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Uncategorized Published - 30 September, 2019    By - Dr Clemens
Spinal Administration of Tranexamic Acid: Catastrophic and Avoidable

Author: Michael Vlessides Anesthesiology News Although accidental spinal administration of tranexamic acid is rare, it is a well-documented drug error and one that has catastrophic consequences. Yet these errors can be avoided by adhering to four published recommendations. “In 2015, we published an article in Anesthesia & Analgesia regarding obstetric neuraxial drug errors [2015;121(6):1570-1577],” said Santosh […]

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Uncategorized Published - 30 September, 2019    By - Dr Clemens
Heterogeneity Among Hospitals in the Percentages of All Lumbosacral Epidural Steroid Injections Where the Patient Had Received 4 or More in the Previous Year

AUTHORS: Pearson, Amy C. S. MD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 493-499 BACKGROUND: Current guidelines for the administration of therapeutic epidural injections suggest that these be limited to a maximum of 4 per year. We sought to gain an understanding of the proportion of lumbosacral epidural […]

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Uncategorized Published - 27 September, 2019    By - Dr Clemens
Need for additional anesthesia after single injection spinal analgesia for labor

Authors: E. E. Sharpe et al International Journal of Obstetric Anesthesia June 2019 Highlights •The median reduction in pain score was 9 (0–10 scale) after labor spinal analgesia. •Of 429 women receiving spinal analgesia, 14% later needed anesthesia. •Primiparity, induction and lower cervical dilation increased risk of anesthesia. •Two patients (0.5%) ultimately needed general anesthesia […]

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Uncategorized Published - 27 September, 2019    By - Dr Clemens
Brachial Plexus Block with Liposomal Bupivacaine for Shoulder Surgery Improves Analgesia and Reduces Opioid Consumption

Authors: Manish A Patel, MD, FAAOS et al  Pain Medicine May 2019 Objective The utility of single-injection and continuous peripheral nerve blocks is limited by short duration of analgesia and catheter-related complications, respectively. This double-blind, multicenter trial evaluated the efficacy, safety, and pharmacokinetics of single-injection, ultrasound-guided brachial plexus block (BPB) with liposomal bupivacaine (LB) added […]

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Uncategorized Published - 27 September, 2019    By - Dr Clemens
Opioid Use After Urologic Oncology Surgery Cut by Half

Author: Caroline Helwick Anesthesiology News A quality improvement project resulted in a 46% drop in opioid use after urologic oncology surgery, Stanford Health Care researchers reported at the American Society of Clinical Oncology 2018 Quality Care Symposium (abstract 269). “Pain can be controlled with half as much opioid[s],” said Kerri Stevenson, MN-NP, NP-C, a nurse […]

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