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Uncategorized Published - 5 December, 2018    By - Dr Clemens
Hospital noise levels growing worse, say researchers

Anyone who has ever stayed overnight in a hospital will know how difficult it can be to sleep, surrounded by staff, machinery, trolleys and telephones. In the UK, 40% of hospital patients are bothered by noise at night, according to in-patient surveys. But it’s not only the patients’ wellbeing that may be affected – high […]

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Uncategorized Published - 5 December, 2018    By - Dr Clemens
Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation Success Among Patients With Difficult Airways Undergoing Emergency Intubation

Authors: Brian E. Driver, MD et al  JAMA • June 5, 2018 To understand procedural challenges of endotracheal intubation. Question  In patients admitted to the emergency department with difficult airway characteristics undergoing orotracheal intubation with a Macintosh laryngoscope blade, does a bougie facilitate higher first-attempt intubation success than an endotracheal tube + stylet? Findings  In this randomized clinical trial that included 757 […]

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Uncategorized Published - 5 December, 2018    By - Dr Clemens
Sevoflurane‐augmented xenon anesthesia in school‐aged children

Authors: Sarah Devroe et al Pediatric Anesthesia July 2018 Background In adults, xenon has only minimal hemodynamic side effects when compared with other anesthetics. Moreover, in preclinical experiments, xenon has been demonstrated to possess cardio‐ and neuroprotective properties. Altogether, the favorable hemodynamic profile combined with its potential for organ‐protection could render xenon an attractive option […]

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Uncategorized Published - 5 December, 2018    By - Dr Clemens
Propofol-based Total Intravenous Anesthesia Is Associated with Better Survival Than Desflurane Anesthesia in Colon Cancer Surgery

Authors: Zhi-Fu Wu, M.D. et al  Anesthesiology 11 2018, Vol.129, 932-941. What We Already Know about This Topic: Propofol may better preserve host defenses against cancer Whether cancer recurrence is less likely with propofol than volatile anesthesia remains unknown What This Article Tells Us That Is New: The authors conducted a propensity-matched retrospective analysis of 1,158 […]

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Uncategorized Published - 5 December, 2018    By - Dr Clemens
The impact of analgesic intervention during the second stage of labour: a retrospective cohort study

Authors: Allana Munro et al  Canadian Journal of Anesthesia November 2018, Volume 65, Issue 11, pp 1240–1247|  Purpose The incidence of epidural top-ups received in the second stage of labour in nulliparous women and the obstetrical and neonatal implications associated with these boluses are explored in this retrospective observational study. We hypothesized that an epidural top-up in the second stage of labour […]

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