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Uncategorized Published - 18 September, 2015    By - Dr Clemens
Stress Increases the Negative Effects of Chronic Pain on Hippocampal Neurogenesis

Anesthesia & Analgesia: July 2015 Authors: Romero-Grimaldi et al BACKGROUND: Patients with chronic pain often suffer from affective disorders and cognitive decline, which significantly impairs their quality of life. In addition, many of these patients also experience stress unrelated to their illness, which can aggravate their symptoms. These nociceptive inputs are received by the hippocampus, […]

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Uncategorized Published - 17 September, 2015    By - Dr Clemens
Dexmedetomidine Pharmacology in Neonates and Infants After Open Heart Surgery

Anesthesia & Analgesia: July 2015 Authors: Su, Felice MD et al BACKGROUND: Dexmedetomidine is a highly selective [alpha]2-agonist with hypnotic, analgesic, and anxiolytic properties. Despite off-label administration, dexmedetomidine has found a niche in critically ill neonates and infants with congenital heart disease because of its minimal effects on respiratory function at sedative doses, facilitating early extubation […]

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Uncategorized Published - 17 September, 2015    By - Dr Clemens
Major Upper Abdominal Surgery Alters the Calibration of Bioreactance Cardiac Output Readings, the NICOM, When Comparisons Are Made Against Suprasternal and Esophageal Doppler Intraoperatively.

Anesthesia & Analgesia: July 2015 Authors: Huang, Li MB BS, PhD et al BACKGROUND: Minimally invasive continuous cardiac output measurements are recommended for use during anesthesia to guide fluid therapy, but such measurements must trend changes reliably. The NICOM Cheetah, a BioReactance monitor, is being recommended for intraoperative use. To validate its use, Doppler methods, […]

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Uncategorized Published - 17 September, 2015    By - Dr Clemens
Extravascular Lung Water and Pulmonary Vascular Permeability Index Measured at the End of Surgery Are Independent Predictors of Prolonged Mechanical Ventilation in Patients Undergoing Liver Transplantation

Anesthesia & Analgesia: September 2015 – Volume 121 – Issue 3 – p 736–745 Authors: Garutti, Ignacio PhD, MD et al BACKGROUND: Pulmonary edema (PE) after orthotopic liver transplantation (OLT) may compromise the postoperative course and prolong the duration of mechanical ventilation (MV) and intensive care unit length of stay. Hemodynamic monitoring with transpulmonary thermodilution […]

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Uncategorized Published - 17 September, 2015    By - Dr Clemens
Repeat MRI scans due to patient motion mean lost revenue

Having to retake MRI scans due to patient motion can easily cost a hospital upward of $100,000 in lost annual revenue, according to a study published in the July issue of the Journal of the American College of Radiology. Analyzing a random week of MRI activity, researchers from the University of Washington in Seattle found that […]

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