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Uncategorized Published - 14 April, 2017    By - Dr Clemens
The Timing of Administration of Intravenous Dexmedetomidine During Lower Limb Surgery A Randomized Controlled Trial

Authors: Eunsu Kang et al BMC Anesthesiol. 2016;16(116) Background: Dexmedetomidine, a selective alpha-2 agonist, has sedative, analgesic, and anxiolytic effects without respiratory depression. Dexmedetomidine can cause a biphasic cardiovascular response, and induce transient hypertension. Hypotension is a common complication of spinal anesthesia. Decreasing anxiety of patients before procedure is important for high quality of procedure. This study […]

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Uncategorized Published - 14 April, 2017    By - Dr Clemens
Transversus Abdominis Plane Block Versus Wound Infiltration for Analgesia After Cesarean Delivery: A Randomized Controlled Trial

AUTHORS: Tawfik, Mohamed Mohamed MD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1291–1297 BACKGROUND: Transversus abdominis plane (TAP) block and local anesthetic wound infiltration provide analgesia after cesarean delivery. Studies comparing the 2 techniques are scarce, with conflicting results. This double-blind, randomized controlled trial aimed to compare bilateral […]

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Uncategorized Published - 14 April, 2017    By - Dr Clemens
Two Approaches to Lessen Need for Reintubation

Author: Jaber S et al. JAMA 2016 Mar 15. Hernández G et al. JAMA 2016 Mar 15.Spoletini G et al. JAMA 2016 Mar 15. High-flow oxygen and noninvasive positive pressure ventilation lowered reintubation rates in selected patient populations. During the past few years, interest has grown in using high-flow oxygen (HFO) and noninvasive positive pressure ventilation (NPPV) in lieu of intubation and […]

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Uncategorized Published - 14 April, 2017    By - Dr Clemens
Lower Oxygen Saturation Goals Are Safe in Mechanically Ventilated Patients

Authors: Panwar R et al. Am J Respir Crit Care Med 2016 Jan 1. Targeting to 88%–92% did not cause harm. The optimal oxygenation goal for patients who are receiving invasive mechanical ventilation remains unclear. Clinicians usually target resolution of hypoxemia and pay little attention to weaning levels of oxygen once 100% saturation has been achieved. However, harms […]

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Uncategorized Published - 13 April, 2017    By - Dr Clemens
Nitrous Oxide During Labor: Maternal Satisfaction Does Not Depend Exclusively on Analgesic Effectiveness

AUTHORS: Richardson, Michael G. MD et Anesthesia & Analgesia: February 2017 – Volume 124 – Issue 2 – p 548–553 BACKGROUND: Evidence on the analgesic effectiveness of nitrous oxide for labor pain is limited. Even fewer studies have looked at patient satisfaction. Although nitrous oxide appears less effective than neuraxial analgesia, it is unclear whether labor […]

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