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Uncategorized Published - 12 February, 2015    By - Dr Clemens
After PCI, Aspirin Before Noncardiac Surgery Irrelevant

In patients undergoing noncardiac surgery after previous percutaneous coronary intervention (PCI) and stent implantation, the use of aspirin is unrelated to the occurrence of a major cardiac adverse event, a new study shows. Canadian investigators evaluated whether antiplatelet therapy decreases the incidence of cardiac adverse events in patients undergoing noncardiac surgery, and found the use […]

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Uncategorized Published - 12 February, 2015    By - Dr Clemens
Challenges in the Perioperative Management of the Patient Receiving Extended-Release Naltrexone

Published in A&A Case Reports: 1 December 2014 – Volume 3 – Issue 11 – p 142–144 Authors: Curatolo, Christopher MD, MEM; Trinh, Muoi MD, MPH Patients receiving extended-release (XR) naltrexone who are having surgery present unique challenges to anesthesia providers, the most obvious of which is an altered response to the effects of opioid […]

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Uncategorized Published - 12 February, 2015    By - Dr Clemens
Is It Risky to Give Etomidate to Septic Patients?

Etomidate is a hypnotic agent used for the induction of general anesthesia and is commonly used for rapid sequence intubation (RSI). Medications used in RSI can contribute to hypotension after intubation, which has been shown to be associated with increases in mortality. Although it has been reported that etomidate is associated with hemodynamic stability after […]

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Uncategorized Published - 12 February, 2015    By - Dr Clemens
Delirium After Cardiac Surgery Predicts Cognitive Decline

Postoperative delirium might be associated with cognitive decline 4 to 6 weeks after cardiac surgery, a rigorous analysis has shown. “The prevention of postoperative delirium may be a strategy for avoiding cognitive decline,” said lead investigator Charles Brown, MD, from the Johns Hopkins University School of Medicine in Baltimore. Dr Brown pointed out that delirium […]

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Uncategorized Published - 11 February, 2015    By - Dr Clemens
Neuropathic Pain Therapy: Evidence-Based Recommendations

Published in Lancet Neurol 2015 Feb 14:162 Authors: Finnerup NB et al. Results of a meta-analysis and systematic review Neuropathic pain is a serious chronic condition affecting quality of life that can be relieved but not cured. The estimated prevalence is at least 1% to 5% of the general population (Pain Pract 2014; 14:283). Neuropathic pain results […]

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