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Uncategorized Published - 10 April, 2015    By - Dr Clemens
Excessive Postoperative Bleeding and Outcomes in Neonates Undergoing Cardiopulmonary Bypass

Published in Anesthesia & Analgesia (Nov 2014) Authors: Guzzetta N et al BACKGROUND: Neonates undergoing cardiac surgery are especially prone to the hemostatic alterations of cardiopulmonary bypass (CPB) and are at high risk for post-CPB bleeding. An immature coagulation system, significant hemodilution from the CPB prime, long CPB times at low temperatures, and extensive suture […]

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Uncategorized Published - 10 April, 2015    By - Dr Clemens
Addition of tramadol to standard IV acetaminophen and morphine infusion for postoperative analgesia in neonates offers no clinical benefit: a randomized placebo-controlled trial

Published in Paediatr Anaesth Author(s): Olischar M et al. BACKGROUND Tramadol is used following neonatal cardiac and general surgery. However, its ability to opioid-spare or facilitate earlier extubation in postoperative neonates is unquantified. OBJECTIVE This randomized placebo-controlled trial aimed to assess whether tramadol’s addition to standard analgesia resulted in earlier extubation or reduced analgesic/sedative requirements […]

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Uncategorized Published - 10 April, 2015    By - Dr Clemens
Two Femoral Nerve Block Techniques Compared for Patients with Femur Fractures

Published in Emerg Med J 2014 Nov 27 Authors: Reavley P et al. The fascia iliaca and 3-in-1 femoral nerve blocks were equally effective for reducing pain from femoral neck fractures. Both the 3-in-1 block and fascia iliaca block (FIB) provide effective analgesia for patients with femoral neck fractures; however, they have never been directly […]

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Uncategorized Published - 10 April, 2015    By - Dr Clemens
Tramadol Associated With Increased Risk of Hospitalisation for Hypoglycaemia

Tramadol appears to be associated with an increased risk of hospitalisation for hypoglycaemia, according to a report published by JAMA Internal Medicine. Jean-Pascal Fournier, MD, Jewish General Hospital, Montreal, Quebec, and colleagues examined whether tramadol, compared with codeine, was associated with an increased risk of hypoglycaemia severe enough to send patients to the hospital. The […]

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Uncategorized Published - 9 April, 2015    By - Dr Clemens
Absolute and trend accuracy of a new regional oximeter in healthy volunteers during controlled hypoxia

Published in Anesthesia & Analgesia 119 (6), 1315-9 (Dec 2014) Authors: Redford D, et al BACKGROUND Traditional patient monitoring may not detect cerebral tissue hypoxia, and typical interventions may not improve tissue oxygenation. Therefore, monitoring cerebral tissue oxygen status with regional oximetry is being increasingly used by anesthesiologists and perfusionists during surgery. In this study, […]

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