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Uncategorized Published - 15 December, 2016    By - Dr Clemens
The Effect of Combined Spinal–Epidural Versus Epidural Analgesia in Laboring Women on Nonreassuring Fetal Heart Rate Tracings: Systematic Review and Meta-analysis

Anesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 955–964 AUTHORS: Hattler, Judith MD et al BACKGROUND: Combined spinal–epidural labor analgesia has gained popularity, but it is unclear whether this technique is associated with a higher incidence of nonreassuring fetal heart rate (FHR) tracings compared with epidural analgesia. Our meta-analysis aimed […]

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Uncategorized Published - 15 December, 2016    By - Dr Clemens
Response Patterns to the Electric Stimulation of Epidural Catheters in Pregnant Women: A Randomized Controlled Trial of Uniport Versus Multiport Catheters

Anesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 950–954 AUTHORS: Patel, Ruchira MBBS et al BACKGROUND: The transcatheter electric stimulation test (Tsui test) can be performed at the bedside to confirm the correct placement of a wire-reinforced epidural catheter within the epidural space. The most commonly observed motor response with […]

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Uncategorized Published - 15 December, 2016    By - Dr Clemens
Prevention of Spinal Anesthesia-Induced Hypotension During Cesarean Delivery by 5-Hydroxytryptamine-3 Receptor Antagonists: A Systematic Review and Meta-analysis and Meta-regression

Anesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 977–988 AUTHORS: Heesen, Michael MD, PhD et al BACKGROUND: Hypotension remains a frequent complication of spinal anesthesia, increasing the risk of nausea and vomiting, altered mental status, and aspiration. The aim of this systematic review and meta-analysis was to determine whether 5-hydroxytryptamine3 […]

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Uncategorized Published - 15 December, 2016    By - Dr Clemens
Implementation of Programmed Intermittent Epidural Bolus for the Maintenance of Labor Analgesia

Anesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 965–971 AUTHORS: Carvalho, Brendan MBBCh, FRCA, MDCH et al Programmed intermittent epidural bolus (PIEB) is an exciting new technology that has the potential to improve the maintenance of epidural labor analgesia. PIEB compared with a continuous epidural infusion (CEI) has the potential […]

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Uncategorized Published - 14 December, 2016    By - Dr Clemens
The Amount of Fluid Given During Surgery That Leaks Into the Interstitium Correlates With Infused Fluid Volume and Varies Widely Between Patients

Anesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 925–932 AUTHORS: Nishimura, Akiko DDS, PhD et al BACKGROUND: The revised Starling law suggests that intravenously infused fluid may leak into the interstitium and not remain in the intravascular space. This hypothesis is supported by clinical findings that postoperative weight gain is […]

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