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Uncategorized Published - 17 April, 2017    By - Dr Clemens
Efficacy and Safety of Intravenous Lidocaine for Postoperative Analgesia and Recovery After Surgery

Authors: S. Weibel et al Br J Anaesth. 2016;116(6):770-783. A Systematic Review With Trial Sequential Analysis Background: Improvement of postoperative pain and other perioperative outcomes remain a significant challenge and a matter of debate among perioperative clinicians. This systematic review aims to evaluate the effects of perioperative i.v. lidocaine infusion on postoperative pain and recovery in patients […]

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Uncategorized Published - 17 April, 2017    By - Dr Clemens
Traumatic Brain Injury and Blood Pressure — A Paradigm Shift

For patients with acute traumatic brain injury (TBI), the higher the prehospital systolic blood pressure the better — a finding that challenges the conventional wisdom that there is a clinically meaningful threshold, new research suggests. The study — the largest to date to look at this issue — found a linear association between lowest prehospital […]

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Uncategorized Published - 17 April, 2017    By - Dr Clemens
Feasibility of Automated Propofol Sedation for Transcatheter Aortic Valve Implantation: A Pilot Study

AUTHORS: Zaouter, Cédrick MD et al Anesthesia & Analgesia: December 2016 BACKGROUND: Recently, several trials have shown that closed-loop sedation is feasible. No study has used automated sedation in extremely frail patients, such as those scheduled for transcatheter aortic valve implantation (TAVI). We developed and tested a novel automated sedation system for this kind of population […]

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Uncategorized Published - 17 April, 2017    By - Dr Clemens
Epidural Local Anesthetics Versus Opioid-Based Analgesic Regimens for Postoperative Gastrointestinal Paralysis, Vomiting, and Pain After Abdominal Surgery

AUTHORS: Guay J et al   Anesthesia & Analgesia 123 (6), 1591-1602 (Dec 2016) BACKGROUND The aim of this review was to compare the effects of postoperative epidural analgesia with local anesthetics to postoperative systemic or epidural opioids in terms of return of gastrointestinal transit, postoperative pain control, postoperative vomiting, incidence of gastrointestinal anastomotic leak, hospital […]

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Uncategorized Published - 14 April, 2017    By - Dr Clemens
CDC: Painkillers Not Driving Spike in Fatal Opioid Overdoses

The number of people dying from an opioid overdose rose nearly 16% from 2014 to 2015, but the increase had little to do — at least directly — with prescription painkillers such as oxycodone or hydrocodone, the Centers for Disease Control and Prevention (CDC) reported last week. Instead, the chief culprits behind the spike were […]

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