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Uncategorized Published - 27 September, 2018    By - Dr Clemens
Dexmedetomidine for the reduction of emergence delirium in children undergoing tonsillectomy with propofol anesthesia: A double‐blind, randomized study

Authors: delais G. Tsiotou et al Pediatric Anesthesia May 2018 Postanesthesia emergence delirium is a motor agitation state complicating pediatric anesthesia. We investigated the efficacy of dexmedetomidine in reducing emergence delirium in children undergoing tonsillectomy with and without adenoidectomy using total intravenous anesthesia with propofol. Methods This was a prospective, single‐center, double‐blind, randomized study. The primary […]

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Uncategorized Published - 27 September, 2018    By - Dr Clemens
In Type 2 Diabetics, Discontinuing Oral Hypoglycemics Pre-op Not Necessary

Although adults with type 2 diabetes mellitus who are taking oral hypoglycemic agents are instructed to discontinue their medications on the day of surgery, a study has concluded this strategy may not be necessary. A study found that perioperative blood glucose levels did not differ significantly between patients who did and did not discontinue oral […]

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Uncategorized Published - 27 September, 2018    By - Dr Clemens
Intermittent Sedation–Analgesia Reduces ICU Ventilation Time, Overall Medication

Sliding-scale intermittent sedation and analgesia regimens in surgical patients significantly reduced both mechanical ventilation time and the total amount of medication administered, compared with continuous infusions, according to a new study. A preliminary analysis of the first yea r of data from this two-year study also found that the number of adverse events was not […]

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Uncategorized Published - 27 September, 2018    By - Dr Clemens
Liposomal Bupivacaine Infiltration for Knee Arthroplasty: Significant Analgesic Benefits or Just a Bunch of Fat?

Authors: Brian M. Ilfeld, M.D., M.S. et al   Anesthesiology 10 2018, Vol.129, 623-626. “…use of liposomal bupivacaine was not associated with a change in billing patterns for opioids…[or] decreased use of naloxone or incidence of opioid-related… complications…” TOTAL knee arthroplasty is among the most common and painful surgical procedures, with more than 700,000 performed annually in […]

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Uncategorized Published - 26 September, 2018    By - Dr Clemens
Pancreaticoduodenectomy Enhanced Recovery Program Reduces Opioid Use

A fully integrated multidisciplinary enhanced recovery program for pancreaticoduodenectomy patients significantly reduced postoperative opioid use and facilitated the transition from parenteral to oral opioid use after the procedure. Researchers from Cancer Treatment Centers of America (CTCA) said although the intraoperative part of their enhanced recovery program was already well established at their institution, preoperative and […]

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