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Uncategorized Published - 1 June, 2017    By - Dr Clemens
Remifentanil Dosing at Extremes of Body Weight

Authors: Steven L. Shafer, M.D. et al Anesthesiology 6 2017, Vol.126, 993-994. ANESTHESIOLOGISTS are expected to be equally competent treating a 5-kg child and a 250-kg adult. For infused drugs, such as remifentanil, this means selecting an initial infusion rate appropriate for the patient. A practice we have observed is to set a dose that is […]

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Uncategorized Published - 1 June, 2017    By - Dr Clemens
Effect of Dexmedetomidine and Propofol on Basal Ganglia Activity in Parkinson Disease: A Controlled Clinical Trial

Authors: Antonio Martinez-Simon, M.D., Ph.D. et al Anesthesiology 6 2017, Vol.126, 1033-1042 Background: Deep brain stimulation electrodes can record oscillatory activity from deep brain structures, known as local field potentials. The authors’ objective was to evaluate and quantify the effects of dexmedetomidine (0.2 μg·kg-1·h-1) on local field potentials in patients with Parkinson disease undergoing deep brain stimulation […]

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Uncategorized Published - 1 June, 2017    By - Dr Clemens
Safety Aspects of Postanesthesia Care Unit Discharge without Motor Function Assessment after Spinal Anesthesia

A Randomized, Multicenter, Semiblinded, Noninferiority, Controlled Trial Authors: Eske Kvanner Aasvang, M.D., Ph.D. et al Anesthesiology 6 2017, Vol.126, 1043-1052. Post anesthesia care unit (PACU) discharge without observation of lower limb motor function after spinal anesthesia has been suggested to significantly reduce PACU stay and enhance resource optimization and early rehabilitation but without enough data to […]

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Uncategorized Published - 1 June, 2017    By - Dr Clemens
Nerve Block vs. Sedation for Reduction of Anterior Shoulder Dislocation

Authors: Raeyat Doost E et al., Am J Emerg Med 2017 Apr 14; Nerve block was faster but sedation was somewhat more effective in this small randomized trial. For reduction of anterior shoulder dislocations, options include procedural sedation, intraarticular lidocaine injection, nerve block, and manipulation without sedation. Investigators in Iran randomized 60 adults undergoing anterior shoulder dislocation […]

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Uncategorized Published - 31 May, 2017    By - Dr Clemens
A Three-arm Randomized Clinical Trial Comparing Continuous Femoral Plus Single-injection Sciatic Peripheral Nerve Blocks versus Periarticular Injection with Ropivacaine or Liposomal Bupivacaine for Patients Undergoing Total Knee Arthroplasty

Authors: Adam W. Amundson, M.D. et al Anesthesiology 6 2017, Vol.126, 1139-1150. Background: Multimodal analgesia is standard practice for total knee arthroplasty; however, the role of regional techniques in improved perioperative outcomes remains unknown. The authors hypothesized that peripheral nerve blockade would result in lower pain scores and opioid consumption than two competing periarticular injection solutions. Methods: This […]

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