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Uncategorized Published - 13 May, 2015    By - Dr Clemens
Ultrasound Accurately Predicts Difficult Intubations

The use of ultrasound to measure airway dimensions in order to predict difficult intubations has been proven reliable, potentially opening the door for its use in such situations. “The difficulty of airway management is one of the prime risks for mortality and morbidity in patients undergoing anesthesia,” said Faraj W. Abdallah, MD, assistant professor of […]

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Uncategorized Published - 13 May, 2015    By - Dr Clemens
Transfuse Plasma, Platelets, and Red Blood Cells in a 1:1:1 Ratio in Trauma

Authors: Holcomb JB et al. JAMA 2015 Feb 3. Compared with a 1:1:2 ratio, the 1:1:1 ratio improved hemostasis without causing more adverse effects, although mortality did not differ. In recent years, the dogma regarding large-volume crystalloid resuscitation in trauma patients has changed, with increased emphasis on including plasma and platelets in addition to red blood cells […]

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Uncategorized Published - 13 May, 2015    By - Dr Clemens
New Treatments Haven’t Lowered Anaesthesia Risks for Children With Pulmonary Hypertension

Despite effective new treatments for their disease, children with pulmonary hypertension (PHT) are still a high-risk group for serious complications and death related to anaesthesia and surgery, according to a study published in the February issue of the journal Anesthesia & Analgesia. “The risk for adverse events during anaesthesia in patients with PHT remains high, […]

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Uncategorized Published - 13 May, 2015    By - Dr Clemens
Morphine Following Common Childhood Surgery May Be Life Threatening

Treating post-operative pain with morphine can cause life-threatening respiratory problems in some children who have had their tonsils and/or adenoids removed, according to a study published in the January 26, 2015, online edition of the journal Pediatrics. The study has identified a significant risk for potentially-fatal breathing disruption when morphine is administered at home after […]

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Uncategorized Published - 12 May, 2015    By - Dr Clemens
Monitor Triglycerides To Avoid Propofol Infusion Syndrome

It is disturbingly common, dangerously lethal and difficult to diagnose, yet propofol-related infusion syndrome (PRIS) may be detected before it happens, given proper vigilance by anesthesiologists. Indeed, research has found a positive correlation between the duration of propofol infusion and increasing triglyceride (TG) levels, which may indicate onset of the deadly complication. “Obviously, propofol has […]

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Uncategorized Published - 12 May, 2015    By - Dr Clemens
Efficacy and tolerability of low-dose oral prolonged-release oxycodone/naloxone for chronic nononcological pain in older patients

Published in Clinical Interventions in Aging 10 1-11 (2015) Authors: Guerriero F et al PURPOSE Chronic pain is highly prevalent in older adults. Increasing evidence indicates strong opioids as a valid option for chronic pain management in geriatrics. The aim of this study was to evaluate efficacy and safety of low-dose oral prolonged-release oxycodone-naloxone (OXN-PR) in […]

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Uncategorized Published - 12 May, 2015    By - Dr Clemens
Prescription Opioid Abuse Waning

A study examining opioid abuse trends between 2002 and 2013 showed that prescriptions for opioid analgesics, rates of opioid diversion and abuse, and opioid-related deaths increased significantly from 2002 through 2010. However, all three measures flattened or decreased from 2011 through 2013. “There’s been so many efforts in the United States to curb prescription opioid […]

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Uncategorized Published - 12 May, 2015    By - Dr Clemens
Randomized clinical trial of continuous femoral nerve block combined with sciatic nerve block versus epidural analgesia for unilateral total knee arthroplasty

Published in J Arthroplasty. 2015 Jan;30(1):149-54 Authors: Al-Zahrani T et al Abstract Pain control following total knee arthroplasty (TKA) is crucial to hasten rehabilitation and decrease morbidity. We evaluated whether there is a difference between epidural infusion and continuous femoral nerve block with respect to postoperative pain control and rehabilitation course. Fifty patients completed the study. […]

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Uncategorized Published - 12 May, 2015    By - Dr Clemens
The effect of a single dose of preemptive pregabalin administered with COX-2 inhibitor: a trial in total knee arthroplasty

Published in J Arthroplasty. 2015 Jan;30(1):38-42 Authors: Lee JK et al Abstract We sought to compare a group (Group L) (n=21) of patients that underwent total knee arthroplasty and received a single preoperative dose of pregabalin combined with a COX-2 inhibitor with a control group (Group C) (n=20) that only received a COX-2 inhibitor in terms […]

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Uncategorized Published - 11 May, 2015    By - Dr Clemens
 FDA approves Nevro device that eliminates side effect of spinal stimulation

The FDA approved Nevro’s (NVRO) novel spinal cord stimulation system Friday, saying it is the only device in the class that does not produce a tingling sensation known as paresthesia. “Since some patients don’t like the paresthesia associated with traditional SCS, this device offers another treatment option,” said Dr. William Maisel, acting director of the […]

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