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Uncategorized Published - 10 August, 2015    By - Dr Clemens
Influence of Ventilation Strategies and Anesthetic Techniques on Regional Cerebral Oximetry in the Beach Chair Position: A Prospective Interventional Study with a Randomized Comparison of Two Anesthetics

Authors: Paul Picton, MB, Ch B MRCP, FRCA et al Anesthesiology published August 2015 Background:: Beach chair positioning during general anesthesia is associated with cerebral oxygen desaturation. Changes in cerebral oxygenation resulting from the interaction of inspired oxygen fraction (Fio2), end-tidal carbon dioxide (PETco2), and anesthetic choice have not been fully evaluated in anesthetized patients in the beach […]

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Uncategorized Published - 7 August, 2015    By - Dr Clemens
Anesthesia Services: An Important Court Decision

As you may already be aware, there was a “whistleblower” suit in Missouri claiming that the anesthesiologists were only doing “supervision,” not “medical direction” because the anesthesiologists were physically present in the operating room at the time of “emergence.” The case was based on there being a definition of “emergence” and in this case no […]

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Uncategorized Published - 7 August, 2015    By - Dr Clemens
Can the Modified LEMON Score Predict Difficult Intubation?

Authors: Hagiwara Y et al., Am J Emerg Med 2015 Jun 19; A Japanese registry study suggests the score has fair sensitivity and specificity. The LEMON score is a mnemonic for predicting difficult intubation. It stands for Look, Evaluate the 3-3-2 rule, Mallampati score, Obstruction, and Neck mobility (NEJM JW Emerg Med Mar 2005 and Emerg Med J 2005; 22:99). […]

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Uncategorized Published - 7 August, 2015    By - Dr Clemens
Prophylactic Administration of Ondansetron in Prevention of Intrathecal Morphine-induced Pruritus and Post-operative Nausea and Vomiting in Patients Undergoing Caesarean Section

BMC Anesthesiol. 2015;15(18) Authors: Ram Bhakta Koju et al Background Intrathecal morphine is commonly used for post caesarean analgesia. However, their use is frequently associated with the incidence of troublesome side effects such as nausea, vomiting and pruritus. Various mechanisms have been postulated for the opioid-induced pruritus, with a variety of medications with different mechanisms […]

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Uncategorized Published - 7 August, 2015    By - Dr Clemens
Pregabalin in Subjects With Painful Diabetic Peripheral Neuropathy Using an NSAID for Other Pain Conditions: A Double-Blind Crossover Study

Clin J Pain. 2015 May 8 Authors: Raskin P1 et al OBJECTIVES: To evaluate pregabalin’s efficacy and safety versus placebo to reduce pain in subjects with diabetic peripheral neuropathy (DPN) using a concomitant nonsteroidal anti-inflammatory drug (NSAID). METHODS: In a randomized, double-masked, 14-week, 2-period, crossover study, subjects with painful DPN using an NSAID for non-DPN-related […]

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