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Uncategorized Published - 30 December, 2015    By - Dr Clemens
An Analysis of Near Misses Identified by Anesthesia Providers in the Intensive Care Unit

Authors: Angela K.M. Lipshutz et al BMC Anesthesiol. 2015;15(93) Background: Learning from adverse events and near misses may reduce the incidence of preventable errors. Current literature on adverse events and near misses in the ICU focuses on errors reported by nurses and intensivists. ICU near misses identified by anesthesia providers may reveal critical events, causal mechanisms and […]

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Uncategorized Published - 30 December, 2015    By - Dr Clemens
Perioperative Lung Protective Ventilation in Obese Patients

Authors: Ana Fernandez-Bustamante et al BMC Anesthesiol. 2015;15(56) Abstract The perioperative use and relevance of protective ventilation in surgical patients is being increasingly recognized. Obesity poses particular challenges to adequate mechanical ventilation in addition to surgical constraints, primarily by restricted lung mechanics due to excessive adiposity, frequent respiratory comorbidities (i.e. sleep apnea, asthma), and concerns of […]

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Uncategorized Published - 30 December, 2015    By - Dr Clemens
An Anatomical Study of Lumbar Epidural Catheterization

Authors: Huanwei Jiang et al BMC Anesthesiol. 2015;15(94) Background: We herein provide an analysis of lumbar epidural catheterization, which outlines a detailed anatomical description of the epidural anatomy, and may improve the success rate of neuraxial cannulation. Methods: Lumbar epidural catheters were placed in 50 adult embalmed cadavers. After catheterization, the lumbar dura and connecting structures between the […]

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Uncategorized Published - 30 December, 2015    By - Dr Clemens
Greater Use of Opioids During Cancer Treatment Can Reduce Survival

High opioid exposure is a prognostic factor for shorter overall survival, according to a study presented here at the 2015 American Society of Clinical Oncology (ASCO) Palliative Care in Oncology Symposium. The study involved patients with stage IV non-hematologic malignancies. For these and other patients with advanced cancer, pain is a challenging problem. “Opioids are […]

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Uncategorized Published - 30 December, 2015    By - Dr Clemens
Tramadol Effective for Pain, Does Not Affect Diagnosis in Suspected Appendicitis

The opioid tramadol is an effective analgesic for patients with clinically suspected acute appendicitis, according to the results of a prospective study presented at the 2015 Annual Meeting of the American College of Surgeons (ACS). “Tramadol…can provide significant reduction in abdominal pain and tenderness without altering the diagnostic confidence of the surgeon…in patients with suspected […]

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