Month: January 2020

Uncategorized Published - 6 January, 2020    By - Dr Clemens
Effect of Remote Ischemic Preconditioning in Patients Undergoing Hepatectomy With Portal Triad Clamping

AUTHORS: Liu, Xiaoqing MD et al Anesthesia & Analgesia: December 2019 – Volume 129 – Issue 6 – p 1742-1748 BACKGROUND:  Remote ischemic preconditioning (RIPC) is reported to reduce liver injury in patients undergoing hepatectomy for colorectal liver metastasis, but its role is unclear in hepatocellular carcinoma patients with portal triad clamping during hepatectomy. METHODS: […]

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Uncategorized Published - 6 January, 2020    By - Dr Clemens
Guiding Opioid Administration by 3 Different Analgesia Nociception Monitoring Indices During General Anesthesia Alters Intraoperative Sufentanil Consumption and Stress Hormone Release

AUTHORS: Funcke, Sandra MD et al Anesthesia & Analgesia: September 10, 2019 BACKGROUND: This pilot study investigated the effect of sufentanil titration by 3 different analgesia monitoring devices or clinical signs during general anesthesia. METHODS: Forty-eight patients undergoing radical retropubic prostatectomy with sevoflurane/sufentanil anesthesia were randomly assigned into 4 groups and received sufentanil guided either […]

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Uncategorized Published - 6 January, 2020    By - Dr Clemens
Fascia Iliaca Block Decreases Hip Fracture Postoperative Opioid Consumption

Authors: Thompson, Jeffrey DO et al Journal of Orthopaedic Trauma: January 2020 – Volume 34 – Issue 1 – p 49–54 Objectives:  To determine the efficacy of a preoperative fascia iliaca compartment block in decreasing postoperative pain and improving functional recovery after hip fracture surgery. Design: Randomized prospective Level 1 therapeutic. Setting: Academic Level 1 trauma center. Patients: […]

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Uncategorized Published - 6 January, 2020    By - Dr Clemens
Rocuronium vs. Succinylcholine in Rapid Sequence Intubation

Lauren M. Westafer, DO, MPH, MS reviewing Guihard B et al. JAMA 2019 Dec 17 This randomized controlled trial found rocuronium was not noninferior to succinylcholine for rapid sequence intubation. Rocuronium and succinylcholine are the most commonly used paralytics in rapid sequence intubation (RSI) in U.S. emergency departments (EDs). Some clinicians advocate for one medication over the other as […]

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Uncategorized Published - 6 January, 2020    By - Dr Clemens
Vitamin D deficiency on hospital admission associated with COVID-19 disease stage and mortality

DG Alerts Vitamin D deficiency on admission was associated with coronavirus disease 2019 (COVID-19) disease stage and mortality, according to a study published in the American Journal of Clinical Pathology. Dieter De Smet, MD, AZ Delta Medical Laboratories, Roeselare, Belgium, and colleagues conducted a retrospective observational trial in 186 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-infected […]

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Uncategorized Published - 6 January, 2020    By - Dr Clemens
Increases in Midlife Mortality a Major Contributor to Decreasing Life Expectancy in U.S.

This has nothing to do with anesthesia however I wanted to share with our readers. By Amy Orciari Herman Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM U.S. life expectancy increased from 69.9 years in 1959 to 79.1 years in 2014 — after which it began a slow decline, hitting 78.9 […]

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Uncategorized Published - 6 January, 2020    By - Dr Clemens
High blood pressure at any age, no matter how long you have it, may speed cognitive decline

AMERICAN HEART ASSOCIATION Hypertension journal report High blood pressure appears to accelerate a decline in cognitive performance in middle-aged and older adults, according to new research published today in Hypertension, an American Heart Association journal. Nearly half of American adults have high blood pressure or hypertension. Having high blood pressure is a risk factor for […]

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Uncategorized Published - 5 January, 2020    By - Dr Clemens
Peripheral Nerve Stimulation and Clinical Outcomes: A Retrospective Case Series

AUTHORS: Nafisseh S Warner, Kalli K Schaefer et al. Pain Pract. 2020 Nov 22 PURPOSE Peripheral nerve stimulation (PNS) is a rapidly expanding field within neuromodulation; however, there is limited data on therapeutic efficacy. This study describes the indications and clinical outcomes for patients undergoing PNS for chronic pain states. PATIENTS AND METHODS This is […]

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Uncategorized Published - 5 January, 2020    By - Dr Clemens
Chronic postsurgical pain after total knee arthroplasty

AUTHORS: Koji Aso, Masahiko Ikeuchi et al. Mod Rheumatol. 2020 Dec 4 1-17 OBJECTIVE To elucidate the prevalence and risk factors of chronic postsurgical pain (CPSP) after primary total knee arthroplasty (TKA) in Japanese population. METHODS Consecutive patients undergoing primary TKA in a Japanese tertiary hospital (211 knees) were assessed. CPSP after TKA was defined […]

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Uncategorized Published - 3 January, 2020    By - Dr Clemens
Pain Control During Cesarean Delivery

Anesthesiology News The Frost Series #354 Author: Laura Nora Zeidan, MD Case Presentation An 18-year-old woman, gravida 1, para 0, with a body mass index of 51 kg/m2, presented for induction of labor at 40 weeks’ gestation due to oligohydramnios. An epidural catheter was placed at the L3-L4 intervertebral space when the patient reached 3 […]

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