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Uncategorized Published - 14 April, 2016    By - Dr Clemens
Intrathecal Hydromorphone and Morphine for Postcesarean Delivery Analgesia: Determination of the ED90 Using a Sequential Allocation Biased-Coin Method.

Anesthesia & Analgesia: March 2016 AUTHORS: Sviggum, Hans P. MD et al BACKGROUND: Intrathecal (IT) morphine is considered the “gold standard” for analgesia after cesarean delivery under spinal anesthesia, most commonly administered at a dose of 100 to 200 [mu]g. There is less experience with IT hydromorphone for postcesarean analgesia and limited information on its […]

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Uncategorized Published - 14 April, 2016    By - Dr Clemens
Femoral Nerve Block-sciatic Nerve Block vs. Femoral Nerve Block-local Infiltration Analgesia for Total Knee Arthroplasty

A Randomized Controlled Trial Authors: Mari Nagafuchi et al BMC Anesthesiol. 2015;15(182) Background: The use of femoral nerve block (FNB) combined with sciatic nerve block (SNB) after total knee arthroplasty (TKA) has recently become controversial. Local infiltration analgesia (LIA) has been reported to be effective for postoperative TKA pain control. We aimed to assess whether […]

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Uncategorized Published - 14 April, 2016    By - Dr Clemens
Role of Cardiopulmonary Exercise Testing as a Risk-assessment Method in Patients Undergoing Intra-abdominal Surgery

A Systematic Review Authors: J. Moran; F. Wilson et al Br J Anaesth. 2016;116(2):177-191. Background: Cardiopulmonary exercise testing (CPET) is used as a preoperative risk-stratification tool for patients undergoing non-cardiopulmonary intra-abdominal surgery. Previous studies indicate that CPET may be beneficial, but research is needed to quantify CPET values protective against poor postoperative outcome [mortality, morbidity, […]

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Uncategorized Published - 14 April, 2016    By - Dr Clemens
Less Than an Hour of Sevoflurane in Infancy Does Not Harm Neurodevelopment

An international multicenter trial has concluded that just under an hour of sevoflurane anesthesia during infancy does not increase the risk for adverse neurodevelopmental outcome at 2 years of age, relative to awake regional anesthesia. The finding is in contrast to some previous cohort studies. According to Andrew J. Davidson, MD, senior anesthesiologist and director […]

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Uncategorized Published - 13 April, 2016    By - Dr Clemens
Agreement on Physical Status Scores Poor Among Anesthesiologists, Others

Although inconsistencies among anesthesiologists have been demonstrated in the American Society of Anesthesiologists (ASA) physical status classification system, one study from the State University of New York (SUNY) Downstate Medical Center, in New York City, has found that agreement between anesthesiologists and nonanesthesiologists is exceedingly weak. These discrepancies are particularly evident in patients with higher […]

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