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Uncategorized Published - 16 September, 2019    By - Dr Clemens
Failure of reversion of neuromuscular block with sugammadex in patient with myasthenia gravis: case report

Authors: Hermann dos Santos Fernandes et al BMC Anesthesiology volume 19, Article number: 160 (2019) | Background Myasthenia gravis (MG) is a challenge for anesthesia management. This report shows that the use of rocuronium-sugammadex is not free from flaws and highlights the importance of cholinesterase inhibitors management and neuromuscular block monitoring in the perioperative period of myasthenic patients. Case presentation […]

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Uncategorized Published - 16 September, 2019    By - Dr Clemens
Deaths to heart related conditions rising in the US

Author: Catharine Paddock PhD Medical News Today In the United States, total deaths to cardiometabolic disease — which includes heart disease, stroke, diabetes, and high blood pressure — have been rising since 2011, according to new research. New research examines the rate of cardiovascular deaths in the United States, and the racial disparities in these […]

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Uncategorized Published - 13 September, 2019    By - Dr Clemens
Regional Holds Advantages Over General Anesthesia for Hip Surgery in Frail Elderly

Author: Michael Vlessides Anesthesiology News When it comes to emergency hip fracture surgery in frail, elderly patients, regional anesthesia boasts distinct advantages over general anesthetic approaches, according to a database analysis by a team of Kaiser Permanente researchers. However, the investigators also pointed out that these results do not promote an overall superiority of regional […]

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Uncategorized Published - 13 September, 2019    By - Dr Clemens
EEG-Guided Anesthesia Does Not Lessen Incidence of Post-op Delirium

Author: Bob Kronemyer Anesthesiology News Administration of EEG-guided anesthesia does not decrease the likelihood of postoperative delirium, according to ENGAGES (Electroencephalography Guidance of Anesthesia to Alleviate Geriatric Syndromes), a randomized clinical trial of older adults undergoing major surgery with general anesthesia. The study found that among 1,232 adults, all of whom were at least 60 […]

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Uncategorized Published - 13 September, 2019    By - Dr Clemens
Bilateral Thoracic Paravertebral Blocks Compared to Thoracic Epidural Analgesia After Midline Laparotomy

AUTHORS: Sondekoppam, Rakesh V. MD et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 855-863 BACKGROUND: Bilateral paravertebral block (PVB) is a suitable alternative to thoracic epidural analgesia (TEA) for abdominal surgeries. This randomized clinical trial aims to determine if PVB is noninferior to TEA in terms of analgesia after […]

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Uncategorized Published - 13 September, 2019    By - Dr Clemens
Intubation of non-difficult airways using video laryngoscope versus direct laryngoscope

Authors: De-Xing Liu et al BMC Anesthesiology volume 19, Article number: 75 (2019) Background The video laryngoscope is recommended for intubating difficult airways. The present study aimed to determine whether the video laryngoscope can further improve intubation success rates compared with the direct laryngoscope in patients with non-difficult airways. Methods In total, 360 patients scheduled for elective abdominal surgeries […]

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Uncategorized Published - 13 September, 2019    By - Dr Clemens
Get a new knee that morning, go home that afternoon

Author: Bob Shepard UAB News You can now get a total knee replacement in the morning at the University of Alabama at Birmingham and be home that afternoon. UAB’s Department of Orthopaedic Surgery has begun to do same-day knee replacement surgeries for selected patients. “For some patients, an overnight stay in the hospital is not necessary,” said orthopaedic […]

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Uncategorized Published - 13 September, 2019    By - Dr Clemens
Florida Law Lowers Opioid Use for Acute Post-op Pain

Author: Chase Doyle Anesthesiology News A new controlled substance law in Florida has helped to decrease opioid prescriptions after outpatient surgery, according to a retrospective analysis at a large academic center. The study of more than 1, 000 outpatient surgical encounters at Jackson Memorial Hospital showed that fewer patients received opioid prescriptions, and less milligram […]

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Uncategorized Published - 13 September, 2019    By - Dr Clemens
No Benefit to Early Neuromuscular Blockade in Moderate-to-Severe ARDS

Authors: Slutsky AS et al N Engl J Med 2019 May 19  The National Heart, Lung, and Blood Institute PETAL Clinical Trials Network.  However, this strategy might be considered for selected patients with acute respiratory distress syndrome and ventilator dyssynchrony. Ten years ago, a large randomized trial demonstrated lower mortality when patients with severe acute […]

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Uncategorized Published - 13 September, 2019    By - Dr Clemens
Fluoroquinolone Antibiotics Linked To Heart Problems In Patients With Cardiac Issues

Science 2.0 Data from the U.S. Food and Drug Administration’s adverse reporting system plus a private insurance health claims database in the U.S. that captures demographics, drug identification, dose prescribed and treatment duration, identified 12,505 cases of valvular regurgitation with 125,020 case-control subjects in a random sample of more than nine million patients. It found […]

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