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Uncategorized Published - 16 April, 2018    By - Dr Clemens
Toddlers should stay in the hospital after tonsillectomy

Interesting article I wanted to share JAMA Otolaryngology Head & Neck Surgery, online March 15, 2018. Children who have their tonsils removed before they’re at least three years old may be more likely to have complications afterward than kids who have the surgery when they’re older, a U.S. study suggests. Researchers examined data on 1,817 […]

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Uncategorized Published - 16 April, 2018    By - Dr Clemens
Operationalizing the Recent Multisociety Postoperative Pain Guidelines

David M. Dickerson, MD Assistant Professor, Anesthesiology and Pain Medicine Director, Acute Pain Service Department of Anesthesia & Critical Care University of Chicago Medicine Chicago, Illinois Following the guidelines on acute postoperative pain management requires the hard work of institutionalizing and implementing the recommendations. Updating the 2012 practice advisory of the American Society of Anesthesiologists […]

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Uncategorized Published - 16 April, 2018    By - Dr Clemens
Differentiating Drug-related and State-related Effects of Dexmedetomidine and Propofol on the Electroencephalogram

Authors: Annalotta Scheinin, M.D. et al Anesthesiology April 2018. Background: Differentiating drug-related changes and state-related changes on the electroencephalogram during anesthetic-induced unconsciousness has remained a challenge. To distinguish these, we designed a rigorous experimental protocol with two drugs known to have distinct molecular mechanisms of action. We hypothesized that drug- and state-related changes can be separated. Methods: Forty-seven […]

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Uncategorized Published - 13 April, 2018    By - Dr Clemens
Hospital Group Offers Recommendations on Safe Use of Opioids for Inpatients

The Society of Hospital Medicine has released a consensus statement on safely using opioids for acute, noncancer pain in hospitalized patients. The statement, which appears in the Journal of Hospital Medicine, includes 16 recommendations for clinicians. Among them: Restrict opioid use to patients who have severe pain, or those with moderate pain that isn’t well controlled with […]

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Uncategorized Published - 13 April, 2018    By - Dr Clemens
Effect of Stellate Ganglion Block on the Regional Hemodynamics of the Upper Extremity: A Randomized Controlled Trial

AUTHORS: Kim, Min, Kyoung et al Anesthesia & Analgesia: Oct 2017 BACKGROUND: The success of stellate ganglion block (SGB) is traditionally determined on the basis of findings such as Horner’s syndrome, temperature rise in the face, hyperemia of the tympanic membrane, and nasal congestion. However, decreases in vascular resistance and increases in blood flow in the arm […]

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