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Uncategorized Published - 24 October, 2017    By - Dr Clemens
Postoperative Respiratory Complications in Patients at Risk for Obstructive Sleep Apnea: A Single-Institution Cohort Study

AUTHORS: Ramachandran, Satya Krishna MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 272–279 BACKGROUND: Obstructive sleep apnea (OSA) is a prevalent condition that is associated with early postoperative respiratory complications (PRCs). As the majority of patients with OSA are undiagnosed, preoperative screening remains the most efficient method to identify […]

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Uncategorized Published - 24 October, 2017    By - Dr Clemens
Informed Consent for Pediatric Anesthesia: Minimums Met, but Agreement Lacking

The minimum criteria for informed consent (IC) are being met in pediatric anesthesia, but more can be done to obtain explicit agreement from patients’ parents, according to a prospective, cross-sectional study conducted at Seattle Children’s Hospital, in Washington. The findings come from analyses of recorded and transcribed conversations between parents of surgical patients aged 1 […]

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Uncategorized Published - 24 October, 2017    By - Dr Clemens
Labor Analgesia Onset With Dural Puncture Epidural Versus Traditional Epidural Using a 26-Gauge Whitacre Needle and 0.125% Bupivacaine Bolus: A Randomized Clinical Trial

AUTHORS: Wilson, Sylvia H. MD et al Anesthesia & Analgesia: June 2017 BACKGROUND: Lumbar epidurals (LEs) provide excellent analgesia. Combined spinal epidural and dural puncture epidural (DPE) are 2 techniques to expedite neuraxial analgesia onset. In DPE, dura is punctured but medication is not administered in the cerebrospinal fluid. Expedited analgesia onset has been demonstrated with […]

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Uncategorized Published - 24 October, 2017    By - Dr Clemens
Predictors, Prognosis, and Management of New Clinically Important Atrial Fibrillation After Noncardiac Surgery: A Prospective Cohort Study

AUTHORS: Alonso-Coello, Pablo MD, PhD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 162–169 BACKGROUND: Despite the frequency of new clinically important atrial fibrillation (AF) after noncardiac surgery and its increased association with the risk of stroke at 30 days, there are limited data informing their prediction, association with outcomes, […]

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Uncategorized Published - 23 October, 2017    By - Dr Clemens
Chronic Pain Might Hasten Cognitive Decline in Older Adults

Authors: Whitlock EL et al., JAMA Intern Med 2017 Jun 5; Persistent moderate-to-severe pain was associated with about a 2% increase in absolute risk for developing dementia. One quarter to one third of older adults have chronic pain, and cross-sectional studies have shown associations between chronic pain and cognitive decline. In this study, researchers used data from a […]

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