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Uncategorized Published - 8 October, 2019    By - Dr Clemens
Association Between Post–Dural Puncture Headache After Neuraxial Anesthesia in Childbirth and Intracranial Subdural Hematoma

Authors: lbert R. Moore, MD et al JAMA Neurol. September 16, 2019. Key Points Question  Do postpartum women with post–dural puncture headache secondary to neuraxial anesthesia have an increased risk of intracranial subdural hematoma? Findings  In this cohort study of 22 130 815 deliveries, there was a post–dural puncture headache rate of 309 per 100 000 deliveries and a subdural […]

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Uncategorized Published - 8 October, 2019    By - Dr Clemens
Prospective Association of Serum Opioid Levels and Clinical Outcomes in Patients With Cancer Pain Treated With Intrathecal Opioid Therapy

AUTHORS: Brogan, Shane E. MB BCh et al Anesthesia & Analgesia: June 12, 2019 BACKGROUND: Opioids remain the mainstay of cancer pain management but are associated with systemic toxicity. In refractory cancer pain, intrathecal therapy (ITT) is associated with improved pain control, reduced systemic side effects, and improved survival. It has been assumed that ITT decreases systemic […]

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Uncategorized Published - 8 October, 2019    By - Dr Clemens
Sleep apnea, resistant hypertension pose highest risk for heart attack

Author: Tauren Dyson UPI People with severe forms of sleep apnea also often have very high blood pressure, which new research suggests carries risk for heart health events. Patients with resistant high blood pressure, which can require at least three drugs to control, have the highest risk of suffering a heart attack or cardiac episode, […]

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Uncategorized Published - 7 October, 2019    By - Dr Clemens
Prevention of hypotension after spinal anaesthesia for caesarean section: a systematic review and network meta‐analysis of randomised controlled trials

Authors: J. P. Fitzgerald et al Anesthesia September 2019 Summary Spinal anaesthesia for caesarean section commonly causes maternal hypotension. This systematic review and network meta‐analysis compared methods to prevent hypotension in women receiving spinal anaesthesia for caesarean section. We selected randomised controlled trials that compared an intervention to prevent hypotension with another intervention or inactive […]

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Uncategorized Published - 7 October, 2019    By - Dr Clemens
TEE Measurements Can Underestimate Severity of Aortic Stenosis

Author: Michael Vlessides Anesthesiology News Transesophageal echocardiography (TEE) measurements made during general endotracheal anesthesia with mechanical ventilation underestimate the severity of aortic stenosis in patients undergoing cardiac surgery, according to a new study. Pressure gradients in these situations also were significantly greater during the inspiratory phase than the expiratory phase. Given these findings, the investigators […]

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