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Uncategorized Published - 2 November, 2015    By - Dr Clemens
Ketamine-Propofol Versus Propofol Alone for Procedural Sedation in the Emergency Department: A Systematic Review and Meta-analysis

Acad Emerg Med, 2015 Sep;22(9):1003-13. doi: 10.1111/acem.12737. Authors: Yan JW et al OBJECTIVES: Propofol is an agent commonly used for procedural sedation and analgesia (PSA) in the emergency department (ED), but it can cause respiratory depression and hypotension. The combination of ketamine-propofol (K-P) is an alternative that theoretically provides a reduction in adverse events compared to propofol. […]

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Uncategorized Published - 2 November, 2015    By - Dr Clemens
Intrathecal hyperbaric 2% prilocaine versus 0.4% plain ropivacaine for same-day arthroscopic knee surgery: a prospective randomized double-blind controlled study

Can J Anaesth. 2015 Oct;62(10):1055-1062 Authors: Aguirre J et al BACKGROUND: Short-duration spinal anesthesia is a good option for ambulatory knee surgery. Hyperbaric 2% prilocaine has short onset and rapid recovery times and, therefore, may be well suited in this setting. The aim of this study was to compare the times to reach motor block, motor block […]

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Uncategorized Published - 2 November, 2015    By - Dr Clemens
Number of mistakes in medication errors during surgery

In a new study on how often medication errors occur during surgery researchers report that mistakes were made during almost half of the operations they analyzed. The mistakes included drug labeling errors, incorrect dosing, drug documentation mistakes, and/or failing to properly treat changes in a patient’s vital signs during surgery. Overall, a medication error or adverse drug […]

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Uncategorized Published - 30 October, 2015    By - Dr Clemens
Knee Replacement Rate Nearly Doubles in US From 2000 to 2010

In 2010, an estimated 693,400 total knee replacements were performed in adults aged 45 years and older, according to a new data brief from the Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS). In 2010 (and 2009 and 2008 as well), total knee arthroplasty was the most frequently performed inpatient procedure in […]

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Uncategorized Published - 30 October, 2015    By - Dr Clemens
Endovascular Aortic Aneurysm Repair May Have Trade-offs

Undergoing an endovascular repair instead of an open repair of abdominal aortic aneurysms confers a modestly greater likelihood of survival, but higher reintervention and rupture rates, according to a retrospective study published in the  September JAMA Surgery. “[U]nlike the clinical trial results, we found the survival advantage for [endovascular] repair to be maintained until 3 years […]

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