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Uncategorized Published - 28 July, 2017    By - Dr Clemens
Continuous Ropivacaine Subfascial Wound Infusion Compared With Intrathecal Morphine for Postcesarean Analgesia: A Prospective, Randomized Controlled, Double-Blind Study.

AUTHORS: Lalmand, Manon MD et al Anesthesia & Analgesia: March 31, 2017 BACKGROUND: After cesarean delivery, postoperative pain management allows early rehabilitation and helps prevent postpartum depression and chronic pain. Our present prospective, randomized controlled, double-blind study assessed the duration and effect of intrathecal analgesia and continuous ropivacaine wound infiltration versus a control group after cesarean […]

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Uncategorized Published - 28 July, 2017    By - Dr Clemens
Electric Nerve Stimulation Does Not Correctly Predict Needle-Nerve Distance and Potential Local Anesthetic Spread for Interscalene Brachial Plexus Blockade

AUTHORS: Fielmuth, Stefan MD et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 632–634 This study evaluated electric nerve stimulation as a nerve location tool. After eliciting motor response in 43 patients undergoing shoulder surgery, the needle tip’s position, distance from the closest nerve, and spread of saline were evaluated […]

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Uncategorized Published - 27 July, 2017    By - Dr Clemens
Closed-Loop Feedback Computer-Controlled Phenylephrine for Maintenance of Blood Pressure During Spinal Anesthesia for Cesarean Delivery: A Randomized Trial Comparing Automated Boluses Versus Infusion

AUTHORS: Ngan Kee et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 117–123 BACKGROUND: We previously described the use of closed-loop feedback computer-controlled infusion of phenylephrine for maintaining blood pressure (BP) during spinal anesthesia for cesarean delivery. In this study, we report a modified system in which phenylephrine is delivered […]

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Uncategorized Published - 27 July, 2017    By - Dr Clemens
Anesthesiologists Found Underreporting Medication Errors

Medication errors are apparently significantly underreported by anesthesia providers, at least at certain institutions. These recent findings may reflect a culture of underreporting or fear of punitive action, despite the fact that approximately 10% of these reported medication errors caused at least temporary patient harm. “As we know from the Institute of Medicine report about […]

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Uncategorized Published - 27 July, 2017    By - Dr Clemens
Initial Opioid Prescription May Affect Long-Term Use

The odds of long-term opioid use increased most sharply in the first days of therapy, particularly after 5 days of taking the drugs. Doctors who limit the supply of opioids they prescribe to 3 days or less may help patients reduce their risk of dependence and addiction, according to research published in the U.S. Centers […]

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