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Uncategorized Published - 27 October, 2017    By - Dr Clemens
Postpartum Tubal Sterilization: Making the Case for Urgency

AUTHORS: Richardson, Michael G. MD et al Anesthesia & Analgesia: June 2017 The parturient who requests postpartum sterilization has given consideration to and has made decisions regarding this aspect of her medical care long before her delivery. She arrives at parturition expecting the postpartum procedure to be performed as intended. The American Congress of Obstetricians and […]

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Uncategorized Published - 27 October, 2017    By - Dr Clemens
Assessment of Postoperative Analgesic Drug Efficacy: Method of Data Analysis Is Critical

AUTHORS: Andersen, Lars Peter Kloster MD, PhD et al Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 1008–1013 BACKGROUND: Pain intensity ratings and opioid consumption (OC) are ubiquitous indicators of pain in postoperative trials of the efficacy of interventional procedures. Unfortunately, consensus on the appropriate statistical handling of these outcomes has not […]

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Uncategorized Published - 27 October, 2017    By - Dr Clemens
Stroke Volume Variation–Guided Versus Central Venous Pressure–Guided Low Central Venous Pressure With Milrinone During Living Donor Hepatectomy: A Randomized Double-Blinded Clinical Trial

AUTHORS: Lee, Jiwon MD et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 423–430 BACKGROUND: We previously demonstrated the usefulness of milrinone for living donor hepatectomy. However, a less-invasive alternative to central venous catheterization and perioperative contributors to good surgical outcomes remain undetermined. The current study evaluated whether the stroke volume […]

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Uncategorized Published - 27 October, 2017    By - Dr Clemens
Intraoperative “Analgesia Nociception Index”–Guided Fentanyl Administration During Sevoflurane Anesthesia in Lumbar Discectomy and Laminectomy: A Randomized Clinical Trial

AUTHORS: Upton, Henry D. MBBS, BMedSc  et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 81–90 BACKGROUND: The “Analgesia Nociception Index” (ANI; MetroDoloris Medical Systems, Lille, France) is a proposed noninvasive guide to analgesia derived from an electrocardiogram trace. ANI is scaled from 0 to 100; with previous studies suggesting that […]

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Uncategorized Published - 26 October, 2017    By - Dr Clemens
Platelet Counts and Postoperative Stroke After Coronary Artery Bypass Grafting Surgery

AUTHORS: Karhausen, Jörn A. MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1129–1139 BACKGROUND: Declining platelet counts may reveal platelet activation and aggregation in a postoperative prothrombotic state. Therefore, we hypothesized that nadir platelet counts after on-pump coronary artery bypass grafting (CABG) surgery are associated with stroke. METHODS: We evaluated […]

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