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Uncategorized Published - 9 September, 2015    By - Dr Clemens
Effects of Changes in Intraoperative Management on Recovery From Anesthesia

A Review of Practice Improvement Initiative Authors: Toby N Weingarten et BMC Anesthesiol. 2015;15(54) Background Our anesthetic practice was hindered by inadequate postanesthesia care unit space resulting in operating room inefficiencies. In response, an anesthetic protocol designed to reduce the duration of postanesthesia stay by decreasing residual anesthetic sedation and postoperative nausea and vomiting (PONV) was introduced. […]

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Uncategorized Published - 9 September, 2015    By - Dr Clemens
Ultrasound Assessment of Gastric Contents in the Perioperative Period

Why Is This Not Part of Our Daily Practice? Author: D. Benhamou Br J Anaesth. 2015;114(4):545-548. In 1946, Mendelson[1] showed that pulmonary complications and death could arise in pregnant women because of aspiration of gastric contents. Since then, prevention of aspiration of gastric contents has contributed significantly to a decrease in maternal deaths. Aspiration of gastric contents […]

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Uncategorized Published - 9 September, 2015    By - Dr Clemens
Duty Hour Reforms: Surgical Patient Safety Not Improved

Restricting residents’ work hours as required by the 2011 Accreditation Council for Graduate Medical Education (ACGME) duty hour reform does not reduce morbidity or mortality of patients across diverse surgical specialties, a new longitudinal study concludes. The results add to reports showing lack of benefit for general surgery patients. “These findings suggest that recent changes […]

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Uncategorized Published - 9 September, 2015    By - Dr Clemens
Preoperative Smoking Cessation Counseling Activities of Anesthesiologists

A Cross-Sectional Study Authors: Matilde Zaballos et al BMC Anesthesiol. 2015;15(60) Background: Smokers undergoing surgery are at a higher risk of complications than non-smokers. Preoperative evaluation by an anesthesiologist could provide an excellent opportunity to promote smoking cessation. Previous surveys of anesthesiologists have found that self-reported smoking cessation counseling rates have room for improvement, but no study […]

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Uncategorized Published - 8 September, 2015    By - Dr Clemens
Early versus late removal of the laryngeal mask airway (LMA) for general anaesthesia

Source: Cochrane Datavase Syst Rev Author: Mathew P, et al 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 adequate respiratory rate and depth. This removal of […]

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