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Uncategorized Published - 10 December, 2019    By - Dr Clemens
Postoperative Corneal Injuries: Incidence and Risk Factors

AUTHORS: Deljou, Atousa MD et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 737-742 BACKGROUND: Previous studies of postoperative corneal injury rates relied on provider-initiated incident reports, which may underestimate the true incidence. Postoperative administration of proparacaine eye drops is used almost exclusively to diagnose corneal injury; therefore, identifying instances […]

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Uncategorized Published - 10 December, 2019    By - Dr Clemens
Evaluation of Increase in Intraoperative Lactate Level as a Predictor of Outcome in Adults After Cardiac Surgery

Authors: Pooveshni Govender, MBChB, DA(SA), FCA(SA) et al Journal of Cardiothoracic and Vascular Anesthesia Nov 2019 Objectives Early onset hyperlactatemia develops intraoperatively or within the first 6 hours of admission to the intensive care unit (ICU) and is associated with a poor prognosis. The aim of the present study was to determine the utility of […]

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Uncategorized Published - 10 December, 2019    By - Dr Clemens
Variability and Costs of Low-Value Preoperative Testing for Carpal Tunnel Release Surgery

AUTHORS: Harris, Alex H. S. PhD, MS et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 804-811 BACKGROUND: The American Society of Anesthesiologists (ASA) Choosing Wisely Top-5 list of activities to avoid includes “Don’t obtain baseline laboratory studies in patients without significant systemic disease (ASA I or II) undergoing low-risk […]

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Uncategorized Published - 10 December, 2019    By - Dr Clemens
The Impact of Postoperative Intensive Care Unit Admission on Postoperative Hospital Length of Stay and Costs

AUTHORS: Thevathasan, Tharusan Cand Med et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 753-761 BACKGROUND: In this prespecified cohort study, we investigated the influence of postoperative admission to the intensive care unit versus surgical ward on health care utilization among patients undergoing intermediate-risk surgery. METHODS: Of adult surgical patients who […]

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Uncategorized Published - 10 December, 2019    By - Dr Clemens
Transient neurological symptoms (TNS) following spinal anaesthesia with lidocaine versus other local anaesthetics in adult surgical patients

Cochrane Library Dec 2019 Spinal anaesthesia has been implicated as one of the possible causes of neurological complications following surgical procedures. This painful condition, occurring during the immediate postoperative period, is termed transient neurological symptoms (TNS) and is typically observed after the use of spinal lidocaine. Alternatives to lidocaine that can provide high‐quality anaesthesia without […]

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