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Uncategorized Published - 17 July, 2015    By - Dr Clemens
Restrictive Red Blood Cell Transfusion Strategies Are Safe

Authors:  Holst LB et al., BMJ 2015 Mar 24; 350:h1354 A growing body of evidence suggests that restrictive red blood cell transfusion strategies are safe. In this systematic review and meta-analysis of 31 randomized trials that involved 9800 patients, researchers compared benefits and harms of restrictive (triggers: hemoglobin, 7–9 g/dL; hematocrit, 24%–30%, or symptoms of anemia) versus […]

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Uncategorized Published - 16 July, 2015    By - Dr Clemens
Postoperative fentanyl patch versus subacromial bupivacaine infusion in arthroscopic shoulder surgery

Arthroscopy. 2015 Jul;29(7):1129-34 Authors: Merivirta R et al PURPOSE: The purpose of our study was to compare the effectiveness of subacromial bupivacaine infusion and a transdermal fentanyl patch in the treatment of postoperative pain after arthroscopic shoulder surgery. METHODS: Sixty patients with rotator cuff disease scheduled for elective arthroscopic shoulder surgery were enrolled in the study. For […]

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Uncategorized Published - 16 July, 2015    By - Dr Clemens
A new treatment paradigm for trigeminal neuralgia using Botulinum toxin type A.

Laryngoscope. 2014 Feb;124(2):413-7 Authors: Guardiani E et al OBJECTIVES: To review the current data for the use of Botulinum toxin type A (BoNT-A) in trigeminal neuralgia (TN) and to describe the preferred injection technique of BoNT-A in TN. To propose a new treatment paradigm for TN incorporating the use BoNT-A. DATA SOURCES: MEDLINE and Google Scholar databases. […]

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Uncategorized Published - 16 July, 2015    By - Dr Clemens
Combined saphenous and sciatic catheters for analgesia after major ankle surgery: a double-blinded randomized controlled trial

Can J Anaesth. 2015 Aug;62(8):875-882 Authors: Fisker AK et al PURPOSE: Continuous sciatic nerve block is used for pain management following major ankle surgery. Pain from the saphenous nerve territory often persists. We conducted a double-blinded randomized placebo-controlled trial to evaluate the effect of a supplementary saphenous catheter in the proximal thigh combined with a popliteal sciatic […]

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Uncategorized Published - 16 July, 2015    By - Dr Clemens
A naloxone admixture to prevent opioid-induced pruritus in children: a randomized controlled trial

Can J Anaesth 2015 Aug;62(8):891-900 Authors: West N et al PURPOSE: Morphine administered by continuous opioid infusion (COI) or by patient-controlled analgesia (PCA) is associated with opioid-induced pruritus (OIP). Intravenous naloxone administered separately to the morphine infusion at a dose of 0.25-1.65 μg·kg-1·hr-1 can provide effective prevention from OIP. Nevertheless, this strategy requires a dedicated intravenous line and […]

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