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Uncategorized Published - 1 September, 2015    By - Dr Clemens
The Effect of Beta-blockade on Objectively Measured Physical Fitness in Patients With Abdominal Aortic Aneurysms

A Blinded Interventional Study Authors: M. A. West et al Br J Anaesth. 2015;114(6):878-885. Background: Perioperative beta-blockade is widely used, especially before vascular surgery; however, its impact on exercise performance assessed using cardiopulmonary exercise testing (CPET) in this group is unknown. We hypothesized that beta-blocker therapy would significantly improve CPET-derived physical fitness in this group. Methods: […]

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Uncategorized Published - 31 August, 2015    By - Dr Clemens
Fentanyl Bolus With Local Anaesthetic Produces Faster Onset of Labour Epidural Analgesia

Fentanyl 50 and 100 mcg is useful in accelerating the onset of labour analgesia without compromising safety, according to a study presented here at the 2015 Annual Meeting of the Canadian Anesthesiologists’ Society (CAS). “We have been decreasing our concentrations of our local anaesthetics, and we find that one of the impacts of that is […]

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Uncategorized Published - 31 August, 2015    By - Dr Clemens
Use off Opioids 1 Month Post-Op Predicts Use at 6 Months After Surgery

Patients who minimally used opioids prior to surgery, but who continued to use them for pain relief 30 days after surgery were likely to be using them in the longer term, according to a study presented here at the 2015 Annual Meeting of the Canadian Anesthesiologists’ Society (CAS). With ongoing opioid use being a public […]

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Uncategorized Published - 31 August, 2015    By - Dr Clemens
Sumatriptan Improves Quality of Recovery After Craniotomy

The use of sumatriptan decreases post-operative headache at the non-surgical site in patients who undergo craniotomy for the treatment of trigeminal neuralgia and facial spasms, researchers said here at the 2015 Annual Meeting of the Canadian Anesthesiologists’ Society (CAS). “These patients complain of pain at the non-surgical site as well as nausea and vomiting,” said […]

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Uncategorized Published - 31 August, 2015    By - Dr Clemens
Use of Periarticular Ketorolac Not Linked to Greater Blood Loss During Knee Arthroplasty

The use of periarticular ketorolac, an anti-platelet agent, does not produce additional blood loss in patients undergoing total knee arthroplasty (TKA), a retrospective study presented here on Monday, June 22nd at the annual meeting of the Canadian Anesthesiologists’ Society concludes. The study compared 57 patients who received periarticular ketorolac injection and 33 patients who didn’t […]

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Uncategorized Published - 31 August, 2015    By - Dr Clemens
Isoflurane and Sevoflurane Provide Similar Results Post-Op Results After Cardiac Surgery

Isoflurane is noninferior to sevoflurane as an anaesthetic in cases of cardiac surgery, according to study results presented at the 2015 Annual Meeting of the Canadian Anesthesiologists’ Society (CAS). “There was no evidence that there was a difference in effect between the 2 treatments,” said lead investigator Philip M. Jones MD, The University of Western […]

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Uncategorized Published - 28 August, 2015    By - Dr Clemens
Caudal Bupivacaine Effective Analgaesic After Hip Replacement for Patients With Ankylosing Spondylitis

Administering bupivacaine in the caudal space (with or without morphine) provides sufficient postoperative analgaesia to patients with ankylosing spondylitis (AS) who undergo total hip arthroplasty, according to results of a prospective study presented at the 2015 Annual Meeting of the Canadian Anesthesiologists’ Society (CAS). Patients with AS present a challenge to anaesthesiologists, in that they […]

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Uncategorized Published - 28 August, 2015    By - Dr Clemens
Dexmedetomidine Offers Safer Respiratory Profile Than Remifentanil, More Hypotensive Episodes

Dexmedetomidine hydrochloride produces less respiratory depression compared with remifentanil, during monitored anaesthesia care in patients with lung cancer undergoing endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA), according to study results presented at the 2015 Annual Meeting of the Canadian Anesthesiologists’ Society (CAS). Dexmedetomidine did, however, produce more hypotension after surgery, more use of local anaesthetics during […]

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Uncategorized Published - 28 August, 2015    By - Dr Clemens
Incidence of Post-Operative Vision Loss is Rising

Diagnoses of post-operative vision loss (POVL), although rare, rose significantly after 2008 compared with previous years, according to study results presented at the 2015 Annual Meeting of the Canadian Anesthesiologists’ Society (CAS). “Patients are concerned about complications that are common and severe,” explained lead author Cameron Goldie, MD, University of Manitoba, Winnipeg, Manitoba, Canada, speaking […]

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Uncategorized Published - 28 August, 2015    By - Dr Clemens
Assessing Frailty in Older Patients Helps Spot Risk for Readmission, Death

A scale that measures clinical frailty might help health care professionals assess which older hospitalized patients are at increased risk for readmission or death, according to researchers from the University of Alberta in Edmonton, Canada. Identifying vulnerable patients and addressing the factors contributing to readmission might help reduce recurrences, which are common and costly. However, […]

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