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Uncategorized Published - 8 June, 2018    By - Dr Clemens
Pain Control Protocol Reduces Opioid Use

A North Carolina hospital’s trauma service created a multidisciplinary team that substantially reduced opioid prescriptions for patients by standardizing the approach to pain control, according to a new study. The Wake Forest Baptist Medical Center’s multidisciplinary team implemented a pain management protocol (PMP) for trauma patients that improved pain management and patient satisfaction while reducing […]

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Uncategorized Published - 8 June, 2018    By - Dr Clemens
Physicians Balk at FDA Warning on Anesthesia in Pregnant Women

Repeated or lengthy use of general anesthetic and sedation drugs in infants, toddlers and pregnant women in their third trimester might damage children’s developing brains, the U.S. Food and Drug Administration warned this month. Upset that the warning about pregnant women was based solely on animal studies, the American College of Obstetricians and Gynecologists, or […]

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Uncategorized Published - 8 June, 2018    By - Dr Clemens
Inhalational versus Intravenous Induction of Anesthesia in Children with a High Risk of Perioperative Respiratory Adverse Events: A Randomized Controlled Trial

Authors: Anoop Ramgolam, Ph.D. et al     Anesthesiology 6 2018, Vol.128, 1065-1074. Background: Limited evidence suggests that children have a lower incidence of perioperative respiratory adverse events when intravenous propofol is used compared with inhalational sevoflurane for the anesthesia induction. Limiting these events can improve recovery time as well as decreasing surgery waitlists and healthcare costs. This […]

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Uncategorized Published - 8 June, 2018    By - Dr Clemens
Effect of Low Dose Ketamine on Cognitive Function

ASA ANNUAL MEETING Oct 2017 Introduction Ketamine is associated with improvement of depression and neuropathic pain when sub-anesthetic doses are used. The NMDA receptor is involved in learning and memory, and antagonists such as ketamine may be associated with cognitive impairment. The objective of this study is to investigate whether repeat outpatient ketamine infusion is […]

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Uncategorized Published - 7 June, 2018    By - Dr Clemens
Peri-op Interventions Needed to Improve Outcomes in Frail Surgical Patients

Although frailty is an important perioperative risk factor, interventions specific to frail surgical patients remain rare. According to a systematic review of the literature, development and evaluation of frailty-specific interventions in trials containing a low risk for bias is urgently needed. “We know that frailty adversely affects outcomes in the elderly. Now it’s time to […]

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