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Uncategorized Published - 19 June, 2019    By - Dr Clemens
Importance of intraoperative oliguria during major abdominal surgery: findings of the Restrictive versus Liberal Fluid Therapy in Major Abdominal Surgery trial

AUTHORS: Paul S. Myles et al British Journal of Anesthesia June 2019 Volume 122, Issue 6, Pages 726–733 Background The association between intraoperative oliguria during major abdominal surgery and the subsequent development of postoperative acute kidney injury (AKI) remains poorly defined. We hypothesised that, in such patients, intraoperative oliguria would be an independent predictor of subsequent […]

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Uncategorized Published - 19 June, 2019    By - Dr Clemens
Nerve Block Eases Pain from Uterine Artery Embolization Procedures

By Ed Susman Almost half the women treated with uterine artery embolization to reduce the size of fibroids required no perioperative pain medication when interventional radiologists employed radial artery access and superior hypogastric nerve block, according to a study presented here at the 2019 Annual International Symposium on Endovascular Therapy (ISET). Of the 102 women […]

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Uncategorized Published - 19 June, 2019    By - Dr Clemens
Intravenous Acetaminophen Significantly Reduces Incidence of Postoperative Delirium

Intravenous acetaminophen significantly reduced the incidence of postoperative delirium following coronary artery bypass graft (CABG) procedures in patients aged older than 60 years, according to a study published in JAMA. The findings of a single-centre trial may represent the first steps toward a therapeutic intervention for the prevention of postoperative delirium. “Currently, IV acetaminophen administration is […]

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Uncategorized Published - 19 June, 2019    By - Dr Clemens
Evaluation of the Determinants of Satisfaction With Postoperative Pain Control After Thoracoscopic Surgery

AUTHORS: Siu, Emily, MD et al Anesthesia & Analgesia: March 2019 – Volume 128 – Issue 3 – p 555–562 BACKGROUND: The need to measure, compare, and improve the quality of pain management is important to patients, payers, and health care providers. Pain after thoracic surgery can be severe, and thoracoscopic approaches have not had the […]

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Uncategorized Published - 19 June, 2019    By - Dr Clemens
The Single Word Most Associated with Negative Hospital Reviews on Yelp May Point to Poor Communication

When analyzing reviews of hospitals on Yelp, Penn Medicine researchers found that the word most associated with negative reviews, including those rated at one-star, was “told,” which appeared almost 20 percent of the posts. Published today in the Journal of General Internal Medicine, the study points to the value patients and their loved ones’ place on […]

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Uncategorized Published - 18 June, 2019    By - Dr Clemens
Dexamethasone Is Superior to Dexmedetomidine as a Perineural Adjunct for Supraclavicular Brachial Plexus Block

AUTHORS: Albrecht, Eric, MD et al Anesthesia & Analgesia: March 2019 – Volume 128 – Issue 3 – p 543–554 BACKGROUND: Both dexamethasone and dexmedetomidine are effective peripheral nerve block (PNB) perineural adjuncts that prolong block duration. However, each is associated with side effects. With paucity of head-to-head comparisons of these adjuncts, the question of the […]

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Uncategorized Published - 18 June, 2019    By - Dr Clemens
Does the Incidence of Postoperative Complications After Inguinal Hernia Repair Justify Hospital Admission in Prematurely and Term Born Infants?

AUTHORS: Massoud, Marina, BSc et al Anesthesia & Analgesia: March 2019 – Volume 128 – Issue 3 – p 525–532 BACKGROUND: Postoperatively, young infants are admitted overnight in view of the risk for respiratory complications such as desaturation and apnea. This risk seems much lower than previously reported. Until what age this risk persists, and which […]

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Uncategorized Published - 18 June, 2019    By - Dr Clemens
Prospective Observational Investigation of Capnography and Pulse Oximetry Monitoring After Cesarean Delivery With Intrathecal Morphine

AUTHORS: Weiniger, Carolyn F., MBChB et al Anesthesia & Analgesia: March 2019 – Volume 128 – Issue 3 – p 513–522 BACKGROUND: Intrathecal morphine provides excellent analgesia after cesarean delivery; however, respiratory events such as apnea, bradypnea, and hypoxemia have been reported. The primary study aim was to estimate the number of apneas per subject, termed […]

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Uncategorized Published - 18 June, 2019    By - Dr Clemens
Enteral versus intravenous approach for the sedation of critically ill patients: a randomized and controlled trial

AUTHORS: Giovanni Mistraletti et al Critical Care 2019 23:3 Background ICU patients must be kept conscious, calm, and cooperative even during the critical phases of illness. Enteral administration of sedative drugs might avoid over sedation, and would be as adequate as intravenous administration in patients who are awake, with fewer side effects and lower costs. […]

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Uncategorized Published - 18 June, 2019    By - Dr Clemens
EEG-Guided Anaesthetic Administration Does Not Prevent Postoperative Delirium in Older Adults

By Denise Baez Electroencephalography (EEG)-guided anaesthetic administration does not decrease the incidence of postoperative delirium in older patients undergoing major surgery, according to a study published in JAMA. “In this randomised study involving 1,232 patients aged 60 years and older undergoing major surgery, postoperative delirium occurred in 26.0% of the EEG-guided anaesthetic group and in 23.0% […]

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