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Uncategorized Published - 20 April, 2015    By - Dr Clemens
Preexisting Cognitive Impairment Is Associated with Postoperative Cognitive Dysfunction after Hip Joint Replacement Surgery

Published in Anesthesiology on 4 2015. Authors: Brendan Silbert, MB, BS, FABZCA et al Background: This study investigated the prevalence of cognitive impairment in elderly noncardiac surgery patients and any association between preoperative cognitive impairment and postoperative cognitive dysfunction (POCD). Additionally, the incidence of cognitive decline at 12 months after surgery was identified. Methods: Three hundred patients for […]

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Uncategorized Published - 20 April, 2015    By - Dr Clemens
Ultrasound versus fluoroscopic-guided epidural steroid injections in patients with degenerative spinal diseases: A randomised study

Published in European Journal of Anaesthesiology Authors: Evansa, Irina et al BACKGROUND: Epidural steroid injections are routinely performed under fluoroscopic guidance, but could also be performed using preprocedure ultrasound spine examination. OBJECTIVES: To compare ultrasound-assisted and fluoroscopy-controlled epidural steroid injections with regard to technical feasibility (accuracy, average procedure time) and outcome (pain relief and degree […]

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Uncategorized Published - 20 April, 2015    By - Dr Clemens
Half of Cataract Surgery Patients Undergo Unnecessary Tests

Referrals for medical workups prior to low-risk surgeries such as cataract removal needlessly raise costs for Medicare and other payers, researchers find. Despite guidelines in 2002 that advised against precautionary testing of patients before cataract surgery, which is considered to be a safe, quick procedure, 53% were referred for low-benefit and costly tests days before […]

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Uncategorized Published - 20 April, 2015    By - Dr Clemens
How Uncomfortable Is High-Flow Oxygen via Nasal Cannula?

I included this for being important for our recoverery room patients. Published in Ann Emerg Med 2015 Apr 65:356 Authors: Brainard A et al. Normal volunteers tolerated a flow rate of 15 L/minute but found it more uncomfortable than 6 L/minute. A new technique called “apneic oxygenation” is purported to prevent desaturation by delivering high-flow oxygen […]

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Uncategorized Published - 20 April, 2015    By - Dr Clemens
Effects of Morphine and Midazolam on Pharyngeal Function, Airway Protection, and Coordination of Breathing and Swallowing in Healthy Adults

Authors: Anna I. Hårdemark Cedborg, M.D., Ph.D. et al Background: Drugs used for sedation in anesthesia and intensive care may cause pharyngeal dysfunction and increased risk for aspiration. In this study, the authors investigate the impact of sedative doses of morphine and midazolam on pharyngeal function during swallowing and coordination of breathing and swallowing. Methods: Pharyngeal function, […]

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