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Uncategorized Published - 14 June, 2018    By - Dr Clemens
Adductor Canal Block With Continuous Infusion Versus Intermittent Boluses and Morphine Consumption: A Randomized, Blinded, Controlled Clinical Trial

AUTHORS: Jaeger, Pia, MD, PhD et al Anesthesia & Analgesia: June 2018 – Volume 126 – Issue 6 – p 2069–2077 BACKGROUND: Based on the assumption that relatively large volumes of local anesthetic optimize an adductor canal block (ACB), we theorized that an ACB administered as repeated boluses would improve analgesia without compromising mobility, compared with a […]

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Uncategorized Published - 14 June, 2018    By - Dr Clemens
Comparison of DNA Damage and Oxidative Stress in Patients Anesthetized With Desflurane Associated or Not With Nitrous Oxide: A Prospective Randomized Clinical Trial

AUTHORS: Nogueira, Flávia, R., BSc et al Anesthesia & Analgesia: April 2018 – Volume 126 – Issue 4 – p 1198–1205 BACKGROUND: Little is known about the effects of desflurane associated or not with nitrous oxide (N2O) on oxidative stress and patient genetic material. The aim of this study was to compare the effects of anesthesia maintained […]

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Uncategorized Published - 14 June, 2018    By - Dr Clemens
Characteristics of Desaturation and Respiratory Rate in Postoperative Patients Breathing Room Air Versus Supplemental Oxygen: Are They Different?

AUTHORS: Taenzer, Andreas, H., MS, MD et al Anesthesia & Analgesia: March 2018 – Volume 126 – Issue 3 – p 826–832 BACKGROUND: Routine monitoring of postoperative patients with pulse oximetry–based surveillance monitoring has been shown to reduce adverse events. However, there is some concern that pulse oximetry is limited in its ability to detect deterioration quickly […]

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Uncategorized Published - 14 June, 2018    By - Dr Clemens
Dexmedetomidine for Improved Quality of Emergence From General Anesthesia: A Dose-Finding Study

AUTHORS: Aouad, Marie, T., MD et al Anesthesia & Analgesia: December 29, 2017 BACKGROUND: Dexmedetomidine provides smooth and hemodynamically stable emergence at the expense of hypotension, delayed recovery, and sedation. We investigated the optimal dose of dexmedetomidine for prevention of cough, agitation, hypertension, tachycardia, and shivering, with minimal side effects. METHODS: In this prospective, randomized, double-blind trial, 216 […]

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Uncategorized Published - 14 June, 2018    By - Dr Clemens
Do Most Hospitals Benefit from Directly Employing Physicians?

I thought this was very interesting so I wanted to share with our readers. By Jeff Goldsmith, Alex Hunter and Amy Strauss How can hospitals and health systems generate a return on their investment in their physician enterprises? According to the most recent figures, from the American Medical Association, over 25% of U.S. physicians practiced in groups wholly […]

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Uncategorized Published - 13 June, 2018    By - Dr Clemens
Airway Management by Laryngeal Mask Airways for Cervical Tracheal Resection and Reconstruction: A Single-Center Retrospective Analysis

AUTHORS: Schieren, Mark, MD et al Anesthesia & Analgesia: April 2018 – Volume 126 – Issue 4 – p 1257–1261 BACKGROUND: Supraglottic airway devices (SADs) may have advantages over endotracheal intubation for tracheal resection and reconstruction in cases of severe and proximally located subglottic stenosis. This retrospective case series examines the feasibility of using SADs as a […]

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Uncategorized Published - 13 June, 2018    By - Dr Clemens
Does Lactate Affect the Association of Early Hyperglycemia and Multiple Organ Failure in Severely Injured Blunt Trauma Patients?

AUTHORS: Richards, Justin, E., MD et al Anesthesia & Analgesia: March 2018 – Volume 126 – Issue 3 – p 904–910 BACKGROUND: Early hyperglycemia is associated with multiple organ failure (MOF) after traumatic injury; however, few studies have considered the contribution of depth of clinical shock. We hypothesize that when considered simultaneously, glucose and lactate are associated […]

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Uncategorized Published - 13 June, 2018    By - Dr Clemens
Heating and Cooling Rates With an Esophageal Heat Exchange System

AUTHORS: Kalasbail, Prathima, MD et al Anesthesia & Analgesia: April 2018 – Volume 126 – Issue 4 – p 1190–1195 BACKGROUND: The Esophageal Cooling Device circulates warm or cool water through an esophageal heat exchanger, but warming and cooling efficacy in patients remains unknown. We therefore determined heat exchange rates during warming and cooling. METHODS: Nineteen patients completed the […]

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Uncategorized Published - 13 June, 2018    By - Dr Clemens
High Risk for Prescription Opioid, Heroin Overdose in Baby Boomer Generation

Individuals born between 1947 and 1964 have a significantly increased risk for prescription opioid overdose death and heroin overdose death, and those born from 1979 to 1992 also have an increased risk for heroin overdose death, according to a study published online in the American Journal of Public Health. Xiwen Huang, MPH, from Columbia University in […]

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Uncategorized Published - 13 June, 2018    By - Dr Clemens
As Many as 1 in 5 Deaths Among Millennials Involve Opioids

I thought this was interesting so I wanted to share it with our readers. An estimated 20% of deaths among U.S. adults aged 25 to 34 years are related to opioid use, according to an analysis in JAMA Network Open. Researchers examined trends in opioid-related deaths using death certificates from 2001 to 2016. Among their findings: […]

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