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Uncategorized Published - 21 March, 2016    By - Dr Clemens
Saline Flush After Rocuronium Bolus Reduces Onset Time and Prolongs Duration of Effect: A Randomized Clinical Trial

Anesthesia & Analgesia: March 2016 – Volume 122 – Issue 3 – p 706–711 AUTHORS: Ishigaki, Sayaka MD et al BACKGROUND: Circulatory factors modify the onset time of neuromuscular-blocking drugs. Therefore, we hypothesized that infusion of a saline flush immediately after rocuronium administration would shorten the onset time without influencing the duration of the rocuronium […]

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Uncategorized Published - 18 March, 2016    By - Dr Clemens
Risk Factors Involved in Central-to-Radial Arterial Pressure Gradient During Cardiac Surgery

Anesthesia & Analgesia: March 2016 – Volume 122 – Issue 3 – p 624–632 AUTHORS: Fuda, Giuseppe MD et al BACKGROUND: A central-to-radial arterial pressure gradient may occur after cardiopulmonary bypass (CPB), which, in some patients, may last for a prolonged time after CPB. Whenever there is a pressure gradient, the radial artery pressure measure […]

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Uncategorized Published - 18 March, 2016    By - Dr Clemens
Active Warming Utilizing Combined IV Fluid and Forced-Air Warming Decreases Hypothermia and Improves Maternal Comfort During Cesarean Delivery: A Randomized Control Trial

Anesthesia & Analgesia: February 18, 2016 AUTHORS: Cobb, Benjamin MD et al BACKGROUND: The aim of this study was to apply both IV fluid and forced-air warming to decrease perioperative hypothermia in women undergoing cesarean delivery with spinal anesthesia. The authors hypothesize that combined-modality active warming (AW) would increase maternal temperature on arrival at the […]

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Uncategorized Published - 18 March, 2016    By - Dr Clemens
Estimated Maximal Safe Dosages of Tumescent Lidocaine

Anesthesia & Analgesia: February 18, 2016 AUTHORS: Klein, Jeffrey A. MD, MPH et al BACKGROUND: Tumescent lidocaine anesthesia consists of subcutaneous injection of relatively large volumes (up to 4 L or more) of dilute lidocaine (<=1 g/L) and epinephrine (<=1 mg/L). Although tumescent lidocaine anesthesia is used for an increasing variety of surgical procedures, the […]

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Uncategorized Published - 18 March, 2016    By - Dr Clemens
Angiotensin Axis Blocking Drugs In the Perioperative Period

  Alan Smeltz, MD Resident-CA 2 University of North Carolina Chapel Hill, North Carolina   Priya A. Kumar, MD Professor of Anesthesiology University of North Carolina Chapel Hill, North Carolina Introduction Drugs causing angiotensin axis blockade (AAB) include angiotensin-converting enzyme inhibitor (ACEI) and angiotensin receptor blocker (ARB) agents. Due to the current trend of an […]

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