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Dexmedetomidine offers sedation with less respiratory depression
MedWire News: Dexmedetomidine is an effective sedative for patients undergoing monitored anesthesia care (MAC) and causes less respiratory depression than current options, research suggests.
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Vulnerability to anemia may underlie beta-blocker perioperative risk
MedWire News: The putative excess risk for certain peri-operative complications in patients given beta blockers may be caused by the drugs increasing patients’ vulnerability to the effects of anemia, research suggests.
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Corrected great artery D-transposition rarely complicates anesthesia
MedWire News: Patients with surgically corrected D-transposition of the great arteries (D-TGA) do not require invasive monitoring during general anesthesia for non-cardiac surgery, say US researchers.
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Sugammadex reverses deep block under sevoflurane
MedWire News: Sugammadex is effective for the reversal of deep neuromuscular blockade in patients under sevoflurane anesthesia, report researchers.
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Hemostatic changes and bleeding in surgical patients: Effects and solutions
In this special report we summarize recent reports that have looked at the effects of surgery on hemostatic changes in surgical patients and therapeutic approaches to reduce post-surgery bleeding, and include recently published guidelines for diagnosing and managing disseminated intravascular coagulation. We also summarize the updated guidelines for perioperative beta blockade in non-cardiac surgery.
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Benefits of aprotonin outweigh risks in high-risk cardiac surgery patients
MedWire News: Aprotonin for preventing major blood loss after cardiac surgery has a better risk–benefit profile than tranexamic acid in high-risk, but not low-to-moderate risk patients, study findings show.
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Maintaining remifentanil infusion benefits recovery
MedWire News: Maintaining a remifentanil infusion during the emergence and tracheal extubation minimizes cardiovascular changes and coughing in patients after total intravenous anesthesia (TIVA), without delaying recovery, researchers report.
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Bilateral TKA associated with poor peri-operative outcome
MedWire News: Unilateral total knee arthroplasty (TKA) appears to be associated with better peri-operative morbidity and mortality than bilateral procedures, say researchers.
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Atomized lidocaine 1% inferior to 2% for airway anesthesia
MedWire News: Atomized lidocaine 2% is effective for awake oral fiberoptic intubation in morbidly obese patients and provides superior intubating conditions to lidocaine 1%, say Canadian researchers.
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Low complication rate confirmed for CNB
MedWire News: A major audit of central neuraxial block (CNB) use in the UK’s National Health Service (NHS) has revealed a low incidence of major complications, two-thirds of which resolve within 6 months.
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