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Uncategorized Published - 11 March, 2015    By - Dr Clemens
Gains reported in war against post-surgical pain

The percentage of patients reporting moderate to extreme pain two weeks after surgery has plummeted in the last decade thanks to better understanding of how different classes of pain medications work, a new survey found. Overall patient satisfaction with post-op pain meds has increased slightly, from 83 percent in 2003 to 87 percent this year, […]

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Uncategorized Published - 11 March, 2015    By - Dr Clemens
Preoperative Sepsis Is Associated with Risk for Arterial and Venous Thromboses

Authors: Donzé JD et al., BMJ 2014 Sep 8; 349:g5334 Risk increases with severity of sepsis. Coronary artery disease is a risk factor for postoperative arterial thrombosis; male sex, older age, cancer history, and prior venous thrombosis are risk factors for postoperative venous thrombosis. However, whether systemic inflammation (which induces a hypercoagulable state) promotes risk […]

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Uncategorized Published - 10 March, 2015    By - Dr Clemens
Etomidate Does Not Increase Mortality in Patients with Sepsis

Authors: Gu WJ., Chest 2014 Sep 25; A meta-analysis finds no evidence of harm. Etomidate causes laboratory abnormalities, specifically, suppression of cortisol production. Prior authors have attempted to demonstrate corresponding patient harm (NEJM JW Emerg Med Jan 16 2014). A new meta-analysis of two randomized, controlled trials and 16 observational studies involving 5552 patients helps […]

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Uncategorized Published - 10 March, 2015    By - Dr Clemens
Deeper Compressions During CPR Lead to Improved Survival

Authors: Stiell IG et al., Circulation 2014 Sep 24; A large prehospital study found that survival was highest when chest compression depths were between 4.0 and 5.5 cm. In 2010, the American Heart Association (AHA) suggested an increase in the target depth of chest compressions to at least 5 cm. However, there have been no […]

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Uncategorized Published - 10 March, 2015    By - Dr Clemens
Blood Product Resuscitation of the Exsanguinating Trauma Patient

Authors: Simms ER et al., J Am Coll Surg 2014 Aug 219:181 For trauma patients who present with severe hemorrhage, using a FFP:PRBC ratio ≥0.7 during resuscitation may be beneficial. Research has shown that using higher ratios of fresh frozen plasma (FFP) and platelets to packed red blood cells (PRBCs) in the resuscitation of exsanguinating […]

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