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Uncategorized Published - 3 December, 2015    By - Dr Clemens
A New Approach to Pathogen Containment in the Operating Room: Sheathing the Laryngoscope After Intubation

Authors: Birnbach D MD et al Anesthesia & Analgesia (Jul 2015) BACKGROUND Anesthesiologists may contribute to postoperative infections by means of the transmission of blood and pathogens to the patient and the environment in the operating room (OR). Our primary aims were to determine whether contamination of the IV hub, the anesthesia work area, and […]

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Uncategorized Published - 3 December, 2015    By - Dr Clemens
Early versus late removal of the laryngeal mask airway (LMA) for general anaesthesia

Authors:  Mathew J MD et al Published in Cochrane Database of Systematic Reviews 8 CD007082 (Aug 2015) BACKGROUND The laryngeal mask airway (LMA) is a safe and effective modality to maintain the airway for general anaesthesia during surgical procedures. The LMA is removed at the end of surgery and anaesthesia, when the patient maintains an […]

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Uncategorized Published - 3 December, 2015    By - Dr Clemens
Preemptive multimodal analgesia for postoperative pain management after lumbar fusion surgery: a randomized controlled trial.

Eur Spine J 2015 Sep 1. Authors: Kim SI MD et al PURPOSE: To assess the efficacy of a novel preemptive multimodal analgesic regimen for reducing postoperative pain and complications after primary lumbar fusion surgery. Preemptive multimodal analgesia is revealed to be an effective alternative to conventional morphine administration providing improved postoperative pain control with diminished side […]

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Uncategorized Published - 3 December, 2015    By - Dr Clemens
Stochastic Pharmacokinetic–Pharmacodynamic Analysis of the Effect of Transdermal Buprenorphine on Electroencephalogram and Analgesia

Anesthesia & Analgesia: Nov 2015 Vol 121 Issue 5 p 1165-1175 Authors: Estrup Olesen, Anne PhD et al       BACKGROUND: The analgesic effect of opioids is often based on subjective one dimensional measurements. Electroencephalography (EEG) offers a possibility to objectively quantify the brain’s activity before and after the administration of opioids. The aim of this study […]

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Uncategorized Published - 3 December, 2015    By - Dr Clemens
Oral Midodrine Hydrochloride for Prevention of Orthostatic Hypotension during Early Mobilization after Hip Arthroplasty: A Randomized, Double-blind, Placebo-controlled Trial

Authors: Olivind Jans, MD, PhD et al Anesthesiology 12 2015, Vol.123, 1292-1300. Background: Early postoperative mobilization is essential for rapid recovery but may be impaired by orthostatic intolerance (OI) and orthostatic hypotension (OH), which are highly prevalent after major surgery. Pathogenic mechanisms include an insufficient postoperative vasopressor response. The oral α-1 agonist midodrine hydrochloride increases vascular resistance, and […]

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