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Uncategorized Published - 6 May, 2019    By - Dr Clemens
Cerebral Small Vessel, But Not Large Vessel Disease, Is Associated With Impaired Cerebral Autoregulation During Cardiopulmonary Bypass

AUTHORS: Nomura, Yohei, MD et al Anesthesia & Analgesia: December 2018 – Volume 127 – Issue 6 – p 1314–1322 BACKGROUND: Impaired cerebral blood flow (CBF) autoregulation during cardiopulmonary bypass (CPB) is associated with stroke and other adverse outcomes. Large and small arterial stenosis is prevalent in patients undergoing cardiac surgery. We hypothesize that large and/or […]

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Uncategorized Published - 6 May, 2019    By - Dr Clemens
A Systematic Review Evaluating Neuraxial Morphine and Diamorphine-Associated Respiratory Depression After Cesarean Delivery

AUTHORS: Sharawi, Nadir, MBBS, FRCA, MSc et al Anesthesia & Analgesia: December 2018 – Volume 127 – Issue 6 – p 1385–1395 The prevalence of neuraxial opioid–induced clinically significant respiratory depression (CSRD) after cesarean delivery is unknown. We sought to review reported cases of author-reported respiratory depression (ARD) to calculate CSRD prevalence. A 6-database literature search […]

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Uncategorized Published - 4 May, 2019    By - Dr Clemens
Dr. Reddy’s Laboratories Announces the Launch of Propofol Injectable Emulsion, USP in the U.S. Market

Dr. Reddy’s Laboratories Ltd. (BSE: 500124, NSE: DRREDDY, NYSE: RDY, along with its subsidiaries together referred to as “Dr. Reddy’s”) today announced the launch of Propofol Injectable Emulsion, USP, a therapeutic equivalent generic version of DIPRIVAN (propofol) Injectable Emulsion, USP, approved by the U.S. Food and Drug Administration (USFDA). Dr. Reddy’s is committed to providing […]

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Uncategorized Published - 3 May, 2019    By - Dr Clemens
Cardiac Risk of Noncardiac Surgery After Percutaneous Coronary Intervention With Second-Generation Drug-Eluting Stents

AUTHORS: Smith, Bradford B., MD et al Anesthesia & Analgesia: April 2019 – Volume 128 – Issue 4 – p 621–628 BACKGROUND: Noncardiac surgery (NCS) following percutaneous coronary intervention (PCI) with stenting is sometimes associated with major adverse cardiac events (MACEs). Second-generation drug-eluting stents (DES) were developed to decrease the incidence of MACE seen with bare […]

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Uncategorized Published - 3 May, 2019    By - Dr Clemens
Impact of Preoperative Erythropoietin on Allogeneic Blood Transfusions in Surgical Patients

AUTHORS: Cho, Brian C., MD et al Anesthesia & Analgesia: May 2019 – Volume 128 – Issue 5 – p 981–992 BACKGROUND: Erythropoietic-stimulating agents such as erythropoietin have been used as part of patient blood management programs to reduce or even avoid the use of allogeneic blood transfusions. We review the literature to evaluate the effect […]

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Uncategorized Published - 3 May, 2019    By - Dr Clemens
Chronic Atypical Antipsychotic Use Is Associated With Reduced Need for Postoperative Nausea and Vomiting Rescue in the Postanesthesia Care Unit

AUTHORS: Jabaley, Craig S., MD et al Anesthesia & Analgesia: December 24, 2018 BACKGROUND: Atypical antipsychotics are efficacious for chemoprophylaxis against chemotherapy-induced nausea and vomiting, but perioperative investigations have been scant. We sought to examine the association between chronic atypical antipsychotic therapy and the likelihood of postoperative nausea and vomiting. METHODS: In this single-center, propensity-matched, retrospective, observational study, […]

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Uncategorized Published - 3 May, 2019    By - Dr Clemens
Digital Quality Improvement Approach Reduces the Need for Rescue Antiemetics in High-Risk Patients

AUTHORS: Gabel, Eilon, MD et al Anesthesia & Analgesia: May 2019 – Volume 128 – Issue 5 – p 867–876 BACKGROUND: Affecting nearly 30% of all surgical patients, postoperative nausea and vomiting (PONV) can lead to patient dissatisfaction, prolonged recovery times, and unanticipated hospital admissions. There are well-established, evidence-based guidelines for the prevention of PONV; yet […]

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Uncategorized Published - 3 May, 2019    By - Dr Clemens
Daily Caffeine Consumption Does Not Influence Acupuncture Analgesia in Healthy Individuals

AUTHORS: Cao, Jin, MD, PhD et al Anesthesia & Analgesia: December 24, 2018 Animal studies suggest that caffeine may interfere with acupuncture analgesia. This study investigated the modulation effect of daily caffeine intake on acupuncture analgesia in 27 healthy subjects using a crossover design. We found that real acupuncture increased pain thresholds compared to sham acupuncture. […]

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Uncategorized Published - 2 May, 2019    By - Dr Clemens
New Pediatric Sedation Handbook Published

I wanted to share this however I get zero financial interest in posting this. Oxford University Press (www.oup.com/academic) has announced the publication of “The Pediatric Procedural Sedation Handbook,” whose editors include Cheryl K. Gooden, MD, FAAP, FASA, a member of the Anesthesiology News editorial advisory board, who is an associate professor of anesthesiology and pediatrics, Pediatric Anesthesia […]

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Uncategorized Published - 2 May, 2019    By - Dr Clemens
Post-op Hypotension Found Common, Prolonged and Mostly Undetected

Author: Michael Vlessides Anesthesiology News Postoperative hypotension is a common occurrence on the surgical ward and frequently undetected by nursing staff using routine monitoring practices, a study has concluded. The Cleveland Clinic researchers noted that detection may be ameliorated through the use of continuous monitoring devices, which can detect significantly more hypotension than nursing measurements […]

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