Author: Dr Clemens

Uncategorized Published - 2 September, 2015    By - Dr Clemens
Prepare for Questions on Cannabis as an Analgesic

Physicians must become better prepared to answer patients’ questions about cannabis because its use in medicine is exploding, according to a leading researcher. “It’s high time we got up to speed with the language and the issues around communication on this,” said Mark Ware, MBBS, MSc, from McGill University Health Centre in Montreal, Quebec, Canada. […]

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Uncategorized Published - 2 September, 2015    By - Dr Clemens
Prompt Postsurgical Resumption of ARBs May Drop Mortality Risk

Prompt resumption of angiotensin receptor blocker (ARB) therapy after surgery slashes 30-day mortality risk, particularly among younger patients, according to a national cohort study published June 4 in Anesthesiology. Although clinicians commonly discontinue ARBs before surgery to prevent intraoperative hypotension, there is little evidence to guide optimal timing for resumption of therapy, write lead author Susan […]

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Uncategorized Published - 1 September, 2015    By - Dr Clemens
New Studies Reveal Shift in Understanding of Sepsis

A year ago, a study published in the Journal of the American Medical Association (JAMA) reported that more patients than ever are surviving after treatment for severe sepsis (2014;311:1295-1297). But now, research shows that the finding only tells one part of the story. A spate of recent studies shows the immense burden of sepsis survivorship in the […]

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Uncategorized Published - 1 September, 2015    By - Dr Clemens
High Morbidity and Mortality Rates in Children With Multiple Intubation Attempts

There is a disturbingly high rate of morbidity and mortality in children with difficult airways who have undergone multiple intubation attempts, according to a database analysis by a multicenter research team. Severe complications in the cohort were also associated with body weight less than 10 kg and difficult airways that were unanticipated. At the heart […]

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Uncategorized Published - 1 September, 2015    By - Dr Clemens
‘Stratified’ Approach to Individualized Anaesthetic Care

Authors: S. Munirama; G. McLeod Br J Anaesth. 2015;114(4):543-545. Anaesthetists provide personalized care. Preoperative assessment guides decision-making, and awareness of risk based on clinical experience allows anaesthesia to be conducted in a way that aims to achieve the best possible clinical outcome for each patient while minimizing side-effects. This traditional approach has led to the use […]

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Uncategorized Published - 1 September, 2015    By - Dr Clemens
Which Types of Peripheral Nerve Blocks Should Be Included in Residency Training Programs?

Authors: Marcia A Corvetto et al BMC Anesthesiol. 2015;15(32) Background: Despite the increasing use of regional anesthesia, specific recommendations regarding the type of procedures to be included in residency training programs are not currently available. We aimed to determine the nerve block techniques that practicing Chilean anesthesiologists perceived as essential to master during residency training. Methods: […]

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Uncategorized Published - 1 September, 2015    By - Dr Clemens
The Effect of Beta-blockade on Objectively Measured Physical Fitness in Patients With Abdominal Aortic Aneurysms

A Blinded Interventional Study Authors: M. A. West et al Br J Anaesth. 2015;114(6):878-885. Background: Perioperative beta-blockade is widely used, especially before vascular surgery; however, its impact on exercise performance assessed using cardiopulmonary exercise testing (CPET) in this group is unknown. We hypothesized that beta-blocker therapy would significantly improve CPET-derived physical fitness in this group. Methods: […]

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Uncategorized Published - 31 August, 2015    By - Dr Clemens
Fentanyl Bolus With Local Anaesthetic Produces Faster Onset of Labour Epidural Analgesia

Fentanyl 50 and 100 mcg is useful in accelerating the onset of labour analgesia without compromising safety, according to a study presented here at the 2015 Annual Meeting of the Canadian Anesthesiologists’ Society (CAS). “We have been decreasing our concentrations of our local anaesthetics, and we find that one of the impacts of that is […]

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Uncategorized Published - 31 August, 2015    By - Dr Clemens
Use off Opioids 1 Month Post-Op Predicts Use at 6 Months After Surgery

Patients who minimally used opioids prior to surgery, but who continued to use them for pain relief 30 days after surgery were likely to be using them in the longer term, according to a study presented here at the 2015 Annual Meeting of the Canadian Anesthesiologists’ Society (CAS). With ongoing opioid use being a public […]

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Uncategorized Published - 31 August, 2015    By - Dr Clemens
Sumatriptan Improves Quality of Recovery After Craniotomy

The use of sumatriptan decreases post-operative headache at the non-surgical site in patients who undergo craniotomy for the treatment of trigeminal neuralgia and facial spasms, researchers said here at the 2015 Annual Meeting of the Canadian Anesthesiologists’ Society (CAS). “These patients complain of pain at the non-surgical site as well as nausea and vomiting,” said […]

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