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Uncategorized Published - 22 April, 2015    By - Dr Clemens
Noncardiac Perioperative Risk Factors in Elderly Mapped

Patients older than 80 years have been found to do well after noncardiac surgery, with surprisingly few complications, according to a study from Japan. However, there are several factors that predict postoperative adverse events, including preoperative hypoalbuminemia, intraoperative blood transfusion, longer operative time and male gender. “The average life span has been rapidly increasing around […]

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Uncategorized Published - 22 April, 2015    By - Dr Clemens
Study Clears Gum Chewing Before Endoscopy

The findings appeared in the journal Digestive Diseases and Sciences. Patients who are fasting before upper endoscopy can safely chew gum up until the time of the procedure, researchers have found. Guidelines on preoperative fasting from the American Society of Anesthesiologists do not explicitly address gum chewing. However, many anesthesia departments prohibit sedation in such patients […]

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Uncategorized Published - 22 April, 2015    By - Dr Clemens
Postoperative analgesia with continuous wound infusion of local anaesthesia vs saline: a double-blind randomized, controlled trial in colorectal surgery

Published in Colorectal Dis. 2015 Apr;17(4):342-50 Authors: Fustran N et al AIM: The aim of this prospective double-blind randomized clinical trial was to determine whether preperitoneal continuous wound infusion (CWI) of the local anaesthetic ropivacaine after either laparotomy or video-assisted laparoscopy for colorectal surgery would reduce patient consumption of morphine. METHOD: Patients scheduled for colorectal surgery […]

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Uncategorized Published - 22 April, 2015    By - Dr Clemens
Study Elucidates Link Between Primary and Referred Pain

Although the association between primary and referred pain is generally not well characterized, a study by an Iowa research team has shed more light on the link between the two pain types. The investigators found that a threshold level of primary pain is necessary to induce referred pain, and that there is a progressive relationship […]

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Uncategorized Published - 21 April, 2015    By - Dr Clemens
Ultrasound Confirmation of Central Line Placement May Make Chest X-Ray Obsolete

Published in Am J Emerg Med 2015 Mar 33:315 Authors: Duran-Gehring PE et al. Ultrasound can be used to visualize injected saline, localize the catheter tip, and detect pneumothorax. Investigators compared ultrasound to chest x-ray for confirmation of placement of supradiaphragmatic central lines and to rule out pneumothorax in 46 emergency department patients. Correct placement […]

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