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Uncategorized Published - 5 August, 2015    By - Dr Clemens
Withholding ARBs After Surgery Increases Risk of Postoperative Death

Withholding angiotensin receptor blockers (ARBs) for longer than 2 days after surgery is associated with a significantly increased risk of postoperative death, according to a study published in Anesthesiology. “For non-cardiac surgery, ARBs are commonly stopped on the day of surgery because that makes it much easier to control blood pressure for a patient under […]

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Uncategorized Published - 5 August, 2015    By - Dr Clemens
Weight Loss Linked to Improvement in Diabetic Neuropathy, Regardless of Haemoglobin A1C Levels

Weight loss in patients with types 1 and 2 diabetes is linked with an improvement in diabetic neuropathy, independent of blood glucose levels, according to results of a parallel-group study reported at the 75th Scientific Sessions of the American Diabetes Association meeting. “To our knowledge, weight loss has not been shown previously to improve diabetic […]

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Uncategorized Published - 4 August, 2015    By - Dr Clemens
Endovascular and Open Repairs of Abdominal Aortic Aneurysms Have Similar Long-Term Mortality Rates

After endovascular repair of abdominal aortic aneurysms, mortality rises over time but doesn’t surpass that associated with open repair, a New England Journal of Medicine study suggests. From more than 125,000 Medicare beneficiaries who underwent either procedure, about 40,000 in each procedure group were matched according to propensity to undergo endovascular repair. Periprocedural mortality was 1.6% with […]

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Uncategorized Published - 4 August, 2015    By - Dr Clemens
Psychiatric Comorbidity Is Associated Prospectively with Diminished Opioid Analgesia and Increased Opioid Misuse in Patients with Chronic Low Back Pain

Anesthesiology published on 7 2015 Authors: Ajay D. Wasan MD, M.Sc et al Background: Opioids are frequently prescribed for chronic low back pain (CLBP), but there are little prospective data on which patient subgroups may benefit. Psychiatric comorbidity, such as high levels of depression and anxiety symptoms (termed comorbid negative affect [NA]), is a common presentation and may […]

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Uncategorized Published - 4 August, 2015    By - Dr Clemens
A Randomized Crossover Study Comparing a Novel Needle Guidance Technology for Simulated Internal Jugular Vein Cannulation

Anesthesiology published on 7 2015 Authors: David B Auyong MD et al Background: Despite ultrasound guidance for central line placement, complications persist, as exact needle location is often difficult to confirm with standard two-dimension ultrasound. A novel real-time needle guidance technology has recently become available (eZono, Germany) that tracks the needle during insertion. This randomized, blinded, crossover study examined […]

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