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Uncategorized Published - 6 November, 2017    By - Dr Clemens
Prevalence of Potentially Distracting Noncare Activities and Their Effects on Vigilance, Workload, and Nonroutine Events during Anesthesia Care

Authors: Jason M. Slagle, Ph.D. et al Anesthesiology published on October 19, 2017. Background: When workload is low, anesthesia providers may perform non–patient care activities of a clinical, educational, or personal nature. Data are limited on the incidence or impact of distractions on actual care. We examined the prevalence of self-initiated nonclinical distractions and their effects on […]

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Uncategorized Published - 6 November, 2017    By - Dr Clemens
An International, Multicenter, Observational Study of Cerebral Oxygenation during Infant and Neonatal Anesthesia

Authors: Vanessa A. Olbrecht, M.D., M.B.A. et al Anesthesiology published on October 19, 2017. Background: General anesthesia during infancy is associated with neurocognitive abnormalities. Potential mechanisms include anesthetic neurotoxicity, surgical disease, and cerebral hypoxia–ischemia. This study aimed to determine the incidence of low cerebral oxygenation and associated factors during general anesthesia in infants. Methods: This multicenter study enrolled […]

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Uncategorized Published - 6 November, 2017    By - Dr Clemens
Lying Down in Second Stage of Labor After Low-Dose Epidural Tied to Higher Odds of Spontaneous Delivery

Having women lie down during the second stage of labor after an epidural is associated with increased rates of spontaneous vaginal birth without an increase in complications, according to a randomized trial in The BMJ. Roughly 3200 nulliparous U.K. women who received low-dose epidurals were assigned to undergo the second stage of labor (after the cervix […]

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Uncategorized Published - 6 November, 2017    By - Dr Clemens
Extended-Release Naltrexone Seems as Effective as Standard Treatment for Opioid Dependence

Injectable extended-release naltrexone (Vivitrol) appears to be as safe and effective as daily oral buprenorphine-naloxone for treating opioid dependence, according to a Norway-based, noninferiority trial in JAMA Psychiatry. Roughly 160 opioid-dependent adults who were discharged from addiction treatment programs were randomized to receive either oral buprenorphine-naloxone daily or extended-release intramuscular naltrexone every 4 weeks for 12 […]

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Uncategorized Published - 6 November, 2017    By - Dr Clemens
Ibutilide for Conversion of Atrial Fibrillation or Flutter in Community Emergency Departments

Daniel J. Pallin, MD, MPH reviewing Vinson DR et al. Ann Emerg Med 2017 Sep 29. Ibutilide successfully cardioverted 55% of patients within 4 hours in a multicenter retrospective cohort study. Ibutilide is a class III antiarrhythmic drug that is effective for cardioverting atrial fibrillation or flutter (AF/F). However, reported rates of induced ventricular tachycardia of around 1% may […]

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