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Uncategorized Published - 29 July, 2015    By - Dr Clemens
Intraoperative Multimodal Evoked Potential Monitoring During Carotid Endarterectomy: A Retrospective Study of 264 Patients

Anesthesia & Analgesia: June 2015 Vol 120 Issue 6 p1352-1360 Authors: Malcharek, Michael J. MD et al BACKGROUND: Methods for detecting intraoperative cerebral ischemia arising from internal carotid artery (ICA) cross-clamping during carotid endarterectomy (CEA) should be sensitive, specific, and rapid to prevent intraoperative stroke. We had 3 objectives pertaining to this: (1) investigation of […]

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Uncategorized Published - 28 July, 2015    By - Dr Clemens
The Hematological Effects of Nitrous Oxide Anesthesia in Pediatric Patients

Anesthesia & Analgesia: June 2015 Vol 120 Issue 6 p 1325-1330 Authors: Duma, Andreas MD et al BACKGROUND: Prolonged administration of nitrous oxide causes an increase in plasma homocysteine in children via vitamin B12 inactivation. However, it is unclear whether nitrous oxide doses used in clinical practice cause adverse hematological effects in pediatric patients. METHODS: This […]

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Uncategorized Published - 28 July, 2015    By - Dr Clemens
Chronic Opioid Use and Central Sleep Apnea: A Review of the Prevalence, Mechanisms, and Perioperative Considerations

Anesthesia & Analgesia: June 2015 Volume 120 Issue 6 p1273-1285 Authors: Correa, Denis MBBS, MD et al BACKGROUND: Chronic opioid use has been associated with the development of sleep-disordered breathing (SDB) such as central sleep apnea (CSA). Patients receiving chronic opioids may suffer from unrecognized sleep apnea that contributes to opioid-overdose death. Currently, information regarding […]

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Uncategorized Published - 28 July, 2015    By - Dr Clemens
Ambulatory Anesthesiology and Perioperative Management: Research Report

Anesthesia & Analgesia: June 2015 Volume 120 Issue 6 o 1214-1224 Postoperative Sleep-Disordered Breathing in Patients Without Preoperative Sleep Apnea Authors: Chung, Frances MBBS, FRCPC et al BACKGROUND: Recently published data show that postoperative apnea-hypopnea index (AHI) is significantly increased in some patients without preoperative sleep apnea. These patients may be at risk of developing […]

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Uncategorized Published - 28 July, 2015    By - Dr Clemens
Use of Aprepitant and Factors Associated With Incidence of Postoperative Nausea and Vomiting in Patients Undergoing Facial Plastic Surgery

Published in JAMA Facial Plast Surg, 2015 Jul 1;17(4):251-5. Authors: Trimas SJ et al IMPORTANCE: Patients who experience immediate postoperative nausea and vomiting (PONV) after their facial plastic surgery procedure have a higher incidence of complications and dissatisfaction. OBJECTIVES: To determine whether a single dose of aprepitant administered preoperatively can decrease the incidence of immediate PONV in […]

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