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Uncategorized Published - 25 February, 2015    By - Dr Clemens
TRUST: A Useful Tool for Assuring Correct Pediatric Endotracheal Tube Depth

Published in Resuscitation 2014 Sep 17 Authors: Tessaro MO et al. Ultrasound visualization of a saline-filled cuff at the level of the suprasternal notch was accurate for confirming correct tube depth. Investigators evaluated the accuracy of the tracheal rapid ultrasound saline test (TRUST) to confirm proper endotracheal tube (ETT) depth in children ages 3 months […]

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Uncategorized Published - 25 February, 2015    By - Dr Clemens
A Dose of Ketamine Can Facilitate Preoxygenation Before Emergency Intubation

Published in Ann Emerg Med 2014 Oct 22 Authors: Weingart SD et al. In a new technique called “delayed sequence intubation,” ketamine facilitated preoxygenation in patients with altered mental status. Patients with altered mental status may not be able to undergo preoxygenation, which is required for optimal rapid sequence intubation. In a prospective observational study […]

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Uncategorized Published - 25 February, 2015    By - Dr Clemens
Are Propofol and Ketofol Interchangeable?

Published in Ann Emerg Med 2014 Oct 15 Authors: Miner JR et al. In a randomized trial, three drug regimens for procedural sedation were equivalent, but the analysis was flawed. For procedural sedation, the advantage of propofol is its short duration; its disadvantage is dose-related respiratory suppression. The advantage of ketamine is absence of respiratory […]

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Uncategorized Published - 25 February, 2015    By - Dr Clemens
Blunt Head Trauma in U.S. Kids Detailed

Roughly two thirds of children with severe head injuries who undergo computed tomography scans have traumatic brain injuries, according to an analysis of emergency department visits for pediatric head trauma published in the New England Journal of Medicine. Researchers studied some 43,000 children who presented with blunt head trauma from 2004 through 2006. Among the […]

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Uncategorized Published - 24 February, 2015    By - Dr Clemens
Pre-operative pain and depressive symptoms in older adults place them at greater risk of delirium following surgery

Published The Lancet Psychiatry. Both pain and depression are independent and interactive risk factors for delirium, suggesting a cumulative effect. “Understanding the impact of preoperative pain and depression on risk of delirium in older surgical patients is important,” said lead author Cyrus Kosar, MD, Harvard Medical School, and Hebrew Senior Life Institute for Aging Research […]

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