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Uncategorized Published - 17 April, 2017    By - Dr Clemens
Epidural Local Anesthetics Versus Opioid-Based Analgesic Regimens for Postoperative Gastrointestinal Paralysis, Vomiting, and Pain After Abdominal Surgery

AUTHORS: Guay J et al   Anesthesia & Analgesia 123 (6), 1591-1602 (Dec 2016) BACKGROUND The aim of this review was to compare the effects of postoperative epidural analgesia with local anesthetics to postoperative systemic or epidural opioids in terms of return of gastrointestinal transit, postoperative pain control, postoperative vomiting, incidence of gastrointestinal anastomotic leak, hospital […]

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Uncategorized Published - 14 April, 2017    By - Dr Clemens
CDC: Painkillers Not Driving Spike in Fatal Opioid Overdoses

The number of people dying from an opioid overdose rose nearly 16% from 2014 to 2015, but the increase had little to do — at least directly — with prescription painkillers such as oxycodone or hydrocodone, the Centers for Disease Control and Prevention (CDC) reported last week. Instead, the chief culprits behind the spike were […]

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Uncategorized Published - 14 April, 2017    By - Dr Clemens
The Timing of Administration of Intravenous Dexmedetomidine During Lower Limb Surgery A Randomized Controlled Trial

Authors: Eunsu Kang et al BMC Anesthesiol. 2016;16(116) 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 of procedure. This study […]

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Uncategorized Published - 14 April, 2017    By - Dr Clemens
Transversus Abdominis Plane Block Versus Wound Infiltration for Analgesia After Cesarean Delivery: A Randomized Controlled Trial

AUTHORS: Tawfik, Mohamed Mohamed MD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1291–1297 BACKGROUND: Transversus abdominis plane (TAP) block and local anesthetic wound infiltration provide analgesia after cesarean delivery. Studies comparing the 2 techniques are scarce, with conflicting results. This double-blind, randomized controlled trial aimed to compare bilateral […]

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Uncategorized Published - 14 April, 2017    By - Dr Clemens
Two Approaches to Lessen Need for Reintubation

Author: Jaber S et al. JAMA 2016 Mar 15. Hernández G et al. JAMA 2016 Mar 15.Spoletini G et al. JAMA 2016 Mar 15. High-flow oxygen and noninvasive positive pressure ventilation lowered reintubation rates in selected patient populations. During the past few years, interest has grown in using high-flow oxygen (HFO) and noninvasive positive pressure ventilation (NPPV) in lieu of intubation and […]

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