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Uncategorized Published - 20 July, 2017    By - Dr Clemens
Posttransfusion Increase of Hematocrit per se Does Not Improve Circulatory Oxygen Delivery due to Increased Blood Viscosity

AUTHORS: Zimmerman, Robert MS et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1547–1554 BACKGROUND: Blood transfusion is used to treat acute anemia with the goal of increasing blood oxygen-carrying capacity as determined by hematocrit (Hct) and oxygen delivery (DO2). However, increasing Hct also increases blood viscosity, which may thus […]

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Uncategorized Published - 20 July, 2017    By - Dr Clemens
Topical Ropivacaine in Prevention of Post-Tonsillectomy Pain in Adults

AUTHORS: Hanna Kaisa MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1459–1466 BACKGROUND: Post-tonsillectomy pain is 1 of the most intense postoperative pain conditions. However, optimal and sufficient postoperative analgesic treatment remains unclear. We investigated the effect of topical ropivacaine for post-tonsillectomy pain in 160 adult outpatient surgery […]

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Uncategorized Published - 20 July, 2017    By - Dr Clemens
Nasal Nerve Block for Migraine Relief in Children

Sphenopalatine ganglion block consists of a small flexible catheter inserted into each nostril, via which a local anesthetic is administered. HealthDay News — A nasal nerve block may be an effective pain relief method for children with migraines, according to research presented at the annual meeting of the Society of Interventional Radiology, held from March […]

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Uncategorized Published - 20 July, 2017    By - Dr Clemens
The art of deep extubation

Author is Karen Sullivan Sibert, MD in her blog A Penned Point There are two schools of thought about how to extubate patients at the conclusion of general anesthesia: Allow the patient to wake up with the endotracheal tube in place, gagging on the tube and flailing like a fish on a line, while someone […]

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Uncategorized Published - 20 July, 2017    By - Dr Clemens
Epidural Catheter Offers Alternative to Traditional Blood Patch Administration

 … in patients with post–dural puncture headache An alternative approach to traditional epidural blood patch administration in patients with post–dural puncture headache who have an indwelling catheter has passed its first test. Although current fine-gauge needles have reduced the incidence of PDPH, the adverse event still occurs, and depends on several factors, including needle size […]

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