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Uncategorized Published - 24 February, 2015    By - Dr Clemens
Timing of Vasopressor Initiation and Mortality in Septic Shock A Cohort Study

Published in Crit Care. 2014;18 Authors: Vance Beck et al Introduction: Despite recent advances in the management of septic shock, mortality remains unacceptably high. Earlier initiation of key therapies including appropriate antimicrobials and fluid resuscitation appears to reduce the mortality in this condition. This study examined whether early initiation of vasopressor therapy is associated with […]

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Uncategorized Published - 24 February, 2015    By - Dr Clemens
Efficacy and tolerability of low-dose oral prolonged-release oxycodone/naloxone for chronic nononcological pain in older patients

Published in Clinical Interventions in Aging 10 1-11 (2015) Authors: Guerriero F et al PURPOSE Chronic pain is highly prevalent in older adults. Increasing evidence indicates strong opioids as a valid option for chronic pain management in geriatrics. The aim of this study was to evaluate efficacy and safety of low-dose oral prolonged-release oxycodone-naloxone (OXN-PR) […]

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Uncategorized Published - 24 February, 2015    By - Dr Clemens
Replacement of Anesthesia Machines Improves Intraoperative Ventilation Parameters Associated With the Development of Acute Respiratory Distress Syndrome

Published in BMC Anesthesiol. 2014;14(44) Authors: James M Blum et al Background: The impact of anesthetic equipment on clinical practice parameters associated with development of acute respiratory distress syndrome (ARDS) has not been extensively studied. We hypothesized a change in anesthesia machines would be associated with parameters associated with lower rates of ARDS. Methods: We […]

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Uncategorized Published - 23 February, 2015    By - Dr Clemens
11 Tips for Better Opioid Prescribing

Roger Chou, MD, Charles E. Argoff, MD Editor’s Note: As part of its effort to facilitate responsible opioid prescribing, the American Academy of Addiction Psychiatry(AAAP) hosts a listserv where clinicians can submit clinical questions and receive responses from a rotating panel of pain experts. In conjunction with the AAAP, Medscape has selected 10 of the […]

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Uncategorized Published - 23 February, 2015    By - Dr Clemens
Hepatic Encephalopathy with Acute Decompensated Cirrhosis and Acute-on- Chronic Liver Failure

I wanted to share this due to we might see these patients in surgery. Authors: Romero-Gómez M et al., J Hepatol 2015 Feb 62:437 This review article stresses the importance of providing intensive care, identifying precipitating events, and administering selective treatments. Hepatic encephalopathy (HE) is one of the major complications of cirrhosis, and recent evidence […]

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