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Uncategorized Published - 4 March, 2015    By - Dr Clemens
Oral Midazolam with Ketamine for Pediatric Laceration Repairs

I thought this was interesting for our providers to know. Published in Emerg Med J 2014 Aug 15; 31:649 Authors: Barkan S et al. Compared with oral midazolam alone, midazolam and ketamine achieved a deeper level of sedation and a higher success rate but led to longer emergency department stays. To compare the efficacy of oral […]

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Uncategorized Published - 4 March, 2015    By - Dr Clemens
Wait as Long as Possible for Noncardiac Surgery After Stroke

Published in  JAMA 2014 Jul 16; 312:269 Authors: Jørgensen ME et al. Risk for postoperative adverse cardiovascular events was especially high during the first 9 months after stroke. Stroke is a known risk factor for adverse perioperative outcomes in patients undergoing noncardiac surgery. Whether this relation is time dependent is unclear. Researchers in Denmark examined a […]

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Uncategorized Published - 3 March, 2015    By - Dr Clemens
Does Carotid Artery Stenosis Predict Perioperative Stroke After Noncardiac Surgery?

Published in Anesthesiology 2014 Nov 121:922 Authors: Sonny A et al. A retrospective study suggests no association. Does carotid artery stenosis predispose patients who undergo noncardiac, noncarotid surgery to perioperative stroke? To find out, Cleveland Clinic researchers performed this retrospective study. During a 5-year period, 2110 patients who underwent noncardiac surgery had carotid duplex ultrasonography […]

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Uncategorized Published - 3 March, 2015    By - Dr Clemens
Study Suggests Epinephrine for Cardiac Arrest May Be Harmful

Patients who receive epinephrine during resuscitation after cardiac arrest are less likely to survive with a good neurologic outcome, a study in the Journal of the American College of Cardiology suggests. Researchers analyzed data from more than 1500 patients who were successfully resuscitated after an out-of-hospital cardiac arrest and were subsequently treated at a large […]

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Uncategorized Published - 3 March, 2015    By - Dr Clemens
Tramadol Therapy Associated with Heightened Risk for Hypoglycemia

Initiation of tramadol therapy is associated with increased risk of hospitalization for hypoglycemia compared with codeine treatment, according to a case-control study in JAMA Internal Medicine. Using U.K. prescription and hospital databases, researchers identified over 330,000 adults who began treatment with oral tramadol or codeine for noncancer pain between 1998 and 2012. They then matched […]

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