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Uncategorized Published - 29 July, 2015    By - Dr Clemens
Naloxone added to bupivacaine or bupivacaine-fentanyl prolongs motor and sensory block during supraclavicular brachial plexus blockade: a randomized clinical trial.

Acta Anaesthesiol Scand. 2015 April;59(7):921-7 Authors: Marashi SM et al BACKGROUND: In this study, the effect of naloxone on duration of supraclavicular brachial plexus block was evaluated. It was hypothesized that naloxone can increase the duration of neural blockade. METHODS: Sixty-eight patients scheduled for surgery under supraclavicular brachial plexus block were randomly assigned to receive 30 ml bupivacaine […]

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Uncategorized Published - 29 July, 2015    By - Dr Clemens
Regional Versus General Anesthesia in Surgical Patients with Chronic Obstructive Pulmonary Disease: Does Avoiding General Anesthesia Reduce the Risk of Postoperative Complications?

Anesthesia & Analgesia: June 2015 Vol 120 Issue 6 p 1405-1412 Authors: Hausman, Mark S. Jr. MD et BACKGROUND: Surgical patients with chronic obstructive pulmonary disease (COPD) are at increased risk of perioperative complications. In this study, we sought to quantify the benefit of avoiding general anesthesia in this patient population. METHODS: Data from the […]

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Uncategorized Published - 29 July, 2015    By - Dr Clemens
A Comparison of Plaintiff and Defense Expert Witness Qualifications in Malpractice Litigation in Anesthesiology

Anesthesia & Analgesia: June 2015 Vol 120 Issue 6 p 1369-1374 Authors: Radvansky, Brian M. BA et al BACKGROUND: Expert witnesses serve a crucial role in the medicolegal system, interpreting evidence so that it can be understood by jurors. Guidelines have been established by both the legal community and professional medical societies detailing the expectations […]

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Uncategorized Published - 29 July, 2015    By - Dr Clemens
Intraoperative Multimodal Evoked Potential Monitoring During Carotid Endarterectomy: A Retrospective Study of 264 Patients

Anesthesia & Analgesia: June 2015 Vol 120 Issue 6 p1352-1360 Authors: Malcharek, Michael J. MD et al BACKGROUND: Methods for detecting intraoperative cerebral ischemia arising from internal carotid artery (ICA) cross-clamping during carotid endarterectomy (CEA) should be sensitive, specific, and rapid to prevent intraoperative stroke. We had 3 objectives pertaining to this: (1) investigation of […]

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Uncategorized Published - 28 July, 2015    By - Dr Clemens
The Hematological Effects of Nitrous Oxide Anesthesia in Pediatric Patients

Anesthesia & Analgesia: June 2015 Vol 120 Issue 6 p 1325-1330 Authors: Duma, Andreas MD et al BACKGROUND: Prolonged administration of nitrous oxide causes an increase in plasma homocysteine in children via vitamin B12 inactivation. However, it is unclear whether nitrous oxide doses used in clinical practice cause adverse hematological effects in pediatric patients. METHODS: This […]

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