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Uncategorized Published - 15 June, 2015    By - Dr Clemens
Continuous Spinal Anaesthesia Versus Ultrasound-guided Combined Psoas Compartment-sciatic Nerve Block for Hip Replacement Surgery in Elderly High-risk Patients A Prospective Randomised Study

Authors: Mehmet Aksoy et al Published in BMC Anesthesiol. 2014;14(99) Background Our aim is to compare the hemodynamic effects of combined psoas compartment-sciatic nerve block (PCSNB) with continuous spinal anaesthesia (CSA) in elderly high-risk patients undergoing hip replacement surgery. Methods Seventy patients over the age of 60 with ASA III or IV physical status were randomly allocated to […]

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Uncategorized Published - 15 June, 2015    By - Dr Clemens
Perioperative Delirium Common in Hip Fracture Patients

Forty-eight percent of hip fracture patients, aged 65 years and older, experienced delirium before, during and after surgery, resulting in significantly longer hospital stays and higher costs for care (Paper 308), Michael G. Zywiel, MD, reported at the 2015 annual meeting of the American Academy of Orthopaedic Surgeons (AAOS). “As reimbursement schemes evolve toward greater […]

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Uncategorized Published - 15 June, 2015    By - Dr Clemens
The Role of Local Anesthetic Additives In Perineural Analgesia

Ongoing evidence continues to support the finding that postoperative pain remains the greatest concern for patients presenting for surgery.1 In fact, recent surveys demonstrate that patients continue to suffer moderate to severe pain postoperatively.2,3 Additionally, patient satisfaction is becoming an increasingly important aspect of health care reimbursements reported via the Hospital Consumer Assessment of Healthcare Providers […]

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Uncategorized Published - 15 June, 2015    By - Dr Clemens
Propofol for Colonoscopy: Are Some Patients Being Oversedated?

The depth of sedation provided by propofol during colonoscopy may be greater than necessary, according to researchers who objectively monitored it in their patients. The study was prompted by a recent population-based analysis (JAMA Intern Med2013;173:551-556) suggesting that complications—especially aspiration pneumonia—are increased during cases with anesthesia assistance. “No studies have measured the depth of sedation […]

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Uncategorized Published - 12 June, 2015    By - Dr Clemens
Oxycodone for cancer-related pain

Authors: Schmidt-Hansen MN et al Published in Cochane Database Syst Rev 2015 Feb BACKGROUND: Many patients with cancer experience moderate to severe pain that requires treatment with strong opioids, of which oxycodone and morphine are examples. Strong opioids are, however, not effective for pain in all patients, nor are they well-tolerated by all patients. The aim […]

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