Author: Dr Clemens

Uncategorized Published - 20 August, 2015    By - Dr Clemens
Sumatriptan Less Effective in Migraine With Aura

Sumatriptan is less effective in migraine attacks with aura than in those without, new data reveal. The findings, from an analysis of previous clinical trial results, were presented here at the American Headache Society (AHS) 57th Annual Scientific Meeting by Jakob Møller Hansen, MD, PhD, a resident at the Department of Neurology at Rigshospitalet and […]

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Uncategorized Published - 19 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 - 19 August, 2015    By - Dr Clemens
Use of Periarticular Ketorolac Not Linked to Greater Blood Loss During Knee Arthroplasty

The use of periarticular ketorolac, an anti-platelet agent, does not produce additional blood loss in patients undergoing total knee arthroplasty (TKA), a retrospective study presented here at the annual meeting of the Canadian Anesthesiologists’ Society concludes. The study compared 57 patients who received periarticular ketorolac injection and 33 patients who didn’t (controls). Because ketorolac is […]

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Uncategorized Published - 19 August, 2015    By - Dr Clemens
A randomized clinical trial of the effects of ultra-low-dose naloxone infusion on postoperative opioid requirements and recovery

Acta Anaesthesiol Scand, 2015 Jun 4. doi: 10.1111/aas.12560 Authors: Xiao Y et al BACKGROUND: Tolerance to remifentanil during sevoflurane anesthesia may increase postoperative analgesic requirements. Low-dose naloxone not only has been shown to block the development of acute opioid tolerance but also to ameliorate undesired opioid-induced side effects. We hypothesized that naloxone prevents the acute opioid tolerance […]

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Uncategorized Published - 19 August, 2015    By - Dr Clemens
Intra- and postoperative low-dose ketamine for adolescent idiopathic scoliosis surgery: a randomized controlled trial.

Acta Anaesthesiol Scand. 2015 Jun 16. doi: 10.1111/aas.12571. Authors: Minoshima R et al BACKGROUND: In this randomized controlled trial, we examined whether intra- and postoperative infusion of low-dose ketamine decreased postoperative morphine requirement and morphine-related adverse effects as nausea and vomiting after scoliosis surgery. METHODS: After IRB approval and informed consent, 36 patients, aged 10-19 years, undergoing posterior […]

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Uncategorized Published - 19 August, 2015    By - Dr Clemens
Kids With Migraine Not Receiving Optimal Treatment

Nearly half of children and adolescents who present for the first time with migraine or probable migraine receive no treatment, and fewer than one in six receive evidence-based treatment, a new study finds. The results, from an analysis of electronic health record data across practice settings in four US states, were presented here at the […]

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Uncategorized Published - 18 August, 2015    By - Dr Clemens
Patient satisfaction between remifentanil patient-controlled analgesia and epidural analgesia for labor pain

Acta Obstet Gynecol Scand, 2015 Sep;94(9):1014-21. Authors: Frauenfelders S et al INTRODUCTION: The aim of this study was to compare patient satisfaction between remifentanil patient-controlled analgesia (RPCA) and epidural analgesia (EA) for labor pain. MATERIAL AND METHODS: This prospective cohort study was carried out on primiparous women requesting analgesia for labor at a Teaching Hospital, Amsterdam, the […]

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Uncategorized Published - 18 August, 2015    By - Dr Clemens
Is pre-emptive administration of ketamine a significant adjunction to intravenous morphine analgesia for controlling postoperative pain?

 Cardiovac Thorac Surg  2015 Jun 13. pii: ivv154 Authors: Fiorelli A et al OBJECTIVES: To evaluate if the pre-emptive administration of ketamine would potentiate the effect of intravenous morphine analgesia in the management of post-thoracotomy pain. METHODS: This was a unicentre, double-blind, placebo-controlled, parallel-group, prospective study. Patients were randomly assigned to receive 1 mg/kg ketamine (ketamine group) […]

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Uncategorized Published - 18 August, 2015    By - Dr Clemens
Required Propofol Dose for Anesthesia and Time to Emerge Are Affected by the Use of Antiepileptics Prospective Cohort Study

BMC Anesthesiol. 2015;15(34) Authors: Kentaro Ouchi; Kazuna Sugiyama Abstrate: We investigated the impact of the type of neurological disorder on the required propofol dose for anesthesia and the time to emerge from anesthesia during dental treatment in patients with autism (AU), cerebral palsy (CP), and intellectual disability (ID), some of whom also had epilepsy. Methods: We studied 224 […]

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Uncategorized Published - 18 August, 2015    By - Dr Clemens
What’s Measured Matters: Measuring Performance in Anaesthesia

Br J Anaesth. 2015;114(6):869-871. Authors: F. Kiernan; D. J. Buggy Delivering value for money is an increasingly insistent demand in health policy, driven by financial constraint, increased patient expectations, an ageing population, and more expensive technologies. Health performance measurement is central to ensuring that the healthcare we provide is of value to both those who pay […]

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