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Uncategorized Published - 19 May, 2015    By - Dr Clemens
A Randomized, Double-blinded Trial of a “Rule of Threes” Algorithm versus Continuous Infusion of Oxytocin during Elective Cesarean Delivery

Published in Anesthesiology 4 2015 Authors: Vesela P. Kovacheva, M.D., Ph.D. et al Background: The administration of uterotonic agents during cesarean delivery is highly variable. The authors hypothesized a “rule of threes” algorithm, featuring oxytocin 3 IU, timed uterine tone evaluations, and a systematic approach to alternative uterotonic agents, would reduce the oxytocin dose required to obtain […]

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Uncategorized Published - 19 May, 2015    By - Dr Clemens
Compliance with Surgical Care Improvement Project for Body Temperature Management (SCIP Inf-10) Is Associated with Improved Clinical Outcomes

Published in Anesthesiology Newly Published on 4 2015 Authors: Andrew V. Scott, B.S. et al Background: In an effort to measure and improve the quality of perioperative care, the Surgical Care Improvement Project (SCIP) was introduced in 2003. The SCIP guidelines are evidence-based process measures designed to reduce preventable morbidity, but it remains to be determined whether […]

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Uncategorized Published - 18 May, 2015    By - Dr Clemens
Biofeedback Detailing Fetal Decent Reduces Duration of Second Stage Labour With Epidural

Women receiving audio-visual biofeedback of the fetal decent during delivery show reductions in the duration of the second stage of labour, as well as lower rates of adverse outcomes, researchers reported here today at The Pregnancy Meeting, the 2015 Annual Meeting of the Society for Maternal-Fetal Medicine (SMFM). The common use of epidurals help reduce […]

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Uncategorized Published - 18 May, 2015    By - Dr Clemens
A Retrospective Comparison of Dexmedetomidine Versus Midazolam for Pediatric Patients with Congenital Heart Disease Requiring Postoperative Sedation

Published in Pediatr Cardiol. 2015 Feb 8 Authors: Jiang L et al Abstract We hypothesized that postoperative sedation with dexmedetomidine/fentanyl would be effective in infants and neonates with congenital heart disease and pulmonary arterial hypertension (PAH). Children who were <36 months of age, had congenital heart disease with PAH, and had been treated at our hospital between […]

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Uncategorized Published - 18 May, 2015    By - Dr Clemens
Intraoperative Tight Glucose Control Using Hyperinsulinemic Normoglycemia Increases Delirium after Cardiac Surgery

Published in Anesthesiology on 4 2015 Authors: Leif Saager, Dr. med et al Background: Postoperative delirium is common in patients recovering from cardiac surgery. Tight glucose control has been shown to reduce mortality and morbidity. Therefore, the authors sought to determine the effect of tight intraoperative glucose control using a hyperinsulinemic–normoglycemic clamp approach on postoperative delirium in […]

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