Month: August 2015

Uncategorized Published - 5 August, 2015    By - Dr Clemens
Association of Intraoperative Hypotension with Acute Kidney Injury after Elective Noncardiac Surgery

Anesthesiology published on 7 2015 Authors: Louise Y. Sun, M.D. et al      . Background: Intraoperative hypotension (IOH) may be associated with postoperative acute kidney injury (AKI), but the duration of hypotension for triggering harm is unclear. The authors investigated the association between varying periods of IOH with mean arterial pressure (MAP) less than 55, less than 60, […]

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Uncategorized Published - 5 August, 2015    By - Dr Clemens
Novel 10-kHz High-frequency Therapy (HF10 Therapy) Is Superior to Traditional Low-frequency Spinal Cord Stimulation for the Treatment of Chronic Back and Leg Pain: The SENZA-RCT Randomized Controlled Trial

Anesthesiology published on 07 2015 Authors: Leonardo Kapural MD PhD et al Background: Current treatments for chronic pain have limited effectiveness and commonly known side effects. Given the prevalence and burden of intractable pain, additional therapeutic approaches are desired. Spinal cord stimulation (SCS) delivered at 10 kHz (as in HF10 therapy) may provide pain relief without the paresthesias typical […]

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Uncategorized Published - 5 August, 2015    By - Dr Clemens
Association of Physical Fitness with Pain in Women with Fibromyalgia: The al-Ándalus project

Published in Arthritis Care Res Authors: Soriano-Maldonado A et al OBJECTIVE This population-based cross-sectional study aimed to characterize the association of different components of physical fitness with pain levels, pain-related catastrophizing and chronic pain self-efficacy in women with fibromyalgia (FM). METHODS Four hundred sixty-eight women with FM participated. The experience of pain was assessed with […]

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Uncategorized Published - 5 August, 2015    By - Dr Clemens
Withholding ARBs After Surgery Increases Risk of Postoperative Death

Withholding angiotensin receptor blockers (ARBs) for longer than 2 days after surgery is associated with a significantly increased risk of postoperative death, according to a study published in Anesthesiology. “For non-cardiac surgery, ARBs are commonly stopped on the day of surgery because that makes it much easier to control blood pressure for a patient under […]

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Uncategorized Published - 5 August, 2015    By - Dr Clemens
Weight Loss Linked to Improvement in Diabetic Neuropathy, Regardless of Haemoglobin A1C Levels

Weight loss in patients with types 1 and 2 diabetes is linked with an improvement in diabetic neuropathy, independent of blood glucose levels, according to results of a parallel-group study reported at the 75th Scientific Sessions of the American Diabetes Association meeting. “To our knowledge, weight loss has not been shown previously to improve diabetic […]

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Uncategorized Published - 4 August, 2015    By - Dr Clemens
Endovascular and Open Repairs of Abdominal Aortic Aneurysms Have Similar Long-Term Mortality Rates

After endovascular repair of abdominal aortic aneurysms, mortality rises over time but doesn’t surpass that associated with open repair, a New England Journal of Medicine study suggests. From more than 125,000 Medicare beneficiaries who underwent either procedure, about 40,000 in each procedure group were matched according to propensity to undergo endovascular repair. Periprocedural mortality was 1.6% with […]

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Uncategorized Published - 4 August, 2015    By - Dr Clemens
Psychiatric Comorbidity Is Associated Prospectively with Diminished Opioid Analgesia and Increased Opioid Misuse in Patients with Chronic Low Back Pain

Anesthesiology published on 7 2015 Authors: Ajay D. Wasan MD, M.Sc et al Background: Opioids are frequently prescribed for chronic low back pain (CLBP), but there are little prospective data on which patient subgroups may benefit. Psychiatric comorbidity, such as high levels of depression and anxiety symptoms (termed comorbid negative affect [NA]), is a common presentation and may […]

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Uncategorized Published - 4 August, 2015    By - Dr Clemens
A Randomized Crossover Study Comparing a Novel Needle Guidance Technology for Simulated Internal Jugular Vein Cannulation

Anesthesiology published on 7 2015 Authors: David B Auyong MD et al Background: Despite ultrasound guidance for central line placement, complications persist, as exact needle location is often difficult to confirm with standard two-dimension ultrasound. A novel real-time needle guidance technology has recently become available (eZono, Germany) that tracks the needle during insertion. This randomized, blinded, crossover study examined […]

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Uncategorized Published - 4 August, 2015    By - Dr Clemens
Ability of the Nociception Level, a Multiparameter Composite of Autonomic Signals, to Detect Noxious Stimuli during Propofol–Remifentanil Anesthesia

Anesthesiology Published on 7 2015. Authors: Chris H. Martini MD et al Background: A novel multidimensional index of nociception, the nociception level (NoL) index, derived from the nonlinear composite of heart rate (HR), HR variability, amplitude of the photoplethysmogram, skin conductance, fluctuations in skin conductance, and their time derivatives, was used to assess nociception during anesthesia. Methods: […]

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Uncategorized Published - 4 August, 2015    By - Dr Clemens
Discharge Readiness after Tricompartment Knee Arthroplasty: Adductor Canal versus Femoral Continuous Nerve Blocks—A Dual-center, Randomized Trial

Anesthesiology 8 2015, Vol.123, 444-456 Authors: Anthony T. Machi MD et al Background: The authors conducted a randomized, controlled, parallel-arm, superiority study to test the hypothesis that a continuous adductor canal block decreases the time to attain four discharge criteria compared with a continuous femoral nerve block after tricompartment knee arthroplasty. Methods: Subjects undergoing tricompartment knee arthroplasty were randomized […]

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