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Uncategorized Published - 15 September, 2015    By - Dr Clemens
A Randomized, Prospective, Double-Blinded Study of Physostigmine to Prevent Sedation-Induced Ventilatory Arrhythmias

Anesthesia & Analgesia: September 2015 – Volume 121 – Issue 3 – p 652–660 Authors: Karan, Suzanne B. MD et al BACKGROUND: Physostigmine, a centrally acting acetylcholinesterase inhibitor, is most commonly used by anesthesiologists in the postanesthetic setting to reverse confusion caused by central anticholinergic medication effects. It has also been proposed as a treatment […]

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Uncategorized Published - 15 September, 2015    By - Dr Clemens
Lidocaine 5% Patch for Treatment of Acute Pain After Robotic Cardiac Surgery and Prevention of Persistent Incisional Pain: A Randomized, Placebo-Controlled, Double-Blind Trial

Pain Med. 2015 Aug;16(8):1610-21 Authors: Vrooman B et al OBJECTIVES: To test the hypotheses that lidocaine 5% patches decrease the severity of acute pain and incidence of persistent incisional pain after robotic cardiac valve surgery. DESIGN: A randomized, placebo-controlled, double-blind trial. SETTING: Tertiary care academic medical center. SUBJECTS: Patients having robotic cardiac valve surgery. METHODS: Patients […]

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Uncategorized Published - 15 September, 2015    By - Dr Clemens
Paravertebral Block for Inguinal Herniorrhaphy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Anesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 556–569 Authors: Law, Lawrence Siu-Chun MD et al BACKGROUND: Paravertebral block (PVB) is a safe and effective anesthetic technique for thoracotomy and mastectomy. However, no systematic review or meta-analysis has focused on PVB for inguinal herniorrhaphy. Our study compares PVB with general […]

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Uncategorized Published - 15 September, 2015    By - Dr Clemens
Importance of Oropharyngeal Hygiene for Nonintubated Patients in the ICU

Shane V. Cherry, MD Resident Physician Jackson Memorial Hospital University of Miami Miller School of Medicine Department of Anesthesiology, Perioperative Medicine, and Pain Management Miami, Florida Christian Diez, MD, MBA Assistant Professor of Clinical Anesthesiology University of Miami Miller School of Medicine Department of Anesthesiology, Perioperative Medicine, and Pain Management Miami, Florida The authors did […]

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Uncategorized Published - 15 September, 2015    By - Dr Clemens
Residual Rocuronium Block Attenuates Hypoxic Ventilatory Response in Obstructive Sleep Apnea Patients

Residual neuromuscular block using rocuronium attenuates the acute hypoxic ventilatory response in patients with untreated obstructive sleep apnea (OSA), according to preliminary data from a study presented at Euroanaesthesia 2015, the European Society of Anaesthesiology’s (ESA) annual meeting (abstract 1AP16-4). Historically, of course, OSA has been associated with significant respiratory complications during the postoperative recovery […]

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