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Uncategorized Published - 16 October, 2019    By - Dr Clemens
Suicide a Risk with Abrupt Opioid Discontinuation

Author: David Wild Anesthesiology News Patients with a physical dependence on opioids can suffer worsening or uncontrolled pain, psychological distress, or have an increased risk for suicide if their opioids are discontinued abruptly or the dose is reduced too quickly, the FDA said in a recent safety communication. The communication referred to an unspecified number […]

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Uncategorized Published - 15 October, 2019    By - Dr Clemens
Low Blood and Pulse Pressures Linked to Post-op Mortality

Author: Michael Vlessides Anesthesiology News A database analysis by a team of researchers has concluded that both low preoperative mean arterial pressure (MAP) and pulse pressure are associated with increased postoperative mortality in patients undergoing major noncardiac surgery. Future research, they said, should explore the mechanisms underlying this association and possibly test interventions. “Previous research […]

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Uncategorized Published - 15 October, 2019    By - Dr Clemens
WHY SOME PATIENTS FACE HIGHER RISKS AT AMBULATORY SURGERY CENTERS

BY ALANNA MORIARTY Ambulatory surgery centers (ASCs) are outpatient facilities that offer surgical procedures to patients at reduced costs, often with greater scheduling flexibility than hospitals. Also known as same-day surgery centers, these facilities allow patients to undergo minor surgical procedures during the day and recover at home rather than remain at a hospital for overnight […]

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Uncategorized Published - 15 October, 2019    By - Dr Clemens
Medical Marijuana Cancer Pearls

Author: Chase Doyle Anesthesiology News Although medical marijuana is now legal in more than 30 states, many clinicians are unfamiliar with how to manage patients using medical marijuana and may even be uncomfortable doing so. At the 2019 Hematology/Oncology Pharmacy Association annual meeting, Lisa M. Holle, PharmD, an associate clinical professor at the University of […]

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Uncategorized Published - 15 October, 2019    By - Dr Clemens
Most Medical Tourniquets Contaminated With Staphylococci, Other Organisms

Author: Marie Rosenthal, MS Anesthesiology News Those little rubber tourniquets used while drawing blood could put patients at risk, because they appear to be contaminated with a variety of disease-producing organisms, according to research presented at the 2019 annual European Congress of Clinical Microbiology and Infectious Diseases (poster 1044). Tourniquets are one of the most […]

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Uncategorized Published - 15 October, 2019    By - Dr Clemens
P Valueless? Statisticians Bidding Adieu to ‘Statistical Significance’

Author: Alison McCook Anesthesiology News Busy clinicians who want to stay on top of the literature often only have time to scan abstracts in their favorite journals. More often than not, authors will note whether the data they are reporting are statistically significant—meaning, after performing a hypothesis test of the data, the calculated P value is less […]

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Uncategorized Published - 14 October, 2019    By - Dr Clemens
Perioperative Anaphylaxis: Symptoms, Diagnosis, and Management

The Frost Series #351 Author: Alma Juels, MD Anesthesiology News Case Presentation A 34-year-old man without significant past medical history presented for shoulder arthroscopy. He reported an allergy to sulfa-containing drugs. The patient received midazolam en route to the OR. In the OR, cefazolin 2 g was administered. General anesthesia was induced with fentanyl, lidocaine, […]

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Uncategorized Published - 14 October, 2019    By - Dr Clemens
Sufentanil Sublingual Tablet Well Tolerated for Treating Pain

Author: Bob Kronemyer Anesthesiologist News In medically supervised settings, the sufentanil sublingual tablet (ssT; Dsuvia, AcelRx Pharmaceuticals) has been found to be well tolerated for the short-term treatment of moderate to severe acute pain, with at most moderate levels of adverse events. This study (Pain Med 2019 Jan 7. was a pooled phase 3 safety […]

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Uncategorized Published - 14 October, 2019    By - Dr Clemens
Retrospective Analysis of the Safety and Efficacy of Sugammadex Versus Neostigmine for the Reversal of Neuromuscular Blockade in Children

AUTHORS: Gaver, Renee S. MD et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 1124-1129 BACKGROUND: Sugammadex, with its novel mechanism of action of encapsulation and noncompetitive binding of aminosteroid neuromuscular-blocking agents (rocuronium and vecuronium), may offer distinct advantage to pediatric patients where residual neuromuscular blockade may be poorly tolerated. […]

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Uncategorized Published - 14 October, 2019    By - Dr Clemens
A Perspective on the American Society of Anesthesiologists Physical Status Classification for Pediatric Patients

AUTHORS: Ferrari, Lynne R. MD et al Anesthesia & Analgesia: June 2019 BACKGROUND: The American Society of Anesthesiologists physical status (ASA-PS) classification system is used worldwide to classify patients based on comorbid conditions before general anesthesia. Despite its popularity, the ASA-PS classification system has been shown to have poor interrater reliability due to its subjective definitions, especially […]

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