Month: September 2018

Uncategorized Published - 24 September, 2018    By - Dr Clemens
Laparoscopic total extraperitoneal hernia repair under regional anesthesia: a systematic review of the literature

Authors: Baloyiannis I et al Surgical Endoscopy 32 (5), 2184-2192 (May 2018) BACKGROUND General anesthesia has been used as a standard for laparoscopic inguinal hernia repair including both techniques (Trans-Abdominal Pre-Peritoneal repair and the Total Extra-Peritoneal repair), while regional anesthesia has been occasionally applied in high risk patients where general anesthesia is contraindicated. In case […]

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Uncategorized Published - 24 September, 2018    By - Dr Clemens
Preoperative vitamin D deficiency increases the risk of postoperative cognitive dysfunction: a predefined exploratory sub-analysis

Authors: Zhang Y et al Anaesthesiologica Scandinavica (Mar 2018) BACKGROUND Vitamin D is important for maintaining physiological functions including cognition and its deficiency is associated with the occurrence of cognitive impairment. This study was to explore the association between preoperative vitamin D status and the occurrence of postoperative cognitive dysfunction (POCD) in elderly patients undergoing […]

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Uncategorized Published - 24 September, 2018    By - Dr Clemens
Presence of Anesthesiologist Recommended During Endovascular Treatments

Having one or more anesthesiologists present during mechanical thrombectomy for acute ischemic stroke optimizes hemodynamics, improves periprocedural complications and facilitates the transition of care, a recent study concluded, prompting the recommendation that an anesthesiologist should be present routinely during endovascular treatment. “Both anesthetic modality and hemodynamic management are potential contributors to clinical outcomes after mechanical […]

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Uncategorized Published - 24 September, 2018    By - Dr Clemens
Pre-op Systemic Diastolic Pressure Linked to Failed Extubation

Following cardiopulmonary bypass surgery, preoperative diastolic pressure was more closely associated with failed extubation at 24 hours than systolic or mean blood pressure, according to a study of a large sample of cardiac surgery patients. “This relationship is statistically significant when interpreted as a linear regression model,” said lead investigator Christos Koutentis, MB ChB, an […]

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Uncategorized Published - 24 September, 2018    By - Dr Clemens
Spinal Stimulation Effective Treatment for Intractable Spine, Limb Pain

In patients with intractable spine and limb pain, spinal stimulation (SS) was associated with better pain reduction than medical therapy, with newer stimulation technology having better effects than conventional stimulation. This research was presented at the American Academy of Pain Medicine Annual Meeting, held in Vancouver, Canada. Tim Lamer and colleagues from the Mayo Clinic in […]

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Uncategorized Published - 21 September, 2018    By - Dr Clemens
CMS Updates the 2017 MIPS Performance Feedback Reports and Payment Adjustments

CMS recently announced that targeted reviews of certain 2017 Merit-based Incentive Payment System performance scores resulted in a number of individuals and practices avoiding a penalty and, in some cases, being eligible for a positive payment adjustment. The calculating errors, first noticed by CMS in the Spring, mostly affected non-anesthesiologists. Those errors included the application of the […]

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Uncategorized Published - 21 September, 2018    By - Dr Clemens
Analysis of Pediatric Perianesthetic Mortality Data Identifies Causes, Areas for Improvement

Researchers from Southeast Anesthesiology Consultants in Charlotte, N.C., have gone to great lengths, combing through 97,815 case files in a 16-year-old database containing 150,000 patients, in an effort to understand causes of perianesthetic death in children. Presented at the American Society of Anesthesiologists annual meeting in October 2017, the study revealed death rates and causes of perianesthetic […]

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Uncategorized Published - 21 September, 2018    By - Dr Clemens
Thermal Imaging Camera Detects Unilateral Epidural Blockade

Although epidural blockade is very effective in providing analgesia in laboring women, unilateral blockade can result in inadequate analgesia. Now, however, researchers at St. Michael’s Hospital and the University of Toronto have found that a thermal imaging camera can be used for fast, noninvasive and objective detection of temperature asymmetry in patients with unilateral epidural […]

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Uncategorized Published - 21 September, 2018    By - Dr Clemens
Why a sweaty workout dampens appetite

This has nothing to do with anesthesia however I thought our readers might like reading it since so many of us are trying to lose weight. A rise in body temperature directly affects brain cells that regulate eating. Exercise suppresses eating by heating up a region of the brain called the hypothalamus, according to a […]

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Uncategorized Published - 21 September, 2018    By - Dr Clemens
Opioids, Sedatives, and the Risk for Cardiopulmonary and Respiratory Arrest

Opioids and sedatives may represent independent and additive predictors of cardiopulmonary and respiratory arrest (CPRA) in people undergoing medical or surgical procedures, according to a study published in PLoS One. For this study, researchers conducted a retrospective database analysis of 14,504,809 medical (mean age, 57.7 years) and 6,771,882 surgical (mean age, 56.4 years) inpatient discharges reported […]

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