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Uncategorized Published - 3 September, 2015    By - Dr Clemens
Randomized Comparison of Extrafascial Versus Subfascial Injection of Local Anesthetic During Ultrasound-Guided Supraclavicular Brachial Plexus Block.

Reg Anesth Pain Med. 2015 Jul-Aug;40(4):337-43 Authors: Sivashammugan T et al OBJECTIVES: The optimal site for local anesthetic injection during an ultrasound-guided supraclavicular brachial plexus block (BPB) is not known. We tested the hypothesis that local anesthetic injected deep to the “brachial plexus sheath” during supraclavicular BPB would produce faster onset of surgical anesthesia than an injection […]

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Uncategorized Published - 2 September, 2015    By - Dr Clemens
Drug therapy for treating post-dural puncture headache

Cochrane Database Syst Rev. 2015 Jul 15 Authors: Basurto Ona X et al   BACKGROUND: This is an updated version of the original Cochrane review published in Issue 8, 2011, on ‘Drug therapy for treating post-dural puncture headache’.Post-dural puncture headache (PDPH) is the most common complication of lumbar puncture, an invasive procedure frequently performed in the emergency room. […]

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Uncategorized Published - 2 September, 2015    By - Dr Clemens
Periprosthetic Anesthetic for Postoperative Pain After Laparoscopic Ventral Hernia Repair: A Randomized Clinical Trial

JAMA Surg 2015 Jul 8. doi: 10.1001/jamasurg.2015.1530. Authors: Gough AE et al IMPORTANCE: Laparoscopic ventral hernia repair (LVHR) using mesh is a well-established intervention for ventral hernia, but pain control can be challenging. OBJECTIVE: To determine whether instillation of a long-acting local anesthetic between the mesh and the peritoneum after LVHR reduces pain or narcotic requirements. DESIGN, […]

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Uncategorized Published - 2 September, 2015    By - Dr Clemens
Required Propofol Dose for Anesthesia and Time to Emerge Are Affected by the Use of Antiepileptics

Prospective Cohort Study Authors: Kentaro Ouchi et al BMC Anesthesiol. 2015;15(34) Background We investigated the impact of the type of neurological disorder on the required propofol dose for anesthesia and the time to emerge from anesthesia during dental treatment in patients with autism (AU), cerebral palsy (CP), and intellectual disability (ID), some of whom also had epilepsy. […]

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Uncategorized Published - 2 September, 2015    By - Dr Clemens
Prepare for Questions on Cannabis as an Analgesic

Physicians must become better prepared to answer patients’ questions about cannabis because its use in medicine is exploding, according to a leading researcher. “It’s high time we got up to speed with the language and the issues around communication on this,” said Mark Ware, MBBS, MSc, from McGill University Health Centre in Montreal, Quebec, Canada. […]

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Uncategorized Published - 2 September, 2015    By - Dr Clemens
Prompt Postsurgical Resumption of ARBs May Drop Mortality Risk

Prompt resumption of angiotensin receptor blocker (ARB) therapy after surgery slashes 30-day mortality risk, particularly among younger patients, according to a national cohort study published June 4 in Anesthesiology. Although clinicians commonly discontinue ARBs before surgery to prevent intraoperative hypotension, there is little evidence to guide optimal timing for resumption of therapy, write lead author Susan […]

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Uncategorized Published - 1 September, 2015    By - Dr Clemens
New Studies Reveal Shift in Understanding of Sepsis

A year ago, a study published in the Journal of the American Medical Association (JAMA) reported that more patients than ever are surviving after treatment for severe sepsis (2014;311:1295-1297). But now, research shows that the finding only tells one part of the story. A spate of recent studies shows the immense burden of sepsis survivorship in the […]

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Uncategorized Published - 1 September, 2015    By - Dr Clemens
High Morbidity and Mortality Rates in Children With Multiple Intubation Attempts

There is a disturbingly high rate of morbidity and mortality in children with difficult airways who have undergone multiple intubation attempts, according to a database analysis by a multicenter research team. Severe complications in the cohort were also associated with body weight less than 10 kg and difficult airways that were unanticipated. At the heart […]

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Uncategorized Published - 1 September, 2015    By - Dr Clemens
‘Stratified’ Approach to Individualized Anaesthetic Care

Authors: S. Munirama; G. McLeod Br J Anaesth. 2015;114(4):543-545. Anaesthetists provide personalized care. Preoperative assessment guides decision-making, and awareness of risk based on clinical experience allows anaesthesia to be conducted in a way that aims to achieve the best possible clinical outcome for each patient while minimizing side-effects. This traditional approach has led to the use […]

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Uncategorized Published - 1 September, 2015    By - Dr Clemens
Which Types of Peripheral Nerve Blocks Should Be Included in Residency Training Programs?

Authors: Marcia A Corvetto et al BMC Anesthesiol. 2015;15(32) Background: Despite the increasing use of regional anesthesia, specific recommendations regarding the type of procedures to be included in residency training programs are not currently available. We aimed to determine the nerve block techniques that practicing Chilean anesthesiologists perceived as essential to master during residency training. Methods: […]

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