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Uncategorized Published - 26 February, 2016    By - Dr Clemens
Documenting OR Efficiency and Delays Can Pinpoint Savings

Although many institutions would like to improve operating room (OR) efficiency, a University of Colorado School of Medicine research team his taken it one step further by documenting the details of their case-start and turnover delays. As their study revealed, improving efficiencies can only lead to financial benefits when health care professionals across a range […]

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Uncategorized Published - 26 February, 2016    By - Dr Clemens
The Effects of Ketamine on Cognitive Function in Elderly Patients Undergoing Ophthalmic Surgery: A Pilot Study

Anesthesia & Analgesia: January 14, 2016 AUTHORS: Rascón-Martínez, Dulce M. MD, MSc et al BACKGROUND: Acute postoperative cognitive dysfunction is characterized by neurocognitive dysfunction and confusion. In this study, we compared the cognitive status of a geriatric population undergoing ophthalmic surgery, as assessed by the Short Portable Mental Status Questionnaire (SPMSQ) before and after ketamine […]

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Uncategorized Published - 25 February, 2016    By - Dr Clemens
Economic and Environmental Considerations During Low Fresh Gas Flow Volatile Agent Administration After Change to a Nonreactive Carbon Dioxide Absorbent

Anesthesia & Analgesia: January 4, 2016 AUTHORS: Epstein, Richard H. MD, CPHIMS et al BACKGROUND: Reducing fresh gas flow (FGF) during general anesthesia reduces costs by decreasing the consumption of volatile anesthetics and attenuates their contribution to greenhouse gas pollution of the environment. The sevoflurane FGF recommendations in the Food and Drug Administration package insert […]

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Uncategorized Published - 25 February, 2016    By - Dr Clemens
Dexamethasone Versus Ondansetron in the Prevention of Postoperative Nausea and Vomiting in Patients Undergoing Laparoscopic Surgery A Meta-analysis of Randomized Controlled Trials

BMC Anesthesiol. 2015;15(118) Authors: Xian-Xue Wang et al Background: Dexamethasone is an antiemetic alternative to ondansetron. We aimed to compare the effects of dexamethasone and ondansetron in preventing postoperative nausea and vomiting (PONV) in patients undergoing laparoscopic surgery. Methods: We searched PubMed, Embase, Medline and Cochrane Library (from inception to July 2014) for eligible studies. The primary outcome […]

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Uncategorized Published - 25 February, 2016    By - Dr Clemens
The Use of Somatosensory Evoked Potentials to Determine the Relationship Between Intraoperative Arterial Blood Pressure and Intraoperative Upper Extremity Position-Related Neurapraxia in the Prone Surrender Position During Spine Surgery: A Retrospective Analysis.

Anesthesia & Analgesia: December 30, 2015 AUTHORS: Kamel, Ihab MD et BACKGROUND: Peripheral nerve injury is a significant perioperative problem. Intraoperative position-related neurapraxia may indicate impending peripheral nerve injury and can be detected by changes in somatosensory evoked potentials (SSEP). The purpose of this retrospective analysis of spine surgeries performed under general anesthesia with SSEP […]

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