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Uncategorized Published - 27 September, 2018    By - Dr Clemens
In Type 2 Diabetics, Discontinuing Oral Hypoglycemics Pre-op Not Necessary

Although adults with type 2 diabetes mellitus who are taking oral hypoglycemic agents are instructed to discontinue their medications on the day of surgery, a study has concluded this strategy may not be necessary. A study found that perioperative blood glucose levels did not differ significantly between patients who did and did not discontinue oral […]

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Uncategorized Published - 27 September, 2018    By - Dr Clemens
Intermittent Sedation–Analgesia Reduces ICU Ventilation Time, Overall Medication

Sliding-scale intermittent sedation and analgesia regimens in surgical patients significantly reduced both mechanical ventilation time and the total amount of medication administered, compared with continuous infusions, according to a new study. A preliminary analysis of the first yea r of data from this two-year study also found that the number of adverse events was not […]

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Uncategorized Published - 27 September, 2018    By - Dr Clemens
Liposomal Bupivacaine Infiltration for Knee Arthroplasty: Significant Analgesic Benefits or Just a Bunch of Fat?

Authors: Brian M. Ilfeld, M.D., M.S. et al   Anesthesiology 10 2018, Vol.129, 623-626. “…use of liposomal bupivacaine was not associated with a change in billing patterns for opioids…[or] decreased use of naloxone or incidence of opioid-related… complications…” TOTAL knee arthroplasty is among the most common and painful surgical procedures, with more than 700,000 performed annually in […]

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Uncategorized Published - 26 September, 2018    By - Dr Clemens
Pancreaticoduodenectomy Enhanced Recovery Program Reduces Opioid Use

A fully integrated multidisciplinary enhanced recovery program for pancreaticoduodenectomy patients significantly reduced postoperative opioid use and facilitated the transition from parenteral to oral opioid use after the procedure. Researchers from Cancer Treatment Centers of America (CTCA) said although the intraoperative part of their enhanced recovery program was already well established at their institution, preoperative and […]

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Uncategorized Published - 26 September, 2018    By - Dr Clemens
Scalp Blocks With Dexmedetomidine Effective for Awake Craniotomy

Although awake craniotomies are often performed under general anesthesia, they can also be performed safely and effectively using scalp blocks with dexmedetomidine. Surgical conditions using this approach are ‘ideal,’ a Toronto research team argued, simultaneously minimizing the risk for neurologic deficit and maximizing the potential for surgical resection. According to Niamh A. McAuliffe, MD, a […]

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Uncategorized Published - 26 September, 2018    By - Dr Clemens
Overuse and Underuse of Imaging Common in Low Back Pain Management

Imaging for low back pain may commonly be overused, but also underused, according to a study published in the Spine Journal. Inappropriate imaging decisions have been found to lead to misdiagnosis, insufficient care, and unnecessary radiation exposure. Although imaging rates for low back pain are often considered high, it is still unclear how actual rates compare […]

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Uncategorized Published - 26 September, 2018    By - Dr Clemens
Simple Trick May Reduce Procedural Pain

Dripping lidocaine onto the skin prior to lidocaine injection may help reduce injection-associated procedural pain, according to the results of a randomized clinical trial published in Chest. A total of 481 patients with a planned medical bedside procedure that necessitated the use of local lidocaine injection for analgesia (eg, peripheral insertion of a central catheter, lumbar […]

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Uncategorized Published - 26 September, 2018    By - Dr Clemens
Current Concepts In the Management of The Difficult Airway Volume 15, Number 1

Carin A. Hagberg, MD, FASA Helen Shaffer Fly Distinguished Professor of Anesthesiology and Division Head Division of Anesthesiology, Critical Care and Pain Medicine The University of Texas MD Anderson Cancer Center Houston, Texas Executive Director 2009-Present, Society for Airway Management Editor’s note: A key of all abbreviations and acronyms appears at the end of this […]

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Uncategorized Published - 25 September, 2018    By - Dr Clemens
Elderly Patients Given General Anaesthesia for Hip Surgery Have Increased Risk of Pneumonia

Older patients undergoing hip fracture surgery have a greater risk of developing post-surgery pneumonia if they receive general anaesthesia rather than a spinal block during the procedure, according to a study presented here at the 2018 Annual Meeting of the American Geriatrics Society (AGS). Of the 66 patients in the study aged 70 years and […]

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Uncategorized Published - 25 September, 2018    By - Dr Clemens
Higher BMI a Strong Predictor Of Intraoperative Insulin Resistance

If the so-called “obesity paradox,” the theory that obesity may be protective under certain conditions, does indeed exist, it is not apparent with respect to intraoperative insulin resistance during coronary artery bypass graft (CABG) surgery, Canadian researchers have concluded. They found a linear negative relationship between body mass index (BMI) and insulin sensitivity during the […]

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