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Uncategorized Published - 4 April, 2017    By - Dr Clemens
Prescribing Benzodiazepines ‘As Needed’ May Promote Misuse

Author: Fran Lowry Prescribing benzodiazepines pro re nata (PRN), or on an “as-needed” basis, may lead to misuse, new research shows. Clinicians may erroneously assume that instructing a patient to take the medication as needed will decrease the likelihood that they will take that medication, but it may be having the opposite effect, investigators found. […]

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Uncategorized Published - 4 April, 2017    By - Dr Clemens
Sedation of Patients With Disorders of Consciousness During Neuroimaging: Effects on Resting State Functional Brain Connectivity

AUTHORS: Kirsch, Muriëlle MD et al Anesthesia & Analgesia: February 2017 – Volume 124 – Issue 2 – p 588–598 BACKGROUND: To reduce head movement during resting state functional magnetic resonance imaging, post-coma patients with disorders of consciousness (DOC) are frequently sedated with propofol. However, little is known about the effects of this sedation on the […]

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Uncategorized Published - 4 April, 2017    By - Dr Clemens
Prediction of Opioid Analgesic Efficacy by Measurement of Pupillary Unrest

AUTHORS: Neice, Andrew E. MD et al Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 915–921 BACKGROUND: Pupillary unrest under ambient light (PUAL) is the fluctuation in pupil diameter in time around a mean value. PUAL is augmented by light and diminished by administration of opioids. We hypothesized that, because pupillary […]

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Uncategorized Published - 4 April, 2017    By - Dr Clemens
Comparison Between Retrograde and Antegrade Peripheral Venous Cannulation in Intensive Care Unit Patients: Assessment of Thrombus Formation.

AUTHORS: Abdelaal Ahmed Mahmoud et al Anesthesia & Analgesia: December 8, 2016 BACKGROUND: Antegrade cannulation of peripheral veins is the usual practice. Blood stasis between a catheter and the wall of the vein or at its tip in addition to catheter-induced phlebitis may initiate a thrombosis. The use of retrograde ventriculojugular shunts against the direction of […]

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Uncategorized Published - 4 April, 2017    By - Dr Clemens
Epidural Local Anesthetics Versus Opioid-Based Analgesic Regimens for Postoperative Gastrointestinal Paralysis, Vomiting, and Pain After Abdominal Surgery: A Cochrane Review

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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