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Uncategorized Published - 19 August, 2015    By - Dr Clemens
Fentanyl Bolus With Local Anaesthetic Produces Faster Onset of Labour Epidural Analgesia

Fentanyl 50 and 100 mcg is useful in accelerating the onset of labour analgesia without compromising safety, according to a study presented here at the 2015 Annual Meeting of the Canadian Anesthesiologists’ Society (CAS). “We have been decreasing our concentrations of our local anaesthetics, and we find that one of the impacts of that is […]

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Uncategorized Published - 19 August, 2015    By - Dr Clemens
Use of Periarticular Ketorolac Not Linked to Greater Blood Loss During Knee Arthroplasty

The use of periarticular ketorolac, an anti-platelet agent, does not produce additional blood loss in patients undergoing total knee arthroplasty (TKA), a retrospective study presented here at the annual meeting of the Canadian Anesthesiologists’ Society concludes. The study compared 57 patients who received periarticular ketorolac injection and 33 patients who didn’t (controls). Because ketorolac is […]

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Uncategorized Published - 19 August, 2015    By - Dr Clemens
A randomized clinical trial of the effects of ultra-low-dose naloxone infusion on postoperative opioid requirements and recovery

Acta Anaesthesiol Scand, 2015 Jun 4. doi: 10.1111/aas.12560 Authors: Xiao Y et al BACKGROUND: Tolerance to remifentanil during sevoflurane anesthesia may increase postoperative analgesic requirements. Low-dose naloxone not only has been shown to block the development of acute opioid tolerance but also to ameliorate undesired opioid-induced side effects. We hypothesized that naloxone prevents the acute opioid tolerance […]

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Uncategorized Published - 19 August, 2015    By - Dr Clemens
Intra- and postoperative low-dose ketamine for adolescent idiopathic scoliosis surgery: a randomized controlled trial.

Acta Anaesthesiol Scand. 2015 Jun 16. doi: 10.1111/aas.12571. Authors: Minoshima R et al BACKGROUND: In this randomized controlled trial, we examined whether intra- and postoperative infusion of low-dose ketamine decreased postoperative morphine requirement and morphine-related adverse effects as nausea and vomiting after scoliosis surgery. METHODS: After IRB approval and informed consent, 36 patients, aged 10-19 years, undergoing posterior […]

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Uncategorized Published - 19 August, 2015    By - Dr Clemens
Kids With Migraine Not Receiving Optimal Treatment

Nearly half of children and adolescents who present for the first time with migraine or probable migraine receive no treatment, and fewer than one in six receive evidence-based treatment, a new study finds. The results, from an analysis of electronic health record data across practice settings in four US states, were presented here at the […]

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