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Uncategorized Published - 11 March, 2015    By - Dr Clemens
Patients in Cardiac Arrest Report Conscious Awareness

Authors: Parnia S et al., Resuscitation 2014 Oct 6; Nearly 40% of 140 cardiac arrest survivors claimed memories from when they were in cardiac arrest. Awareness during anesthesia has been well described, but what about during cardiac arrest? Researchers performed a 4-year multicenter observational study involving a qualitative and quantitative interview of 140 post-cardiac arrest […]

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Uncategorized Published - 11 March, 2015    By - Dr Clemens
Intraocular Pressure Increases Are Trivial in Children During Ketamine Sedation

Authors: Wadia S et al., Ann Emerg Med 2014 Oct 64:385 In a study of 60 children undergoing procedural sedation with ketamine, intraocular pressure increased only by a median of 3 mm Hg. Investigators evaluated ketamine’s effect on intraocular pressure in a prospective observational study of children aged 8–18 years undergoing procedural sedation at a […]

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Uncategorized Published - 11 March, 2015    By - Dr Clemens
Gains reported in war against post-surgical pain

The percentage of patients reporting moderate to extreme pain two weeks after surgery has plummeted in the last decade thanks to better understanding of how different classes of pain medications work, a new survey found. Overall patient satisfaction with post-op pain meds has increased slightly, from 83 percent in 2003 to 87 percent this year, […]

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Uncategorized Published - 11 March, 2015    By - Dr Clemens
Preoperative Sepsis Is Associated with Risk for Arterial and Venous Thromboses

Authors: Donzé JD et al., BMJ 2014 Sep 8; 349:g5334 Risk increases with severity of sepsis. Coronary artery disease is a risk factor for postoperative arterial thrombosis; male sex, older age, cancer history, and prior venous thrombosis are risk factors for postoperative venous thrombosis. However, whether systemic inflammation (which induces a hypercoagulable state) promotes risk […]

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Uncategorized Published - 10 March, 2015    By - Dr Clemens
Etomidate Does Not Increase Mortality in Patients with Sepsis

Authors: Gu WJ., Chest 2014 Sep 25; A meta-analysis finds no evidence of harm. Etomidate causes laboratory abnormalities, specifically, suppression of cortisol production. Prior authors have attempted to demonstrate corresponding patient harm (NEJM JW Emerg Med Jan 16 2014). A new meta-analysis of two randomized, controlled trials and 16 observational studies involving 5552 patients helps […]

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