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Uncategorized Published - 16 September, 2015    By - Dr Clemens
General vs. Regional Anesthesia for Hip Fracture Surgery

Authors: Chu C-C et al., Anesthesiology 2015 May 8; 123:136 In an observational study, regional anesthesia was associated with lower in-hospital mortality and fewer complications. When patients undergo hip-fracture repair, they have the option of general anesthesia or regional (spinal or epidural) anesthesia. In comparative studies, neither of these two approaches has emerged as decisively better than […]

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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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