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Uncategorized Published - 2 May, 2019    By - Dr Clemens
Comparison of the potency of phenylephrine and norepinephrine bolus doses used to treat post-spinal hypotension during elective caesarean section

Authors: M. Mohta et al International Journal of Obstetric Anesthesia Highlights •ED95 of phenylephrine was 43.1 µg (95% CI 39.5 to 65.0 µg). •ED95 of norepinephrine was 3.7 µg (95% CI 3.5 to 4.7 µg). •Potency ratio of these vasopressors was 11.3 (95% CI 8.1 to 16.9). •Phenylephrine 100 μg is approximately equivalent to norepinephrine 8.8 μg. Background Phenylephrine, although considered […]

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Uncategorized Published - 2 May, 2019    By - Dr Clemens
Accidental dural puncture during labor analgesia and obstetric outcomes in nulliparous women

Authors: K. Shea et al International Journal of Obstetric Anesthesia Highlights •The impact of accidental dural puncture on obstetric outcomes is unknown. •We performed a retrospective cohort study to address this knowledge gap. •Nulliparous women with accidental dural puncture were compared to those without. •Accidental dural puncture was associated with prolonged second stage of labor. […]

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Uncategorized Published - 2 May, 2019    By - Dr Clemens
Anesthesia’s Long-Term Effects on Ped Brains Still Elusive

Author: Meghan Lee Callaghan Anesthesiology News Increasing Research Is One Thing Experts Can Agree On On Dec. 14, 2016, the FDA released a warning now considered either famous or infamous within the field of pediatric anesthesia, depending on whom you talk to: “Repeated or lengthy use of general anesthetic and sedation drugs,” it read, “during […]

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Uncategorized Published - 1 May, 2019    By - Dr Clemens
From no cure to no trace | Central Texas girl’s inoperable brain tumor disappears

I wanted to share this great story with our readers. Author: Kalyn Norwood A Hays County girl who had a rare brain tumor is now cancer free, and doctors are amazed because medically it just doesn’t make sense. HAYS COUNTY, Texas — A little girl’s inoperable brain tumor is gone and doctors have no explanation. Today, […]

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Uncategorized Published - 1 May, 2019    By - Dr Clemens
New Guidance Outlines Recommendations for Infection Control in Anaesthesiology

The Society for Healthcare Epidemiology of America (SHEA) has issued a new expert guidance on how hospitals and healthcare providers may reduce infections associated with anaesthesiology procedures and equipment in the operating room. The guidance, published in Infection Control & Hospital Epidemiology, recommends steps to improve infection prevention through increased hand hygiene, environmental disinfection, and continuous […]

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Uncategorized Published - 1 May, 2019    By - Dr Clemens
Early Postpartum Opioids Linked With Persistent Usage

A study published in the American Journal of Obstetrics and Gynecology shows that, regardless of whether a woman delivers a child by caesarean section or vaginal birth, if they fill prescriptions for opioid pain medications early in the postpartum period, they are at increased risk of developing persistent opioid use. Sarah Osmundson, MD, Vanderbilt University Medical Center, […]

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Uncategorized Published - 1 May, 2019    By - Dr Clemens
National Trends and Factors Associated With Inpatient Mortality in Adult Patients With Opioid Overdose

AUTHORS: Burton, Brittany N., MHS, MAS et al Anesthesia & Analgesia: January 2019 – Volume 128 – Issue 1 – p 152–160 BACKGROUND: The prevalence of opioid misuse and opioid-related mortality has increased dramatically over the past decade. There is limited evidence on factors associated with mortality from opioid overdose in the inpatient setting. The primary […]

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Uncategorized Published - 1 May, 2019    By - Dr Clemens
Opioids for Chronic Noncancer Pain: A Systematic Review and Meta-analysis

Authors: Busse J, et al Journal of the American Medical Association (JAMA) 320 (23), 2448-2460 (Dec 2018) Importance Harms and benefits of opioids for chronic noncancer pain remain unclear. Objective To systematically review randomized clinical trials (RCTs) of opioids for chronic noncancer pain. Data Sources and Study Selection The databases of CENTRAL, CINAHL, EMBASE, MEDLINE, […]

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Uncategorized Published - 1 May, 2019    By - Dr Clemens
Relative survival following hemi-and total hip arthroplasty for hip fractures in Sweden

AUTHOR: Rolfson O, Rogmark C BMC Musculoskeletal Disorders 19 (1), 407 (Nov 2018) BACKGROUND Hip fractures are a common problem in the ageing population. Hip arthroplasty is the common treatment option for displaced intracapsular neck of femur fractures. Even though hip replacements are successful in restoring mobility, reducing pain and diminishing loss of health-related quality […]

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Uncategorized Published - 30 April, 2019    By - Dr Clemens
Association between COMT polymorphism, labor anxiety, and analgesia in pregnant women

Authors Ren X, Zhang L et al Journal of Pain Research February 2019 Vol 12 pages 779-785 Background: COMT gene polymorphism is associated with mental disorders and sensitivity to pain. In this study, we investigated the association between the COMT gene polymorphism and labor anxiety and analgesia in pregnant women. Subjects and methods: A total of 425 […]

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