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Uncategorized Published - 25 July, 2019    By - Dr Clemens
Intraoperative Methadone in Same-Day Ambulatory Surgery

AUTHORS: Komen, Helga MD et al Anesthesia & Analgesia: April 2019 – Volume 128 – Issue 4 – p 802-810 BACKGROUND: Approximately 50 million US patients undergo ambulatory surgery annually. Postoperative opioid overprescribing is problematic, yet many patients report inadequate pain relief. In major inpatient surgery, intraoperative single-dose methadone produces better analgesia and reduces opioid use […]

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Uncategorized Published - 25 July, 2019    By - Dr Clemens
Blood Pressure and the Brain: How Low Can You Go?

AUTHOR: Drummond, John C. MD Anesthesia & Analgesia: April 2019 – Volume 128 – Issue 4 – p 759-771 There are occasionally intraoperative circumstances in which reduction of mean arterial pressure (MAP) to levels well below those that occur in nonanesthetized adults is necessary or unavoidable. In these situations, clinicians are inevitably concerned about the limits […]

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Uncategorized Published - 25 July, 2019    By - Dr Clemens
Review on Fetal Alcohol Spectrum Disorders

Rarities With Anesthetic Implications Elizabeth A.M. Frost, MD Professor of Anesthesiology Mount Sinai Medical Center New York, New York Anesthesiology News Fetal Alcohol Spectrum Disorders What Is It? The term “fetal alcohol spectrum disorders” (FASDs) indicates several pathologies that affect children born of mothers who drank alcohol during pregnancy. Disorders vary from mild to severe, […]

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Uncategorized Published - 25 July, 2019    By - Dr Clemens
Effects of Anticholinesterase Reversal Under General Anesthesia on Postoperative Cardiovascular Complications

AUTHORS: Shaydenfish, Denys Cand Med et al Anesthesia & Analgesia: March 2019 BACKGROUND: The anticholinesterase neostigmine and the muscarinic inhibitor glycopyrrolate are frequently coadministered for the reversal of neuromuscular blockade. This practice can precipitate severe bradycardia or tachycardia, but whether it affects the incidence of cardiovascular complications remains unclear. We hypothesized that anticholinesterase reversal with neostigmine and […]

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Uncategorized Published - 25 July, 2019    By - Dr Clemens
Prospective Investigation of the Operating Room Time-Out Process

AUTHORS: Freundlich, Robert E. MD, MS et al Anesthesia & Analgesia: March 2019 BACKGROUND: Although the surgical pause or time-out is a required part of most hospitals’ standard operating procedures, little is known about the quality of execution of the time-out in routine clinical practice. An interactive electronic time-out was implemented to increase surgical team compliance with […]

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