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Uncategorized Published - 4 May, 2018    By - Dr Clemens
Ultrasound-Assisted Versus Fluoroscopic-Guided Lumbar Sympathetic Ganglion Block: A Prospective and Randomized Study

AUTHORS: Ryu, Jung-Hee, MD, PhD et al Anesthesia & Analgesia: April 2018 – Volume 126 – Issue 4 – p 1362–1368 BACKGROUND: Fluoroscopy (FL)-guided lumbar sympathetic ganglion block (LSGB) is widely performed to diagnose and manage various diseases associated with sympathetically maintained pain. Recently, numerous ultrasound (US)-assisted procedures in pain medicine have been attempted, showing an advantage […]

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Uncategorized Published - 4 May, 2018    By - Dr Clemens
Risk of respiratory depression with opioids and concomitant gabapentinoids

Journal of Pain Research November 2017 Volume 2017:10 Pages 2635—2641 Authors: Savelloni J et al Introduction: The combination of opioids and central nervous system depressants such as benzodiazepines and barbiturates has an additive effect on the frequency of oversedation and respiratory depression requiring naloxone use in hospitalized patients. Gabapentinoids (gabapentin and pregabalin) are frequently prescribed with opioids for their […]

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Uncategorized Published - 3 May, 2018    By - Dr Clemens
Alkalinized Lidocaine Preloaded Endotracheal Tube Cuffs Reduce Emergence Cough After Brief Surgery: A Prospective Randomized Trial

AUTHORS: Nath, Papu, MD, FRCPC et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 615–620 BACKGROUND: Alkalinized lidocaine in the endotracheal tube (ETT) cuff decreases the incidence of cough and throat pain on emergence after surgery lasting more than 2 hours. However, alkalinized lidocaine needs 60–120 minutes to cross the ETT […]

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Uncategorized Published - 3 May, 2018    By - Dr Clemens
Low- Versus High-Chloride Content Intravenous Solutions for Critically Ill and Perioperative Adult Patients: A Systematic Review and Meta-analysis

AUTHORS: Kawano-Dourado, Leticia, MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 513–521 BACKGROUND: To assess whether use of low-chloride solutions in unselected critically ill or perioperative adult patients for maintenance or resuscitation reduces mortality and renal replacement therapy (RRT) use when compared to high-chloride fluids. METHODS: Systematic review and meta-analysis […]

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Uncategorized Published - 3 May, 2018    By - Dr Clemens
Epidural Space Identification With Loss of Resistance Technique for Epidural Analgesia During Labor: A Randomized Controlled Study Using Air or Saline—New Arguments for an Old Controversy

AUTHORS: Brogly, Nicolas, MD, PhD, DESAR, DESA et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 532–536 BACKGROUND: The best technique to identify the epidural space for labor analgesia is still unclear despite the publication of various randomized controlled studies and meta-analyses. Our aim was to assess the superiority of the […]

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