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Uncategorized Published - 11 December, 2015    By - Dr Clemens
Noninvasive Measurement of Cerebral Blood Flow Under Anesthesia Using Arterial Spin Labeling MRI: A Pilot Study

J Neurosurg Anesthesiol, 2015 Sep Authors: Venkatraghavan L,et al BACKGROUND: Cerebral ischemia plays a major role in pathophysiology of the injured brain. Most of the currently available methods of cerebral blood flow (CBF) monitors are either indirect measure of CBF or needing radioactive agents for data acquisition. Arterial spin labeling magnetic resonance imaging (ASL-MRI) is a […]

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Uncategorized Published - 11 December, 2015    By - Dr Clemens
Lidocaine Reduces Acute Postoperative Pain After Supratentorial Tumor Surgery in the PACU: A Secondary Finding From a Randomized, Controlled Trial.

J Neurosurg Anesthesiol. 2015 Sep Authors: Peng Y et al BACKGROUND: Perioperative lidocaine infusion has been reported to reduce postoperative pain in patients after abdominal surgery; however, no study has examined lidocaine’s effect on acute postoperative pain after supratentorial tumor surgery. METHODS: A total of 94 patients scheduled for supratentorial craniotomy were enrolled. Patients received either lidocaine […]

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Uncategorized Published - 11 December, 2015    By - Dr Clemens
New Risk Tool for Opioid-Induced Respiratory Depression

Researchers are developing a tool they hope will quickly identify surgery patients at greatest risk for opioid-induced respiratory depression (OIRD). With this tool, hospital staff will be better equipped to more closely monitor at-risk patients, which should reduce adverse events, increase patient safety, and improve patient satisfaction, said lead author Nicole Humbert, PharmD, Trinity Hospital, […]

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Uncategorized Published - 10 December, 2015    By - Dr Clemens
Opioid Agreement Ethics Challenged

One of strongest testaments to the effect of the prescription drug abuse epidemic on clinical practice is the increase in state mandates for opioid or controlled substance agreements that clinicians are required to have patients sign when receiving opioid prescriptions. But such agreements are not without significant controversy, raising a host of ethical issues, said […]

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Uncategorized Published - 10 December, 2015    By - Dr Clemens
ECG Findings Predict Hemodynamic Instability in Patients with Pulmonary Embolism

Authors: Shopp JD et al. Acad Emerg Med 2015 Sep 22. A meta-analysis found that a Daniel Score >5 is associated with a higher probability of shock from PE. Treatments for hemodynamically stable patients with confirmed pulmonary embolism (PE) vary from outpatient anticoagulation to systemic fibrinolysis. Guidelines recommend that the choice of treatment be based on risk […]

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