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Uncategorized Published - 3 February, 2016    By - Dr Clemens
Drug Monitoring Program Could Curb Prescription Drug Abuse

This is for our readers that practice pain management. Pharmacists in Indiana are three times more likely to refuse to dispense a controlled substance when they use the state prescription drug monitoring program than when they don’t, results from a new survey show. “The pharmacist is the last line of defense to check the red […]

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Uncategorized Published - 3 February, 2016    By - Dr Clemens
Combination of dexamethasone and local anaesthetic solution in peripheral nerve blocks: A meta-analysis of randomised controlled trials

Eur J Anaesthesiol. 2015 Nov;32(11):751-8. doi: 10.1097/EJA.0000000000000248. AUTHORS:Huynh TM et al BACKGROUND: Dexamethasone decreases postoperative pain and prolongs the duration of local anaesthetic peripheral nerve blocks in studies including a limited number of patients. OBJECTIVE: The objective of this study is to evaluate the effect of combining dexamethasone with local anaesthetic on sensory and motor peripheral […]

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Uncategorized Published - 3 February, 2016    By - Dr Clemens
Determination of the minimum initial intrathecal dose of isobaric 0.5% bupivacaine for the surgical repair of a proximal femoral fracture: A prospective, observational trial

Eur J Anaesthesiol. 2015 Nov;32(11):759-63 AUTHORS: Szucs S et al BACKGROUND: Femoral neck fractures usually require operative fixation. Spinal anaesthesia is the preferred technique for many anaesthetists, although single-shot spinal anaesthesia may have severe haemodynamic side-effects. OBJECTIVE: To determine the initial minimum intrathecal dose of 0.5% isobaric bupivacaine required in order to achieve surgical anaesthesia within […]

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Uncategorized Published - 3 February, 2016    By - Dr Clemens
Effects of changing from sevoflurane to desflurane on the recovery profile after sevoflurane induction: a randomized controlled study

Can J Anaesth. 2015 Oct AUTHORS: Mikuni I et al PURPOSE: Desflurane has the lowest solubility of currently available volatile anesthetics and may allow for more rapid emergence and recovery compared with sevoflurane. Nevertheless, after volatile induction with sevoflurane, it has not been determined whether the use of desflurane provides faster emergence and recovery. The present […]

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Uncategorized Published - 3 February, 2016    By - Dr Clemens
Tight Hypertension Control Reduces Serious Adverse Outcomes in Cardiac Surgery Patients

Anesthesiologists should place greater emphasis on blood pressure control during the perioperative period, because success or failure in achieving postoperative blood pressure targets can have significant effects on short- and long-term outcomes. Recent studies have linked acute alterations in perioperative blood pressure to adverse outcomes in cardiac surgery, including acute kidney injury, higher mortality rate […]

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