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Uncategorized Published - 18 May, 2015    By - Dr Clemens
Biofeedback Detailing Fetal Decent Reduces Duration of Second Stage Labour With Epidural

Women receiving audio-visual biofeedback of the fetal decent during delivery show reductions in the duration of the second stage of labour, as well as lower rates of adverse outcomes, researchers reported here today at The Pregnancy Meeting, the 2015 Annual Meeting of the Society for Maternal-Fetal Medicine (SMFM). The common use of epidurals help reduce […]

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Uncategorized Published - 18 May, 2015    By - Dr Clemens
A Retrospective Comparison of Dexmedetomidine Versus Midazolam for Pediatric Patients with Congenital Heart Disease Requiring Postoperative Sedation

Published in Pediatr Cardiol. 2015 Feb 8 Authors: Jiang L et al Abstract We hypothesized that postoperative sedation with dexmedetomidine/fentanyl would be effective in infants and neonates with congenital heart disease and pulmonary arterial hypertension (PAH). Children who were <36 months of age, had congenital heart disease with PAH, and had been treated at our hospital between […]

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Uncategorized Published - 18 May, 2015    By - Dr Clemens
Intraoperative Tight Glucose Control Using Hyperinsulinemic Normoglycemia Increases Delirium after Cardiac Surgery

Published in Anesthesiology on 4 2015 Authors: Leif Saager, Dr. med et al Background: Postoperative delirium is common in patients recovering from cardiac surgery. Tight glucose control has been shown to reduce mortality and morbidity. Therefore, the authors sought to determine the effect of tight intraoperative glucose control using a hyperinsulinemic–normoglycemic clamp approach on postoperative delirium in […]

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Uncategorized Published - 18 May, 2015    By - Dr Clemens
Ultrasound Improves First-Attempt Success with Radial Arterial Line Placement

Published in Anaesthesia 2015 Apr 8 Authors: Ueda K et al. In this randomized, controlled trial of surgery patients, first-attempt radial arterial line placement by anesthesiologists was more successful when guided by ultrasound than palpation or Doppler. The radial artery is traditionally located by palpation, but this can be challenging in patients with hypotension, small-caliber vessels, or […]

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Uncategorized Published - 18 May, 2015    By - Dr Clemens
High-Flow Nasal Cannula Oxygen Does Not Prevent Desaturation During Intubation

Published in Intensive Care Med 2015 Apr 14 Authors: Vourc’h M et al. In an unblinded, randomized trial of ICU patients with hypoxemic respiratory failure, high-flow nasal cannula oxygenation did not reduce desaturation during intubation. Despite adequate preoxygenation, desaturation is common during endotracheal intubation in patients with respiratory disease. The use of high-flow nasal cannula oxygenation […]

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Uncategorized Published - 15 May, 2015    By - Dr Clemens
Fixed-Time Analgesia Superior to On-Demand Regimen for Pain Following C-Section

Analgesia provided following caesarean section delivery at fixed time intervals shows improved efficacy in pain and other outcomes, compared with on-demand analgesia, according to a study presented here at The Pregnancy Meeting, the 2015 Annual Meeting of the Society for Maternal-Fetal Medicine (SMFM). The study involved 187 patients who underwent regional anaesthesia for caesarean section. […]

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Uncategorized Published - 15 May, 2015    By - Dr Clemens
Awkward Positions, Distractions and Fatigue May Trigger Low Back Pain

New research reveals the physical and psychosocial factors that significantly increase the risk of low back pain onset. In fact, results published in the journal Arthritis Care & Research show that being engaged in manual tasks involving awkward positions will increase the risk of low back pain by 8 times. Those who are distracted during […]

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Uncategorized Published - 15 May, 2015    By - Dr Clemens
Chronic Narcotic Use Is High Among Kids With IBD

Chronic narcotic use is more than twice as prevalent in children with inflammatory bowel disease (IBD), compared with children without this disease, according to a study published in Clinical Gastroenterology and Hepatology. “Chronic narcotic use is common in paediatric patients with IBD, particularly among those with anxiety and depression,” said lead author Jessie P. Buckley, […]

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Uncategorized Published - 15 May, 2015    By - Dr Clemens
Public Ill-Informed About Anesthesia, Study Says

Most patients do not know exactly what anesthesiologists do, according to a recent study. This is problematic as patient knowledge can help improve surgery outcomes, according to study a by Ferdinand Iannaccone, DO, an anesthesia resident at Rutgers New Jersey Medical School. “If they know more prior to their surgeries they can be helpful to […]

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Uncategorized Published - 15 May, 2015    By - Dr Clemens
ASA Releases Women’s Pain Update To Raise Awareness

Pain management in women is often overlooked and ineffective for a variety of conditions ranging from back pain to postsurgery cancer pain, according to the American Society of Anesthesiologists (ASA). In response, the ASA has issued the Women’s Pain Update, in the hopes of raising awareness of available treatment options, as well as the role […]

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