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Uncategorized Published - 15 December, 2017    By - Dr Clemens
Perioperative Management of Buprenorphine Requires Multimodal Strategy

A comprehensive, multimodal pain strategy is the cornerstone of policy formation for managing buprenorphine perioperatively at Stanford University Medical Center. As awareness of the pervasiveness of the opioid epidemic increases, clinicians have begun to take steps to do what they can to control it. “We are having more and more patients coming for surgery that […]

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Uncategorized Published - 15 December, 2017    By - Dr Clemens
Risk Factors for Severe Postpartum Hemorrhage After Cesarean Delivery: Case-Control Studies

AUTHORS: Butwick, Alexander J. MBBS, FRCA, MS et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 523–532 BACKGROUND: Women who undergo intrapartum caesarean delivery (CD) are at increased risk of postpartum hemorrhage (PPH) compared with those undergoing prelabor CD. To determine whether the presence and strength of the associations […]

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Uncategorized Published - 14 December, 2017    By - Dr Clemens
A Randomized Crossover Study Comparing Cervical Spine Motion During Intubation Between Two Lightwand Intubation Techniques in Patients With Simulated Cervical Immobilization: Laryngoscope-Assisted Versus Conventional Lightwand Intubation

AUTHORS: Kim, Tae Kyong MD et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 485–490 BACKGROUND: In patients with cervical immobilization, jaw thrust can cause cervical spine movement. Concurrent use of a laryngoscope may facilitate lightwand intubation, allowing midline placement and free movement of the lightwand in the oral cavity without […]

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Uncategorized Published - 14 December, 2017    By - Dr Clemens
Safety of Large-Volume, Same-Day Oral Bowel Preparations During Deep Sedation: A Prospective Observational Study

AUTHORS: Tandon, Kanwarpreet MD et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 469–476 BACKGROUND: Colonoscopy quality is directly related to the bowel preparation. It is well established that bowel preparations are improved when at least part of the laxative is ingested on the day of the procedure. However, there is […]

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Uncategorized Published - 14 December, 2017    By - Dr Clemens
Intranasal Medication Administration Using a Squeeze Bottle Atomizer Results in Overdosing if Deployed in Supine Patients

AUTHORS: Goldhammer, Jordan E. MD et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 453–457 BACKGROUND: Vasoconstrictors and local anesthetics are commonly administered using a squeeze bottle atomizer to the nasal mucosa to reduce edema, limit bleeding, and provide analgesia. Despite widespread use, there are few clinical guidelines that address technical […]

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