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Uncategorized Published - 16 February, 2016    By - Dr Clemens
A New Look at Sphenopalatine Ganglion Blocks for Chronic Migraine

This simple, inexpensive procedure may provide a relatively low-risk option for the treatment of chronic migraines. Authors: Soma Sahai-Srivastava, MD and Kellie Spector, BS Migraine is a common cause of disability leading to significant financial, societal, and personal burden, along with a diminished quality of life.1,2 According to the World Health Organization, migraine ranks in the top 20 […]

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Uncategorized Published - 16 February, 2016    By - Dr Clemens
Variations in the Use of Perioperative Multimodal Analgesic Therapy

Anesthesiology published on 2 2016 Authors: Karim S. Ladha, M.D., M.Sc. et al      Background: Practice guidelines for perioperative pain management recommend that multimodal analgesic therapy should be used for all postsurgical patients. However, the proportion of patients who actually receive this evidence-based approach is unknown. The objective of this study was to describe hospital-level patterns in […]

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Uncategorized Published - 15 February, 2016    By - Dr Clemens
Effect of Inhalational Anesthetics and Positive-pressure Ventilation on Ultrasound Assessment of the Great Vessels: A Prospective Study at a Children’s Hospital

Anesthesiology published on 2 2016 Authors: Elaina E. Lin, M.D. et al Background: Bedside ultrasound has emerged as a rapid, noninvasive tool for assessment and monitoring of fluid status in children. The inferior vena cava (IVC) varies in size with changes in blood volume and intrathoracic pressure, but the magnitude of change to the IVC with inhalational […]

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Uncategorized Published - 15 February, 2016    By - Dr Clemens
Microbiological Contamination of Drugs during Their Administration for Anesthesia in the Operating Room

Anesthesiology published on 2 2016 Authors: Derryn A. Gargiulo, M.Pharm.Clin., Reg.Pharm.N.Z. et al Background: The aseptic techniques of anesthesiologists in the preparation and administration of injected medications have not been extensively investigated, but emerging data demonstrate that inadvertent lapses in aseptic technique may be an important contributor to surgical site and other postoperative infections. Methods: A prospective, open, […]

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Uncategorized Published - 15 February, 2016    By - Dr Clemens
Impact of Perioperative Epidural Placement on Postdischarge Opioid Use in Patients Undergoing Abdominal Surgery

Anesthesiology 2 2016, Vol.124, 396-403 Authors: Karim S. Ladha, M.D. et al Background: Opioids play a crucial role in providing analgesia throughout the perioperative period; however, patients may become persistent users of these medications months after surgery. Epidurals have been posited to prevent the development of persistent pain, but there are little data on the effect of […]

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