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Uncategorized Published - 2 February, 2016    By - Dr Clemens
Associations between different sedatives and ventilator-associated events, length-of-stay, and mortality in mechanically ventilated patients

Chest. 2015 Oct 22. doi: 10.1378/chest.15-1389 AUTHORS: Klompas M et al BACKGROUND: Current sedation guidelines recommend avoiding benzodiazepines but express no preference for propofol versus dexmedetomidine. In addition, there are limited data on how well randomized controlled trials on sedatives generalize to routine practice where conditions tend to be more varied and complex. METHODS: We gathered […]

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Uncategorized Published - 2 February, 2016    By - Dr Clemens
Acetazolamide reduces postoperative pain following laparoscopic inguinal herniorrhaphy

Surg Endosc. 2015 Oct 20 AUTHORS: Pourladian I et al BACKGROUND: Carbonic acid accumulation, which results from CO2 insufflation, can produce visceral and referred pain in the postoperative setting. Acetazolamide inhibits carbonic anhydrase, an enzyme that accelerates carbonic acid formation. We hypothesized that preoperative administration of acetazolamide would decrease postoperative pain in patients undergoing laparoscopic inguinal herniorrhaphy. […]

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Uncategorized Published - 2 February, 2016    By - Dr Clemens
Few Frivolous Claims of Malpractice End in Payment

Among nearly 1 million active physicians in the U.S., about 6% were involved in at least one paid malpractice claim during a 10-year period ending in 2014, with a total payout of $13.6 billion, researchers said. The vast majority of claims were for death or major or significant physical injury, according to David M. Studdert, LLB, […]

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Uncategorized Published - 1 February, 2016    By - Dr Clemens
Observational Study of Cerebral Blood Flow Velocity During Hypotensive Epidural Anesthesia

Authors: Bombardieri AM et al Anesth Analg 2016 Jan;122 (1): 226-33 BACKGROUND: Hypotensive epidural anesthesia (HEA), as practiced at our institution, uses sympathetic blockade to achieve mean arterial blood pressure (MAP) of ≤50 mm Hg while administering epinephrine by infusion to support the circulation. HEA has not been associated with gross adverse effects on neurologic outcome […]

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Uncategorized Published - 1 February, 2016    By - Dr Clemens
The Effect of Systemic Magnesium on Postsurgical Pain in Children Undergoing Tonsillectomies: A Double-Blinded, Randomized, Placebo-Controlled Trial

Anesthesia & Analgesia: December 2015 – Volume 121 – Issue 6 – p 1627–1631 Authors: Benzon, Hubert A. MD, MPH et al BACKGROUND: Tonsillectomy is a frequently performed surgical procedure in children; however, few multimodal analgesic strategies have been shown to improve postsurgical pain in this patient population. Systemic magnesium infusions have been shown to […]

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