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Uncategorized Published - 14 July, 2016    By - Dr Clemens
Simple trick to seat LMAs

Ask the pt to open his/her mouth wide just as you are ready to bolus propofol.  As the jaw slackens just drop the LMA into the still open mouth without touching the teeth or sides of the oral cavity.

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Uncategorized Published - 14 July, 2016    By - Dr Clemens
Restrictive versus Liberal Transfusion Strategy in the Perioperative and Acute Care Settings: A Context-specific Systematic Review and Meta-analysis of Randomized Controlled Trials

Authors: Frédérique Hovaguimian, M.D., M.Clin.Res.Meth. et al Anesthesiology 7 2016, Vol.125, 46-61. Background: Blood transfusions are associated with morbidity and mortality. However, restrictive thresholds could harm patients less able to tolerate anemia. Using a context-specific approach (according to patient characteristics and clinical settings), the authors conducted a systematic review to quantify the effects of transfusion strategies. Methods: The authors searched […]

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Uncategorized Published - 14 July, 2016    By - Dr Clemens
Far-Reaching Opioid Bill Goes to Obama for Signature

Opioid-epidemic legislation aimed at helping everyone from pregnant women and infants to veterans and inmates goes to President Barack Obama for his yea or nay after the Senate passed it in a 92-to-2 vote today. The bill, called the Comprehensive Addiction and Recovery Act (CARA), also allows nurse practitioners and physician assistants to prescribe buprenorphine […]

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Uncategorized Published - 13 July, 2016    By - Dr Clemens
ERAS Pathway Improves Analgesia, Opioid Use and PONV Following Total Mastectomy

With surgery still the primary treatment for breast cancer, strategies to minimize acute postoperative pain have the potential for significant benefit, perhaps even preventing development of chronic pain. A research team at the University of California, San Francisco (UCSF) has moved much closer to this lofty goal. They developed an enhanced recovery after surgery (ERAS) […]

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Uncategorized Published - 13 July, 2016    By - Dr Clemens
Dexketoprofen/Tramadol 25 Mg/75 Mg

Authors: R. A. Moore et al BMC Anesthesiol. 2016;16(9) Background: Dexketoprofen trometamol plus tramadol hydrochloride is a new oral combination of two analgesics, which have different mechanisms of action for the treatment of moderate to severe acute pain. Methods: Randomised, double-blind, parallel, placebo and active-controlled, single and multiple-dose study to evaluate the analgesic efficacy and safety of dexketoprofen/tramadol […]

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