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Uncategorized Published - 30 September, 2016    By - Dr Clemens
Implementation of Programmed Intermittent Epidural Bolus for the Maintenance of Labor Analgesia

Anesthesia & Analgesia: July 26, 2016 AUTHORS: Carvalho, Brendan MBBCh, FRCA, MDCH et al Programmed intermittent epidural bolus (PIEB) is an exciting new technology that has the potential to improve the maintenance of epidural labor analgesia. PIEB compared with a continuous epidural infusion (CEI) has the potential advantage of greater spread within the epidural space […]

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Uncategorized Published - 30 September, 2016    By - Dr Clemens
Optimizing Prone Cardiopulmonary Resuscitation: Identifying the Vertebral Level Correlating With the Largest Left Ventricle Cross-Sectional Area via Computed Tomography Scan.

Anesthesia & Analgesia: July 22, 2016 AUTHORS: Kwon, Min-Ji BS et al BACKGROUND: Placing the patient in the prone position frequently is required for some surgical procedures. If cardiac arrest occurs and the patient cannot be safely turned supine, cardiopulmonary resuscitation (CPR) may need to be performed with the patient in the prone position. Although […]

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Uncategorized Published - 30 September, 2016    By - Dr Clemens
Peri-op Clonidine: Benefits Not There, But Hypotension Is

Anesthesiologists who use perioperative clonidine in the hope of reducing acute postoperative pain or opioid consumption need to reconsider their efforts. According to a randomized controlled trial at the Cleveland Clinic, in Ohio—the largest such trial ever—researchers found that the drug has neither of these perceived benefits, and its use may come at the expense […]

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Uncategorized Published - 29 September, 2016    By - Dr Clemens
The Use of Standard Gastrointestinal Endoscopic Ultrasound to Assess Cardiac Anatomy

Anesthesia & Analgesia: September 2016 – Volume 123 – Issue 3 – p 547–550 AUTHORS: Sentissi, Kinza MD et al In this prospective observational study, conducted at an academic medical center, we evaluated the feasibility of performing a basic transesophageal echocardiography (TEE) examination using endoscopic ultrasound (EUS) technology to determine what cardiac structures could be […]

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Uncategorized Published - 29 September, 2016    By - Dr Clemens
A Step Toward Balance: Thrombin Generation Improvement via Procoagulant Factor and Antithrombin Supplementation

Anesthesia & Analgesia: September 2016 – Volume 123 – Issue 3 – p 535–546 AUTHORS: Mitrophanov, Alexander Y. PhD et al BACKGROUND: The use of prothrombin complex concentrates in trauma- and surgery-induced coagulopathy is complicated by the possibility of thromboembolic events. To explore the effects of these agents on thrombin generation (TG), we investigated combinations […]

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