Month: January 2020

Uncategorized Published - 29 January, 2020    By - Dr Clemens
Assessment of Coagulation by Thromboelastography During Ongoing Postpartum Hemorrhage

AUTHORS: Rigouzzo, Agnes MD et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 416-425 BACKGROUND: Rapid assessment of hemostasis during postpartum hemorrhage (PPH) is essential to allow characterization of coagulopathy, to estimate bleeding severity, and to improve outcome. Point of care (POC) coagulation monitors could be of great interest for […]

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Uncategorized Published - 29 January, 2020    By - Dr Clemens
Dexmedetomidine–Ketamine Combo Has No Effect on Pediatric Airway

Author: Ethan Covey Anesthesiology News The combination of dexmedetomidine (DEX) and ketamine in pediatric patients with normal airways and no history of obstructive sleep apnea (OSA) has no statistically significant effect on the caliber of the upper airway. The study reaffirms the safety and efficacy of these two medications in combination as anesthesia. “Dexmedetomidine is […]

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Uncategorized Published - 29 January, 2020    By - Dr Clemens
Multimodal General Anesthesia in Practice

Authors: Emery N. Brown, MD, PhD et al Anesthesiology News Definition of General Anesthesia “General anesthesia” is a drug-induced reversible behavioral state consisting of antinociception, unconsciousness, amnesia and akinesia with maintenance of physiologic systems stability.1,2When anesthesiology was first practiced, the definition was not as clear as stated here, and a single agent, namely ether, was […]

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Uncategorized Published - 29 January, 2020    By - Dr Clemens
Variation Between and Within Hospitals in Single Injection Caudal Local Anesthetic Dose

AUTHORS: Taenzer, Andreas H. MD, MS et al   Anesthesia & Analgesia: September 30, 2019 BACKGROUND: Given that variation exists in health care utilization, expenditure, and medical practice, there is a paucity of data on variation within the practice of anesthesia. The Pediatric Regional Anesthesia Network (PRAN) data lend itself to explore whether different medical practice […]

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Uncategorized Published - 29 January, 2020    By - Dr Clemens
Internet and Smartphones Help Capture Patient-Reported Outcomes

Author: Bob Kronemyer Anesthesiology News For internet users and smartphone owners, electronic capture of perioperative patient-reported outcomes (PROs) is a viable concept. That is the verdict of two feasibility studies from the 2019 annual meeting of the American Society for Enhanced Recovery (posters 31 and 32). Historically, systematic capture of the recovery process has been […]

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Uncategorized Published - 28 January, 2020    By - Dr Clemens
A Multiple Regional Anesthesia Approach For Thoracic Outlet Syndrome

Authors: Brian Martin, MD et al Anesthesiology News Introduction We report the use of multiple regional anesthesia techniques to provide analgesia for a patient with thoracic outlet syndrome (TOS), who presented for a right first rib resection and whose opioid use needed to be minimized due to the patient’s history of postoperative nausea and vomiting. […]

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Uncategorized Published - 28 January, 2020    By - Dr Clemens
Targeting Occipital Headache Pain

Preliminary Data Supporting an Alternative Approach to Occipital Nerve Block Authors: Vanterpool, Stephanie G. MD, MBA, FASA et al The Clinical Journal of Pain: January 15, 2020 – Volume Publish Ahead of Print – Issue – Background and Objectives:  Occipital nerve block (ONB) is an effective procedure for treating occipital headache pain. However, traditional sub-occipital approaches to ONB […]

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Uncategorized Published - 28 January, 2020    By - Dr Clemens
Trends and Outcomes of Mechanical Circulatory Support in Peripartum Women, 2002-2014

Authors: Elizabeth K. Cotter, MD et al Journal of Cardiothoracic and Vascular Anesthesia Jan 2020 Highlights •Peripartum use of mechanical circulatory support increased from 2002 – 2014. •Overall mortality for pregnant women receiving mechanical support has not decreased. •The most common type of mechanical support used was an intra-aortic balloon pump. •Probability of death increased […]

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Uncategorized Published - 28 January, 2020    By - Dr Clemens
Opioid Dosing for Fractures Varies by Race

Author: Naveed Saleh, MD, MS Anesthesiology News Regardless of race, patients with long bone fractures are prescribed opioids in the emergency department (ED). Opioid dosing, however, is lower for minority patients than it is for white patients. In research presented at the American Pain Society 2019 Scientific Meeting (abstract 277), investigators analyzed differences in opioid […]

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Uncategorized Published - 28 January, 2020    By - Dr Clemens
Why do you get headaches during your period?

Medical News today Many people experience headaches around the time of their periods. These headaches can be severe and interfere with daily life. Period headaches may be mild and accompanied by symptoms such as irritability and tender breasts. In this case, a person may be experiencing premenstrual syndrome (PMS). Also, menstruation can trigger migraine in people with the condition. […]

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