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Uncategorized Published - 17 February, 2020    By - Dr Clemens
Systemic Lidocaine Lowers Opioid Use in Non-OR Settings

Author: Michael Vlessides Anesthesiology News Clinicians searching for a safe and effective way to decrease postoperative opioid use without sacrificing analgesia after ambulatory surgery may find aid in systemic lidocaine, according to a new meta-analysis. Researchers at Rhode Island Hospital and Brown University concluded that while systemic lidocaine had no effect on postoperative nausea and […]

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Uncategorized Published - 17 February, 2020    By - Dr Clemens
Family members steal painkillers from dying relatives

Author: Steven Reinberg HealthDay News In another sign of just how bad the U.S. opioid abuse epidemic has become, a new study finds family members often steal painkillers from dying relatives in hospice care. In a survey of 371 hospices, 31 percent reported at least one case in which drugs were taken from a patient […]

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Uncategorized Published - 17 February, 2020    By - Dr Clemens
Quinine With Whiskey: An Early American Drug Shortage

I thought our history nuts would enjoy this article. Author: A.J. Wright, MLS Anesthesiology News The American Civil War is almost as much a story of disease as it is one of armies and battles. The numbers are staggering. Current scholarship puts the total deaths in the war at more than 750,000. Over twice as […]

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Uncategorized Published - 14 February, 2020    By - Dr Clemens
1-1-8 one-step sevoflurane wash-in scheme for low-flow anesthesia: simple, rapid, and predictable induction

Authors: Sirirat Tribuddharat et al BMC Anesthesiology volume 20, Article number: 23 (2020) Background Sevoflurane is suitable for low-flow anesthesia (LFA). LFA needs a wash-in phase. The reported sevoflurane wash-in schemes lack simplicity, target coverage, and applicability. We proposed a one-step 1-1-8 wash-in scheme for sevoflurane LFA to be used with both N2O and Air. The objective of our […]

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Uncategorized Published - 14 February, 2020    By - Dr Clemens
Multimodal Analgesia: The Foundation of a Successful Perioperative Experience

Authors: Eric S. Schwenk, MD et al Anesthesiology News Introduction The delivery of high-quality health care at the lowest possible cost is no longer an aspiration; it is the expectation. To illustrate this point, the Merit-Based Incentive Payment System (or MIPS) developed by the Centers for Medicare & Medicaid Services has replaced the former fee-for-service […]

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Uncategorized Published - 14 February, 2020    By - Dr Clemens
Regular Marijuana Use Changes Anesthesia Needs

Author: Naveed Saleh MD MS Anesthesiology News The recreational use of marijuana is currently legal in 11 states—Alaska, California, Colorado, Illinois, Maine, Massachusetts, Michigan, Nevada, Oregon, Vermont and Washington—and also in Washington, D.C. Several other states allow marijuana use for medicinal reasons. State legislative changes that have legalized marijuana have brought both medical opportunities and […]

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Uncategorized Published - 14 February, 2020    By - Dr Clemens
Drug-Related Mortality May Be Underestimated in U.S.

By Kelly Young Mortality from drug use (illicit drugs and misused medications) in the U.S. may be double previous estimates, according to a modeling study in PLoS One. Rather than only relying on drug-coded deaths (e.g., drug poisonings and drug-coded mental disorders), the study tried to take into account excess mortality from other causes related to […]

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Uncategorized Published - 14 February, 2020    By - Dr Clemens
Reintubation Incidence After Extubation of High-Risk Patients

Patricia Kritek, MD reviewing Thille AW et al. JAMA 2019 Oct 2 Telias I and Ferguson ND. JAMA 2019 Oct 2 Noninvasive ventilation plus high-flow oxygen during breaks is a promising strategy. Shortening the duration of mechanical ventilation has many benefits, including lowering risks for ventilator-associated pneumonia and delirium. Clinicians usually attempt extubation as soon as possible, with the knowledge that […]

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Uncategorized Published - 13 February, 2020    By - Dr Clemens
Effect of Sugammadex on Postoperative Myasthenic Crisis in Myasthenia Gravis Patients: Propensity Score Analysis of a Japanese Nationwide Database

AUTHORS: Mouri, Hideyuki MD et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 367-373 BACKGROUND:  In myasthenia gravis (MG) patients, postoperative myasthenic crisis, and residual neuromuscular blocking agent (NMBA) can cause respiratory failure that requires mechanical ventilation. However, it remains unclear whether the use of sugammadex for NMBA reversal […]

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Uncategorized Published - 13 February, 2020    By - Dr Clemens
Healthy Relationships Between Anesthesia Professionals and Surgeons Are Vital to Patient Safety

Jeffrey B. Cooper, PhD apsf Newsletter Febrauary 2020 Effective teamwork in perioperative teams is a prerequisite for patient safety. Yet, what is rarely discussed openly is the special importance of dyads in teams—the relationship between two individuals. If you’re an anesthesia professional, you likely are aware, at least subliminally, of the erosion of patient safety […]

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