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Uncategorized Published - 22 June, 2018    By - Dr Clemens
Endovascular vs. Open Repair for Suspected Ruptured Abdominal Aortic Aneurysm

 IMPROVE Trial Investigators. BMJ 2017 Nov 14. Three-year mortality was lower with endovascular repair. In a previously reported U.K. trial of 613 patients with clinically suspected rupture of abdominal aortic aneurysm (AAA), 30-day mortality and hospital costs were similar in patients randomized to endovascular repair (in those with suitable aortic anatomy) and patients randomized to open repair; […]

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Uncategorized Published - 21 June, 2018    By - Dr Clemens
Comparison of adductor canal block and IPACK block (interspace between the popliteal artery and the capsule of the posterior knee) with adductor canal block alone after total knee arthroplasty: a prospective control trial on pain and knee function in immediate postoperative period

AUTHORS: Sankineani S et al European Journal of Orthopaedic Surgery & Traumatology (May 2018) BACKGROUND Adductor canal block (ACB) is a peripheral nerve blockade technique that provides good pain control in patients undergoing total knee arthroplasty which however does not relieve posterior knee pain. The recent technique of an ultrasound-guided local anesthetic infiltration of the interspace between popliteal artery […]

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Uncategorized Published - 21 June, 2018    By - Dr Clemens
Comparison of the analgesic effects of modified continuous intercostal block and paravertebral block under surgeon’s direct vision after video-assisted thoracic surgery: a randomized clinical trial

AUTHORS: Kadomatsu Y et al General Thoracic and Cardiovascular Surgery (May 2018) OBJECTIVE Clinical evidence comparing paravertebral (PVB) and continuous intercostal nerve (ICB) blocks for pain management post video-assisted thoracic surgery (VATS) is limited. This study confirms the analgesic effect of ICB using two catheters is not inferior to that of PVB under direct vision. […]

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Uncategorized Published - 21 June, 2018    By - Dr Clemens
Opioids in Setting of Hemodialysis Associated With Adverse Events

This is important because we see many dialysis patients in surgery. In a retrospective cohort study published in the Clinical Journal of the American Society of Nephrology, opioids were found to be associated with adverse events in older Medicare beneficiaries receiving hemodialysis. The investigators used the US Renal Data System to evaluate adverse events in 140,899 Medicare […]

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Uncategorized Published - 21 June, 2018    By - Dr Clemens
Intra-op IV Methadone Lowers Post-op Opioid Use

With the country’s opioid crisis in mind, anesthesiologists are on the lookout for ways to address pain after outpatient surgery while minimizing the possibility of diversion. A team of Missouri researchers may have found a possible solution in the unlikeliest of candidates: IV methadone. Their study found that a single intraoperative dose of the agent […]

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