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Uncategorized Published - 18 September, 2019    By - Dr Clemens
Effect of neck extension on the advancement of tracheal tubes from the nasal cavity to the oropharynx in nasotracheal intubation

Authors: Hyerim Kim et al BMC Anesthesiology volume 19, Article number: 158 (2019) Background Clinicians sometimes encounter resistance in advancing a tracheal tube, which is inserted via a nostril, from the nasal cavity into the oropharynx during nasotracheal intubation. The purpose of this study was to investigate the effect of neck extension on the advancement of tracheal tubes from the […]

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Uncategorized Published - 18 September, 2019    By - Dr Clemens
AntiMOC Lawsuit Update

Author: Westby G. Fisher, MD, FACC As the summer winds on, I have been approached by more and more people who would like an update on where the litigation filed against the many member boards of the American Board of Medical Specialties stand since the lawsuits were filed. I will do my best to briefly […]

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Uncategorized Published - 17 September, 2019    By - Dr Clemens
Risk factors for shivering during caesarean section under spinal anaesthesia

Authors: B. Wódarski et al  Anaesthesiologica Scandinavica August 2019 Background Shivering during caesarean section under spinal anaesthesia is a common phenomenon. It could not only alter patient’s physiology by increasing oxygen consumption but also affect the parturient’s experience of childbirth. Shivering is thought to be associated with intraoperative hypothermia, but the risk factors and exact […]

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Uncategorized Published - 17 September, 2019    By - Dr Clemens
he association between epidural analgesia and mortality in emergency abdominal surgery

Authors: M. Vester-Andersen et al Anaesthsiologica Scandinavica August 2019 Background Emergency abdominal surgery carries a considerable risk of mortality and postoperative complications, including pulmonary complications. In major elective surgery, epidural analgesia reduces mortality and pulmonary complications. We aimed to evaluate the association between epidural analgesia and mortality in emergency abdominal surgery. Methods In this population‐based […]

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Uncategorized Published - 17 September, 2019    By - Dr Clemens
Patients in the US and Canada are likely to receive opioids after surgery

Source: University of Pennsylvania School of Medicine Summary: Patients in the United States and Canada are seven times as likely as those in Sweden to receive a prescription for opioid medications after surgery, according to a new multi-institutional study. Though the United States and Canada had similar prescription rates, patients in the U.S. were prescribed […]

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Uncategorized Published - 17 September, 2019    By - Dr Clemens
The chronic ICU patient: Is intensive care worthwhile for patients with very prolonged ICU-stay (≥ 90 days)?

Authors: Kevin Roedl et al European Journal of Internal Medicine Sept 2019 Highlights •Due to medical advances, an increasing number of patients are surviving the acute critical illness. •Only a small number of patients requires a very prolonged ICU stay ≥90 days. •About two-third of patients survives the ICU stay, one-third 1-Year. •A small number of […]

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Uncategorized Published - 17 September, 2019    By - Dr Clemens
Heart attack risk higher in those who sleep too little or too much

Author: Catharine Paddock PhD The right amount of sleep is protective of heart health. This was the conclusion of new research that found sleep duration can influence a person’s risk of heart attack, regardless of other heart risk factors, including genetic ones. New research tracks sleep duration and a person’s risk of a heart attack. […]

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Uncategorized Published - 16 September, 2019    By - Dr Clemens
Weeding Out the Problem: The Impact of Preoperative Cannabinoid Use on Pain in the Perioperative Period.

AUTHORS: Liu CW et al Anesth Analg. 2019 Sep;129(3):874-881. BACKGROUND: The recreational and medical use of cannabinoids has been increasing. While most studies and reviews have focused on the role of cannabinoids in the management of acute pain, no study has examined the postoperative outcomes of surgical candidates who are on cannabinoids preoperatively. This retrospective cohort […]

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Uncategorized Published - 16 September, 2019    By - Dr Clemens
A randomized trial of desflurane or sevoflurane on postoperative quality of recovery after knee arthroscopy

Authors: Stuart Boggett et al  Plos one Background Studies have described different recovery profiles of sevoflurane and desflurane typically early after surgery. Methods We conducted a randomized superiority trial to determine whether Overall Recovery 3 days after knee arthroscopy would be superior with desflurane. Adult participants undergoing knee arthroscopic surgery with general anesthesia were randomized […]

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Uncategorized Published - 16 September, 2019    By - Dr Clemens
Postoperative cognitive dysfunction in premenopausal versus postmenopausal women

Authors: Y. C. Chen et al Journal of Climacteric Sept 2019 Purpose: The study examined postoperative cognitive dysfunction in premenopausal and postmenopausal women undergoing surgery with general anesthesia. Methods: This cross-sectional observational study enrolled 30 premenopausal and 28 postmenopausal patients (age 40–60 years) who did not receive hormone replacement therapy, hysterectomy, or oophorectomy. Patients with no menstrual periods […]

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