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Uncategorized Published - 10 July, 2014    By - Dr. Clemens
Chest ultrasonography in emergency Cesarean delivery in multi-valvular heart disease with pulmonary edema during spinal anesthesia

Published in J Clin Anesth. 2014 May;26(3):235-7 Authors: Samanta S et al Abstract Valvular heart disease in a parturient presenting for Cesarean section is challenging. A 25 year old primigravida parturient with severe mitral stenosis, mild mitral regurgitation, mild aortic regurgitation, and mild pulmonary arterial hypertension required Cesarean delivery after developing pulmonary edema. Low-dose spinal […]

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Uncategorized Published - 10 July, 2014    By - Dr. Clemens
Effective low dosage of mepivacaine in ultrasound-guided axillary nerve block: a double-blinded, randomized clinical trial of efficacy in patients undergoing distal upper extremity surgery

Published in J Clin Anesth. 2014 May;26(3):222-6 Authors: Perov S et al STUDY OBJECTIVE: To evaluate two low-dose volumes (20 mL or 30 mL) of 1.5% mepivacaine solution used for ultrasound-guided axillary blockade for outpatients undergoing distal upper limb surgery. DESIGN: Prospective, double-blinded randomized study. SETTING: Outpatient surgical setting of a university-affiliated hospital. PATIENTS: 64 […]

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Uncategorized Published - 10 July, 2014    By - Dr. Clemens
Time to administration of epinephrine and outcome after in-hospital cardiac arrest with non-shockable rhythms: retrospective analysis of large in-hospital data registry

Published in BMJ. 2014 May 20;348:g3028 Authors: Donnino MW et OBJECTIVE: To determine if earlier administration of epinephrine (adrenaline) in patients with non-shockable cardiac arrest rhythms is associated with increased return of spontaneous circulation, survival, and neurologically intact survival. DESIGN: Post hoc analysis of prospectively collected data in a large multicenter registry of in-hospital cardiac […]

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Uncategorized Published - 10 July, 2014    By - Dr. Clemens
The influence of glucose load on metabolism during minor surgery using remifentanil-induced anesthesia

Published in Acta Anaesthesiol Scand. 2014 Apr 29 Authors: Kambe N et al BACKGROUND: During perioperative fasting, lipid metabolism gradually increases, resulting in free fatty acids (FFA) and/or ketone bodies. Suppression of surgical stress by remifentanil may allow the safe administration of glucose infusions, avoiding both hyperglycemia and ketogenesis. The effects of glucose infusion on […]

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Uncategorized Published - 10 July, 2014    By - Dr. Clemens
Senate Confirms Sylvia Burwell as New HHS Chief

The Senate today confirmed Sylvia Mathews Burwell as the next secretary of the US Department of Health and Human Services (HHS) in a 78 to 17 vote that shows how her job of implementing the Affordable Care Act (ACA) will not be easy. Although the vote was overwhelmingly in Burwell’s favor, she had received unanimous […]

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