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Uncategorized Published - 27 September, 2019    By - Dr Clemens
Brachial Plexus Block with Liposomal Bupivacaine for Shoulder Surgery Improves Analgesia and Reduces Opioid Consumption

Authors: Manish A Patel, MD, FAAOS et al  Pain Medicine May 2019 Objective The utility of single-injection and continuous peripheral nerve blocks is limited by short duration of analgesia and catheter-related complications, respectively. This double-blind, multicenter trial evaluated the efficacy, safety, and pharmacokinetics of single-injection, ultrasound-guided brachial plexus block (BPB) with liposomal bupivacaine (LB) added […]

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Uncategorized Published - 27 September, 2019    By - Dr Clemens
Opioid Use After Urologic Oncology Surgery Cut by Half

Author: Caroline Helwick Anesthesiology News A quality improvement project resulted in a 46% drop in opioid use after urologic oncology surgery, Stanford Health Care researchers reported at the American Society of Clinical Oncology 2018 Quality Care Symposium (abstract 269). “Pain can be controlled with half as much opioid[s],” said Kerri Stevenson, MN-NP, NP-C, a nurse […]

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Uncategorized Published - 27 September, 2019    By - Dr Clemens
New prostate cancer blood test could reduce biopsies

By Catharine Paddock Ph.D. Medical News Today A new blood test that looks for circulating tumor cells could significantly improve the diagnosis of prostate cancer and avoid unnecessary biopsies and treatments. Combining the new test with prostate specific antigen (PSA) results can yield a diagnosis of aggressive prostate cancer that is more than 90% accurate, according to a Journal […]

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Uncategorized Published - 27 September, 2019    By - Dr Clemens
Effect of Albuterol Premedication vs Placebo on the Occurrence of Respiratory Adverse Events in Children Undergoing Tonsillectomies

The REACT Randomized Clinical Trial Authors: Britta S. von Ungern-Sternberg, MD, PhD et al  JAMA Pediatrics June 1, 2019 Key Points Question  Does the use of albuterol sulfate (salbutamol sulfate) premedication reduce rates of perioperative respiratory adverse events in children aged 1 to 8 years undergoing anesthesia for tonsillectomy? Findings  In this randomized clinical trial of 479 […]

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Uncategorized Published - 26 September, 2019    By - Dr Clemens
Difficult epidural placement in obese and non-obese pregnant women

Authors: N. Uyl et al International Journal of Obstetric Anesthesia Highlights •The increasing prevalence of obesity is a concern in obstetric anesthesia. •Difficult epidural placement in obese women in labor occurs more often. •Obesity in laboring women doubles the risk of epidural failure. •This review raises attention about increasing difficulties in the future. •Ultrasound guidance […]

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Uncategorized Published - 26 September, 2019    By - Dr Clemens
Current Concepts In the Management of The Difficult Airway

Carin A. Hagberg, MD, FASA Chief Academic Officer Division Head, Division of Anesthesiology, Critical Care, and Pain Medicine Helen Shaffer Fly Distinguished Professor of Anesthesiology Department of Anesthesiology and Perioperative Medicine The University of Texas MD Anderson Cancer Center Management of the difficult airway remains one of the most relevant and challenging clinical situations encountered […]

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Uncategorized Published - 26 September, 2019    By - Dr Clemens
Intraoperative Management of Pulmonary Hypertension

Written by: John C. Klick, MD; Theodore J. Cios, MD; Anita Malhotra, MD; and Shayne M. Roberts, DO Anesthesiology News Case Presentation A 54-year-old, 72-kg woman with severe idiopathic pulmonary arterial hypertension presented for emergent exploratory laparotomy for a perforated viscus. She was treated with oxygen via nasal cannula, a continuous infusion of epoprostenol via […]

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Uncategorized Published - 26 September, 2019    By - Dr Clemens
Opioid Consumption Rate Following Foot and Ankle Surgery

AUTHORS: Kvarda P et al Foot & Ankle International May 2019 BACKGROUND The rapid increase in the consumption of prescription opioids has become one of the leading medical, economic, and sociological burdens in North America. In the United States, orthopedic surgery is the fourth leading specialty in the number of opioids prescribed, and the largest […]

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Uncategorized Published - 26 September, 2019    By - Dr Clemens
Reversal of Direct Oral Anticoagulants

Authors: Cuker A et al.  Am J Hematol 2019 Jun An Anticoagulation Forum guideline provides recommendations on the use of DOAC reversal agents. Sponsoring Organization: The Anticoagulation Forum Background Direct oral anticoagulants (DOACs) have advantages over warfarin, including the lack of need for monitoring, a lower rate of major bleeding, absence of dietary vitamin K interaction, a […]

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Uncategorized Published - 25 September, 2019    By - Dr Clemens
Wearable Bio-Sensor Holds Promise of Safer Anesthesia for All

Doctors at the University of Miami Miller School of Medicine are developing a unique device designed to make safe anesthesia available to doctors and patients throughout the developing world, where conventional general anesthesia is both expensive, risky, and often impractical. The device, which has no name as of yet, could also be a lifesaver in […]

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