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Uncategorized Published - 5 May, 2017    By - Dr Clemens
Does Opioid Cessation Prior to Surgery Help or Hurt?

A new study found that preoperative chronic opioid use leads to more adverse events, but is tapering or stopping opioids before surgery the solution? PPM experts say perhaps not. Interviews with Jennifer P. Schneider, MD, PhD, Jeffrey Gudin, MD, and Ofer Wellisch, MD Patients receiving opioids prior to elective abdominal surgery had slightly longer hospital stays and […]

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Uncategorized Published - 4 May, 2017    By - Dr Clemens
The Timing of Administration of Intravenous Dexmedetomidine During Lower Limb Surgery

Authors: Eunsu Kang et al BMC Anesthesiol. 2016;16(116) A Randomized Controlled Trial Background: Dexmedetomidine, a selective alpha-2 agonist, has sedative, analgesic, and anxiolytic effects without respiratory depression. Dexmedetomidine can cause a biphasic cardiovascular response, and induce transient hypertension. Hypotension is a common complication of spinal anesthesia. Decreasing anxiety of patients before procedure is important for high quality […]

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Uncategorized Published - 4 May, 2017    By - Dr Clemens
The Cricoid Force Necessary to Occlude the Esophageal Entrance: Is There a Gender Difference?

AUTHORS: Zeidan, Ahed M. MD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1168–1173 BACKGROUND: We tested the hypothesis whether gender differences exist in the applied cricoid force necessary to prevent regurgitation. Real-time visual and dynamic means were used to assess the effectiveness of different applied cricoid forces in […]

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Uncategorized Published - 4 May, 2017    By - Dr Clemens
Time- and Dose-Dependent Effects of Desflurane in Sensitized Airways

AUTHORS: Zhou, Jing MD, PhD et al Anesthesia & Analgesia: February 2017 – Volume 124 – Issue 2 – p 465–471 BACKGROUND: Although the bronchodilatory actions of volatile anesthetics, such as halothane, isoflurane, and sevoflurane, have been well documented in previous studies, the properties of desflurane remain controversial. The aim of this study was to investigate […]

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Uncategorized Published - 4 May, 2017    By - Dr Clemens
Dural Puncture Epidural Technique Improves Labor Analgesia Quality With Fewer Side Effects Compared With Epidural and Combined Spinal Epidural Techniques: A Randomized Clinical Trial

Authors: Chau, Anthony MD, MMSc, FRCPC et al Anesthesia & Analgesia: February 2017 – Volume 124 – Issue 2 – p 560–569 Obstetric Anesthesiology: Original Clinical Research Report BACKGROUND: The dural puncture epidural (DPE) technique is a modification of the combined spinal epidural (CSE) technique, where a dural perforation is created from a spinal needle but […]

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