovery of Neural Signature for Fibromyalgia Could Aid Diagnosis

Researchers at the University of Colorado Boulder have discovered a neural signature that identified fibromyalgia with 93% accuracy, according to a 72-patient study in the journal Pain 2016 Aug 31.  “This neural measure for fibromyalgia is composed of three brain-related submeasures that together identify [individuals with] fibromyalgia,” said lead author Marina López-Solà, PhD, a postdoctoral research associate […]

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Uncategorized Published - 14 July, 2017    By - Dr Clemens
Hypotension and Adverse Perioperative Outcomes

Authors: J.P. Abenstein, M.S.E.E., M.D., FASA et al ASA Monitor 07 2017, Vol.81, 36-38. We read with interest the May 2017 ASA Monitor article written by Ken Pauker, M.D., and colleagues regarding the association of increased postoperative troponin with non-cardiac surgery, myocardial injury (MINS) and increased 30-day mortality.1  While the authors describe Type I myocardial injury as being caused by […]

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Uncategorized Published - 13 July, 2017    By - Dr Clemens
Opioids and Sleep-Disordered Breathing

Author: Anthony G. Doufas, M.D., Ph.D. ASA Monitor 07 2017, Vol.81, 24-26. Anthony G. Doufas, M.D., Ph.D., is Professor, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California.   Large, retrospective clinical cohorts suggest that preoperative diagnosis of obstructive sleep apnea (OSA) is associated with more than a two-fold increase in the […]

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