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Uncategorized Published - 17 May, 2017    By - Dr Clemens
Labor or Cesarean for Superobese Women?

Rates of severe maternal and neonatal morbidity were similar among superobese women undergoing primary cesarean delivery versus a trial of labor, most often ending in vaginal delivery. Researchers say a prospective clinical trial is needed to determine whether one method of birth is superior to the other in mothers who are superobese. According to Alexander […]

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Uncategorized Published - 16 May, 2017    By - Dr Clemens
Pediatric Cardiopulmonary Arrest in the Postanesthesia Care Unit, Rare but Preventable: Analysis of Data From Wake Up Safe, The Pediatric Anesthesia Quality Improvement Initiative

AUTHORS: Christensen, Robert E. MD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1231–1236 BACKGROUND: Nearly 20% of anesthesia-related pediatric cardiac arrests (CAs) occur during emergence or recovery. The aims of this case series were to use the Wake Up Safe database to describe the following: (1) the nature […]

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Uncategorized Published - 16 May, 2017    By - Dr Clemens
Protocol Lacking for Post-op Delirium

While 70% of anesthesiologists say they “frequently” or “occasionally” encounter postoperative delirium in their practices, more than three-fourths (77%) lack a process to screen for at-risk patients. A survey of nearly 300 anesthesiologists revealed that postoperative delirium is extraordinarily common worldwide, with 95% of respondents reporting they have had such a patient. However, 60% said […]

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Uncategorized Published - 16 May, 2017    By - Dr Clemens
Clinical Significance of Portal Hypertension Diagnosed With Bedside Ultrasound After Cardiac Surgery

AUTHORS: Denault, André Y. MD, PhD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1109–1115 BACKGROUND: Portal venous flow pulsatility detected by Doppler ultrasound is a sign of congestive heart failure in noncritically ill patients. The assessment of portal and splenic venous flows has never been reported in patients […]

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Uncategorized Published - 16 May, 2017    By - Dr Clemens
The Effect of Fixation Technique on Continuous Interscalene Nerve Block Catheter Success: A Randomized, Double-Blind Trial

AUTHORS: Auyong, David B. MD et al Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 959–965 BACKGROUND: Continuous peripheral nerve blocks offer advantages over single-injection blocks, including extended analgesia and reduction in opioid consumption. These benefits require that the perineural catheter remain intact for the duration of the planned local anesthetic […]

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