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Uncategorized Published - 1 December, 2015    By - Dr Clemens
‘Morphine First’ Protocol Reduces Use Of Hydromorphone and Associated Adverse Events

Anesthesiologists at Massachusetts General Hospital, in Boston, have documented the positive results from a mid-2013 switch to a “morphine first” policy, which they implemented in the wake of mounting reports of serious adverse events from hydromorphone that were highlighted in a 2012 alert by the Massachusetts State Board of Medicine. At the end of June […]

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Uncategorized Published - 1 December, 2015    By - Dr Clemens
FDA: Heater–Cooler Devices Linked to Infection

The FDA issued a warning about possible infections associated with heater–cooler devices and issued steps that health care providers and facilities could take to mitigate risks to patients. Heater–cooler devices are used during cardiothoracic surgeries, as well as other medical and surgical procedures to warm or cool a patient to optimize medical care and improve […]

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Uncategorized Published - 1 December, 2015    By - Dr Clemens
Surgery Improved With Statins and Beta-Blockers on Board

Patients who receive statins along with beta-blockers prior to cardiac surgery do better than those given no such medication, according to a new study. Senior author Peyman Benharash, MD, told Reuters Health by email, “professional society guidelines have mandated the use of beta blockers in patients taking these agents prior to cardiac surgery. Our group, […]

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Uncategorized Published - 30 November, 2015    By - Dr Clemens
Nitrous Oxide and Serious Long-term Morbidity and Mortality in the Evaluation of Nitrous Oxide in the Gas Mixture for Anaesthesia (ENIGMA)-II Trial

Authors: Kate Leslie, MBBS, MD, M.Epid, M.Hlth Serv, Mt FANZCA, et al Anesthesiology 12 2015, Vol.123, 1267-1280. Background: The Evaluation of Nitrous Oxide in the Gas Mixture for Anaesthesia (ENIGMA)-II trial randomly assigned 7,112 noncardiac surgery patients at risk of perioperative cardiovascular events to 70% N2O or 70% N2 groups. The aim of this follow-up study was to determine […]

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Uncategorized Published - 30 November, 2015    By - Dr Clemens
An Expedited Care Pathway with Ambulatory Brachial Plexus Analgesia Is a Cost-effective Alternative to Standard Inpatient Care after Complex Arthroscopic Elbow Surgery: A Randomized, Single-blinded Study

Authors: Hillenn Cruz Eng, MD, et al Anesthesiology 12 2015, Vol.123, 1256-1266. Background: Common standard practice after complex arthroscopic elbow surgery includes hospital admission for 72 h. The authors hypothesized that an expedited care pathway, with 24 h of hospital admission and ambulatory brachial plexus analgesia and continuous passive motion at home, results in equivalent elbow range of […]

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