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Uncategorized Published - 17 August, 2016    By - Dr Clemens
The Effect of Intrathecal Morphine Dose on Outcomes After Elective Cesarean Delivery: A Meta-Analysis

Anesthesia & Analgesia: July 2016 – Volume 123 – Issue 1 – p 154–164 AUTHORS: Sultan, Pervez MBChB, FRCA et al BACKGROUND: The intrathecal morphine dose achieving optimal analgesia for cesarean delivery while minimizing side effects has not yet been deduced. In this meta-analysis, our objective was to determine whether low- or high-dose intrathecal morphine […]

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Uncategorized Published - 17 August, 2016    By - Dr Clemens
Timing of Preoperative Troponin Elevations and Postoperative Mortality After Noncardiac Surgery

Anesthesia & Analgesia:July 2016 – Volume 123 – Issue 1 – p 135–140 AUTHORS: Maile, Michael D. MD, MS et al BACKGROUND: Even small elevations in preoperative troponin levels have been shown to be associated with adverse outcomes. However, there are currently limited data on the relationship between troponin increase and timing of surgery. METHODS: […]

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Uncategorized Published - 17 August, 2016    By - Dr Clemens
The Influence of Arm Positioning on Ultrasonic Visualization of the Subclavian Vein: An Anatomical Ultrasound Study in Healthy Volunteers

Anesthesia & Analgesia: July 2016 – Volume 123 – Issue 1 – p 129–132 AUTHORS: Sadek, Meriem MD et al We hypothesized that placing the arm in 90° abduction, through 90° flexion and 90° external rotation, could improve ultrasound visualization of the subclavian vein. In 49 healthy volunteers, a single operator performed a view of […]

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Uncategorized Published - 16 August, 2016    By - Dr Clemens
A Comparison of Web-Based with Traditional Classroom-Based Training of Lung Ultrasound for the Exclusion of Pneumothorax

Anesthesia & Analgesia: July 2016 – Volume 123 – Issue 1 – p 123–128 AUTHORS: Edrich, Thomas MD et al BACKGROUND: Lung ultrasound (LUS) is a well-established method that can exclude pneumothorax by demonstration of pleural sliding and the associated ultrasound artifacts. The positive diagnosis of pneumothorax is more difficult to obtain and relies on […]

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Uncategorized Published - 16 August, 2016    By - Dr Clemens
Peripheral Venous Pressure as an Indicator of Preload Responsiveness During Volume Resuscitation from Hemorrhage

Anesthesia & Analgesia: July 2016 – Volume 123 – Issue 1 – p 114–122 AUTHORS: Kinsky, Michael MD et al BACKGROUND: Fluid resuscitation of hypovolemia presumes that peripheral venous pressure (PVP) increases more than right atrial pressure (RAP), so the net pressure gradient for venous return (PVP-RAP) rises. However, the heart and peripheral venous system […]

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