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Uncategorized Published - 28 July, 2017    By - Dr Clemens
Introduction of a novel ultrasound-guided extrathoracic sub-paraspinal block for control of perioperative pain in Nuss procedure patients

Authors: Bryskin R, Robie D et al    Journal of Pediatric Surgery 52 (3), 484-491 (Mar 2017) BACKGROUND A safe and effective method of multilevel thoracic pain control remains an elusive goal in patients undergoing the Nuss procedure. The aim of our study was to develop a nonopioid centered approach using a novel regional technique as […]

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Uncategorized Published - 28 July, 2017    By - Dr Clemens
Determination of Perioperative Blood Loss: Accuracy or Approximation?

AUTHORS: Lopez-Picado, A. Pharm et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 280–286 BACKGROUND: Various different interventions can be used to reduce surgical blood loss; however, there is no “gold standard” for accurately measuring the volume of perioperative blood loss, and this makes it difficult to assess the efficacy […]

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Uncategorized Published - 28 July, 2017    By - Dr Clemens
Continuous Ropivacaine Subfascial Wound Infusion Compared With Intrathecal Morphine for Postcesarean Analgesia: A Prospective, Randomized Controlled, Double-Blind Study.

AUTHORS: Lalmand, Manon MD et al Anesthesia & Analgesia: March 31, 2017 BACKGROUND: After cesarean delivery, postoperative pain management allows early rehabilitation and helps prevent postpartum depression and chronic pain. Our present prospective, randomized controlled, double-blind study assessed the duration and effect of intrathecal analgesia and continuous ropivacaine wound infiltration versus a control group after cesarean […]

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Uncategorized Published - 28 July, 2017    By - Dr Clemens
Electric Nerve Stimulation Does Not Correctly Predict Needle-Nerve Distance and Potential Local Anesthetic Spread for Interscalene Brachial Plexus Blockade

AUTHORS: Fielmuth, Stefan MD et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 632–634 This study evaluated electric nerve stimulation as a nerve location tool. After eliciting motor response in 43 patients undergoing shoulder surgery, the needle tip’s position, distance from the closest nerve, and spread of saline were evaluated […]

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Uncategorized Published - 27 July, 2017    By - Dr Clemens
Closed-Loop Feedback Computer-Controlled Phenylephrine for Maintenance of Blood Pressure During Spinal Anesthesia for Cesarean Delivery: A Randomized Trial Comparing Automated Boluses Versus Infusion

AUTHORS: Ngan Kee et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 117–123 BACKGROUND: We previously described the use of closed-loop feedback computer-controlled infusion of phenylephrine for maintaining blood pressure (BP) during spinal anesthesia for cesarean delivery. In this study, we report a modified system in which phenylephrine is delivered […]

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Uncategorized Published - 27 July, 2017    By - Dr Clemens
Anesthesiologists Found Underreporting Medication Errors

Medication errors are apparently significantly underreported by anesthesia providers, at least at certain institutions. These recent findings may reflect a culture of underreporting or fear of punitive action, despite the fact that approximately 10% of these reported medication errors caused at least temporary patient harm. “As we know from the Institute of Medicine report about […]

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Uncategorized Published - 27 July, 2017    By - Dr Clemens
Initial Opioid Prescription May Affect Long-Term Use

The odds of long-term opioid use increased most sharply in the first days of therapy, particularly after 5 days of taking the drugs. Doctors who limit the supply of opioids they prescribe to 3 days or less may help patients reduce their risk of dependence and addiction, according to research published in the U.S. Centers […]

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Uncategorized Published - 27 July, 2017    By - Dr Clemens
Glut of Anesthesia Guidelines a Disservice, Except for Lawyers

Anesthesia practice guidelines are out of control—too many to adopt, too anecdotal to accept and too political to take seriously! Every society seems to issue them now, in order to announce their existence, promote their brand or troll for members. I would ignore most of them, but unfortunately lawyers use society guidelines as standards of […]

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Uncategorized Published - 27 July, 2017    By - Dr Clemens
Scheduled Oral Analgesia for Superior Pain Control in Postcesarean Women

Oral pain medications administered postcesarean delivery on a fixed time interval basis resulted in significantly lower pain intensity and greater satisfaction with pain management. Prescheduled pain management strategies after cesarean delivery (CD) are superior to receiving medications on-demand, according to results of a new study published in the British Journal of Obstetrics and Gynaecology.1 Oral pain medications administered […]

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Uncategorized Published - 26 July, 2017    By - Dr Clemens
Intraoperative Oxidative Stress Associated With Postoperative Delirium

Intraoperative oxidative stress is associated with postoperative delirium in ICU patients after cardiac surgery, a study has found. Researchers from Vanderbilt University Medical Center, in Nashville, Tenn., came to this conclusion after they found plasma concentrations of F2-isoprostanes and isofurans, markers of oxidative damage, are associated with delirium. They measured plasma concentrations of F2-isoprostanes and […]

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