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Uncategorized Published - 3 May, 2018    By - Dr Clemens
Safety Violations Compound Pain Of Painkiller Shortages

Safety violations at a major compounding pharmacy are exacerbating hospital shortages of key painkillers, particularly in California where health officials have taken the “extraordinary” step of prohibiting sales from one of its plants. In late March, California’s Board of Pharmacy barred the distribution of medications — including lidocaine and other local anesthetics — from a […]

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Uncategorized Published - 3 May, 2018    By - Dr Clemens
Effects of Increasing Airway Pressures on the Pressure of the Endotracheal Tube Cuff During Pelvic Laparoscopic Surgery

AUTHORS: Rosero, Eric, B., MD, MSc et al Anesthesia & Analgesia: November 2017 BACKGROUND: Tracheal tube cuff pressures exceeding the perfusion pressures of the tracheal mucosa have been associated with complications such as sore throat, tracheal mucosa ulcers, tracheal rupture, and subglottic stenosis. Despite appropriate inflation, many factors can increase the tracheal cuff pressure during mechanical ventilation. […]

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Uncategorized Published - 2 May, 2018    By - Dr Clemens
How Long Should Patients Receive Opioids After Surgery?

Authors: Scully RE et al.  JAMA Surg 2017 Sep 27. For common surgical procedures, 7 days usually sufficed for opioid-naive patients, but duration depended on the type of procedure performed. Surgeons vary considerably in the dose and duration of opioids they prescribe to patients postoperatively. To better define optimal postoperative opioid prescribing, researchers used a U.S. […]

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Uncategorized Published - 2 May, 2018    By - Dr Clemens
Novel Preconditioning Approach Did Not Reduce Postoperative Nausea and Vomiting After General Anesthesia

A novel approach to prevention of postoperative nausea and vomiting (PONV) failed to reduce its incidence after exposure to general anesthesia. Results of a study, which entailed a gradual preconditioning of several receptor groups involved in the nausea reflex arc, showed a trend toward improved outcomes, but a statistically significant difference was not observed. “We […]

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Uncategorized Published - 2 May, 2018    By - Dr Clemens
Updated International Guidelines for Ventilation During CPR

Author: Olasveengen TM et al.  Resuscitation 2017 Nov 8. This update focuses on continuous compressions versus interruptions for ventilation. Sponsoring Organization: International Liaison Committee on Resuscitation (ILCOR) Target Audience: Bystanders, emergency medical services (EMS) dispatchers, EMS providers, physicians who care for patients in cardiac arrest. Background and Objective Quality cardiopulmonary resuscitation (CPR) has become the central factor in […]

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