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Uncategorized Published - 19 December, 2019    By - Dr Clemens
Rectus Sheath Over Field Block for Midline Hernia Repair

Author: Michael Vlessides Anesthesiology News Ultrasound-guided rectus sheath block proves superior to field block with respect to perioperative pain control and stress response in patients undergoing midline hernia repair, new research has concluded. The team of Egyptian investigators behind the trial stressed that ultrasound guidance reduces the risk for accidental bowel puncture when performing the […]

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Uncategorized Published - 19 December, 2019    By - Dr Clemens
NSAIDS Linked to Higher Cardiovascular Risks in Patients With Osteoarthritis

Nonsteroidal anti-inflammatory drugs (NSAIDs) can help to control the pain and inflammation in patients with osteoarthritis (OA), but the drugs may contribute to cardiovascular side effects in these individuals, according to a study published in Arthritis & Rheumatology. The study matched 7,743 patients with OA with 23,229 controls without OA. The risk of developing cardiovascular disease […]

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Uncategorized Published - 19 December, 2019    By - Dr Clemens
Whole Blood Point-of-Care Testing for Incomplete Reversal With Idarucizumab in Supratherapeutic Dabigatran

AUTHORS: Takeshita, Shusuke MD et al Anesthesia & Analgesia: September 2019 BACKGROUND: Incomplete reversal with a recommended 5-g dose of idarucizumab has been reported in patients with excessively high dabigatran concentrations. A timely detection of reversal failure after idarucizumab using whole blood (WB) coagulation testing is clinically useful. The aims of this study were to determine residual […]

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Uncategorized Published - 18 December, 2019    By - Dr Clemens
New Surgical Attire Guidelines Published

Restrictions on head covers, sleeves and clothing relaxed Authors: Jason S. Chi, MD After much anticipation, the Association of periOperative Registered Nurses (AORN) published its updated “Guidelines for Surgical Attire” on July 1, 2019.1 The previous version, published in 2014, caused controversy due to its recommendation that bouffant hats be worn instead of skull caps. The […]

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Uncategorized Published - 18 December, 2019    By - Dr Clemens
Fibrinogen Concentrate as an Alternative to Cryoprecipitate in a Postcardiopulmonary Transfusion Algorithm in Infants Undergoing Cardiac Surgery

AUTHORS: Downey, Laura A. MD et al Anesthesia & Analgesia: September 2019 BACKGROUND: Infants undergoing cardiac surgery are at risk for bleeding and massive transfusion due to an immature coagulation system, complex surgeries, and cardiopulmonary bypass (CPB) effects. Hemodilution from CPB promotes an acquired hypofibrinogenemia that results in impaired fibrin formation, inadequate clot formation, and increased bleeding. […]

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