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Uncategorized Published - 12 January, 2016    By - Dr Clemens
Comparison of efficacy and safety of lateral-to-medial continuous transversus abdominis plane block with thoracic epidural analgesia in patients undergoing abdominal surgery: A randomised, open-label feasibility study

Eur J Anaesthesiol. 2015 Nov;32(11):797-804 Authors: Ganapathy S et al BACKGROUND: We recently described a lateral-to-medial approach for transversus abdominis plane (LM-TAP) block, which may permit preoperative initiation of the block. OBJECTIVE: Our objective was to evaluate the feasibility of continuous LM-TAP blocks in clinical practice in comparison with thoracic epidural analgesia (TEA). DESIGN: A randomised, […]

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Uncategorized Published - 12 January, 2016    By - Dr Clemens
Point-of-Care Viscoelastic Testing Reduces Transfusions, Improves Outcomes in Severe Postpartum Hemorrhage

Point-of-care viscoelastic testing with rotational thromboelastography (ROTEM) is associated with significant reductions in transfusion requirements and better outcomes in patients with severe postpartum hemorrhage. “Contrary to our success in other areas in medicine, maternal mortality in the U.S. continues to grow, slowly but steadily,” said Denis Snegovskikh, MD, assistant professor of anesthesiology and associate chief […]

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Uncategorized Published - 11 January, 2016    By - Dr Clemens
Clonidine versus sufentanil as an adjuvant to ropivacaine in patient-controlled epidural labour analgesia: A randomised double-blind trial

Eur J Anaesthesiol. 2015 Nov;32(11):805-11. Roelants F et al BACKGROUND: Adjuvants to local anaesthetics for epidural labour analgesia are useful if they reduce side-effects or personnel requirements. Epidural clonidine improves analgesia and provides a significant local anaesthetic-sparing effect. OBJECTIVE: To compare the number of rescue doses administered by the anaesthesiologist when clonidine or sufentanil is added […]

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Uncategorized Published - 11 January, 2016    By - Dr Clemens
Medical Malpractice Claims Against Anesthesiologists Decrease and Shift to Outpatient Anesthesia Services

Cumulative spending on malpractice payments against anesthesiologists has fallen dramatically in recent years, from $174.4 million in 2005 to $91.1 million in 2013, a new study shows. With data obtained from the National Practitioner Data Bank (NPDB), the research also demonstrated an increase in the proportion of claims occurring in the outpatient setting, consistent with […]

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Uncategorized Published - 11 January, 2016    By - Dr Clemens
The Effectiveness of Midazolam for Preventing Postoperative Nausea and Vomiting: A Systematic Review and Meta-Analysis

Anesthesia & Analgesia: Oct 2015 Authors: Ahn, Eun Jin MD et al BACKGROUND: Previous randomized controlled trials regarding the effectiveness of perioperative midazolam in preventing postoperative nausea and vomiting (PONV) have produced conflicting results. Consequently, the present systematic review was performed to assess the effect of perioperative administration of midazolam on PONV. METHODS: The MEDLINE(R), […]

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