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Uncategorized Published - 17 March, 2016    By - Dr Clemens
Oral Opioids No Better Than NSAIDs for Knee OA Pain

Oral opioids, including the less potent tramadol and the more potent hydromorphone and oxycodone, do not provide better pain relief than oral nonsteroidal anti-inflammatory drugs (NSAIDs) for knee osteoarthritis (OA), according to a systematic review published February in Osteoarthritis and Cartilage. “Patients who failed NSAIDs and are considering opioids should be aware that the pain relief from […]

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Uncategorized Published - 17 March, 2016    By - Dr Clemens
Head-Elevated Patient Positioning Decreases Complications of Emergent Tracheal Intubation in the Ward and Intensive Care Unit

Anesthesia & Analgesia: February 10, 2016 AUTHORS: Khandelwal, Nita MD, MS et al BACKGROUND: Based on the data from elective surgical patients, positioning patients in a back-up head-elevated position for preoxygenation and tracheal intubation can improve patient safety. However, data specific to the emergent setting are lacking. We hypothesized that back-up head-elevated positioning would be […]

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Uncategorized Published - 16 March, 2016    By - Dr Clemens
Effect of Local Anesthetic Concentration, Dose and Volume on the Duration of Single-Injection Ultrasound-Guided Axillary Brachial Plexus Block With Mepivacaine

A Randomized Controlled Trial Authors: Maaike G. E. Fenten et al BMC Anesthesiol. 2015;15(130) Background: In what way volume, concentration and dose affect block duration is controversial. The purpose of the present study is to investigate the effect of dose, volume and concentration of mepivacaine on the duration of sensory and motor blockade in ultrasound-guided single shot […]

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Uncategorized Published - 16 March, 2016    By - Dr Clemens
Meta-analysis of the Cardioprotective Effect of Sevoflurane Versus Propofol During Cardiac Surgery

Authors: Feng Li et al BMC Anesthesiol. 2015;15(128) Background: To evaluate the cardioprotective effects of sevoflurane versus propofol anesthesia in patients undergoing cardiac surgery. Methods: Studies were retrieved through searching several databases. Study quality was evaluated by Jadad scale. Meta-analysis was performed with RevMan5.0 software. Publication bias was tested by funnel plot. Results: As a result, 15 studies were […]

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Uncategorized Published - 16 March, 2016    By - Dr Clemens
Survival after Perioperative Cardiopulmonary Resuscitation: Providing an Evidence Base for Ethical Management of Do-not-resuscitate Orders

Authors: Shona Kalkman, M.D. et al Anesthesiology 3 2016, Vol.124, 723-729. Automatic suspension of do-not-resuscitate (DNR) orders during general anesthesia does not sufficiently address a patient’s right to self-determination and is a practice still observed among anesthesiologists today. To provide an evidence base for ethical management of DNR orders during anesthesia and surgery, the authors performed […]

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