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Uncategorized Published - 24 May, 2017    By - Dr Clemens
Continuous Monitoring of Hemoglobin and Plethysmography Variability Index Reduces Mortality

In Patients Undergoing Serious, More Invasive Surgeries A large French study has shown that monitoring both hemoglobin (SpHb) and plethysmography variability index (PVI) as part of a vascular filling algorithm allows for optimal transfusion among surgical patients, thereby reducing mortality. The researchers noted that inclusion of such noninvasive devices may significantly affect patient outcomes in […]

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Uncategorized Published - 24 May, 2017    By - Dr Clemens
Common Pain Relievers May Increase Risk of MI During Respiratory Infections

Widely used pain relievers may increase the risk of a myocardial infarction (MI) when used during a cold or flu-like illness, according to a study published in the Journal of Infectious Diseases. The findings suggest that physicians and patients should use caution when prescribing or taking nonsteroidal anti-inflammatory drugs (NSAIDs) to ease symptoms of acute […]

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Uncategorized Published - 24 May, 2017    By - Dr Clemens
Mixing Opioids and Alcohol May Increase Likelihood of Respiratory Depression

Taking 1 oxycodone tablet together with even a modest amount of alcohol increases the risk of respiratory depression, according to a study published online first in the journal Anesthesiology. The study also found that elderly people were especially likely to experience this complication. “Unfortunately, we’re seeing more fatalities and people in emergency rooms after having […]

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Uncategorized Published - 24 May, 2017    By - Dr Clemens
Methadone: Best Practices for Weaning Pediatric Patients

Weaning from continuous opioid infusion can result in withdrawal and associated adverse effects, including respiratory, neurologic, and cardiovascular sequelae. Practices pertaining to the use of methadone to facilitate opioid weaning in pediatric patients are widely heterogeneous, according to a recent systematic review and meta-analysis published in Pediatric Anesthesia.1 Weaning from continuous opioid infusion can result in […]

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Uncategorized Published - 24 May, 2017    By - Dr Clemens
Measuring Postoperative Pain Using the Visual Analog Scale: What Is the Minimal Significant Difference?

BJA: British Journal of Anaesthesia · February 10, 2017 Background: The 100 mm visual analog scale (VAS) score is widely used to measure pain intensity after surgery. Despite this widespread use, it is unclear what constitutes the minimal clinically important difference (MCID); that is, what minimal change in score would indicate a meaningful change in a patient’s […]

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