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Uncategorized Published - 30 April, 2015    By - Dr Clemens
What Is the Role of Epidural Analgesia in Abdominal Surgery?

Published in Anaesth Crit Care and Pain. 2014;14(5):224-229 Authors: Susan M Nimmo MB ChB FRCA FFPMRCA FRCPEdin MSc Pain Medicine et al Many of the benefits of effective epidural analgesia for open abdominal surgery are soundly established. A well-managed epidural can provide excellent analgesia in the postoperative period allowing the patient to be pain free […]

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Uncategorized Published - 30 April, 2015    By - Dr Clemens
FDA Urges Continued Caution for Pain Meds in Pregnancy

In a drug safety communication issued today, the US Food and Drug Administration (FDA) says it is aware of recent reports “questioning” the safety of prescription and over-the-counter (OTC) pain medicines when used during pregnancy, but that it lacks adequate studies to change current recommendations. The benefits and risks of using prescription and OTC pain […]

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Uncategorized Published - 29 April, 2015    By - Dr Clemens
Can remifentanil use in obstetrics be improved by optimal patient-controlled analgesia bolus timing?

Published in Br J Anaesth. 2015 Feb;114(2):281-9 Authors: Rehberg B et BACKGROUND: The safety of patient-controlled i.v. analgesia (PCA) with remifentanil for obstetrical analgesia remains a matter of concern. The efficacy of remifentanil bolus application, that is, the coincidence between pain and remifentanil effect-site concentration, may be improved by forecasting contractions, but it is not […]

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Uncategorized Published - 29 April, 2015    By - Dr Clemens
Feasibility of closed-loop co-administration of propofol and remifentanil guided by the bispectral index in obese patients: a prospective cohort comparison

Published in Br J Anaesth. 2015 Apr;114(4):605-14 Authors: Liu N et al BACKGROUND: We used an automated bispectral index (BIS)-guided dual-loop controller to determine propofol and remifentanil requirements during general anaesthesia in obese and lean surgical patients. METHODS: Obese patients, BMI>35 kg m(-2), and lean patients (<25 kg m(-2)) having laparoscopic procedures were prospectively evaluated […]

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Uncategorized Published - 29 April, 2015    By - Dr Clemens
Type of anaesthesia and patient quality of recovery: a randomized trial comparing propofol-remifentanil total i.v. anaesthesia with desflurane anaesthesia

Published in Br J Anaesth. 2015 Apr;114(4):663-8 Authors: Lee WK et al BACKGROUND: Two common general anaesthetic methods are total i.v. anaesthesia (TIVA) and inhalation anaesthesia, but it is unclear whether this affects the patient’s perception of their quality of recovery. The Quality of Recovery-40 questionnaire (QoR-40) is a valid and reliable method to evaluate […]

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