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Uncategorized Published - 26 May, 2016    By - Dr Clemens
Neuraxial vs General Anaesthesia for Total Hip and Total Knee Arthroplasty

Br J Anaesth. 2016;116(2):163-176. Authors: R. L. Johnson et al A Systematic Review of Comparative-Effectiveness Research Background: This systematic review evaluated the evidence comparing patient-important outcomes in spinal or epidural vs general anaesthesia for total hip and total knee arthroplasty. Methods: MEDLINE, Ovid EMBASE, EBSCO CINAHL, Thomson Reuters Web of Science, and the Cochrane Central […]

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Uncategorized Published - 26 May, 2016    By - Dr Clemens
Monetizing the Preoperative Evaluation Clinic: An Introduction

The perioperative surgical home requires successful integration of the four phases of care—preoperative, intraoperative, postoperative and post-discharge. A preoperative evaluation clinic can play a key role in enhancing the latter, achieving added and billable value for anesthesiologists in the process. “Many of us in this room are capable of delivering preoperative care just like hospitalists […]

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Uncategorized Published - 26 May, 2016    By - Dr Clemens
Pre-op Exercise Programs Improve Post-op Outcomes: A Retrospective Study

All of that huffing and puffing on the treadmill may be worthwhile to the patient awaiting surgery: A new retrospective study suggests that exercise programs aimed at increasing exercise tolerance before a surgical procedure may decrease morbidity and mortality. “We’ve long known that physical fitness is a factor that appears to affect a patient’s chances […]

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Uncategorized Published - 26 May, 2016    By - Dr Clemens
Transversus Abdominis Plane Block for Postoperative Analgesia in Patients Undergoing Total Laparoscopic Hysterectomy: A Randomized, Controlled, Observer-Blinded Trial.

Anesthesia & Analgesia: April 2016 AUTHORS: Ghisi, Daniela MD et al BACKGROUND: In this randomized, controlled, observer-blinded study, we evaluated analgesia provided by transversus abdominis plane (TAP) block after elective total laparoscopic hysterectomy in terms of reduced postoperative morphine consumption as the primary end point. METHODS: Fifty-two patients were randomly divided into 2 groups: patients […]

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Uncategorized Published - 25 May, 2016    By - Dr Clemens
Early tracheostomy in ventilated stroke patients: Study protocol of the international multicentre randomized trial SETPOINT2 (Stroke-related Early Tracheostomy vs. Prolonged Orotracheal Intubation in Neurocritical care Trial 2)

International Journal of Stroke 11 (3), 368-79 (Apr 2016) AUTHORS: Schönenberger S et al BACKGROUND Tracheostomy is a common procedure in long-term ventilated critical care patients and frequently necessary in those with severe stroke. The optimal timing for tracheostomy is still unknown, and it is controversial whether early tracheostomy impacts upon functional outcome. METHOD The […]

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