Month: January 2020

Uncategorized Published - 24 January, 2020    By - Dr Clemens
Magnesium and Ketamine Reduce Early Morphine Consumption After Open Bariatric Surgery

Authors: Hicham Jabbour et al  Obesity Surgery December 2019 Backgrounds Optimal pain management in bariatric patients is crucial for early recovery. This study aims to evaluate the effects of magnesium and ketamine combination on morphine consumption after open bariatric surgery (primary outcome), as well as on postoperative pain scores and occurrence of side effects. Method […]

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Uncategorized Published - 23 January, 2020    By - Dr Clemens
Physics for Anesthesiologists

Radius Anesthesia blog Jan 2020 Anesthesia has evolved over the previous decades; however, the basic concepts are still applicable in day to day anesthesia instruments and apparatuses. The understanding of the clinical relevance of physical principles for liquids and gases under pressure and at varying temperatures and volumes is crucial to ensure a safe outcome […]

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Uncategorized Published - 23 January, 2020    By - Dr Clemens
Anesthetic Management Using Multiple Closed-loop Systems and Delayed Neurocognitive Recovery

Authors: Alexandre Joosten, M.D., Ph.D. et al    Anesthesiology 2 2020, Vol.132, 253-266. Background: Cognitive changes after anesthesia and surgery represent a significant public health concern. We tested the hypothesis that, in patients 60 yr or older scheduled for noncardiac surgery, automated management of anesthetic depth, cardiac blood flow, and protective lung ventilation using three independent […]

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Uncategorized Published - 23 January, 2020    By - Dr Clemens
Desmetramadol Efficacy Comparable to Tramadol, Minus Metabolic Issues

Author: Bob Kronemyer Anesthesiology News The investigational analgesic desmetramadol has the same efficacy and safety as the opiate analgesic tramadol, according to two clinical studies, but desmetramadol does not carry the metabolic shortcomings of tramadol. Tramadol is believed to be safer than Schedule II opioids because it does not cause clinically significant respiratory depression at […]

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Uncategorized Published - 23 January, 2020    By - Dr Clemens
Link found between chronic headache and back pain

Author: Lauren Sharkey Medical News Today A review of 14 studies found that people with persistent headache or back pain were twice as likely to experience the other disorder as well. New research finds a strong association between headaches and lower back pain. Chronic headaches and persistent back pain are both debilitating conditions. New findings suggest a link between […]

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Uncategorized Published - 23 January, 2020    By - Dr Clemens
Gabapentinoids Linked to Respiratory Problems in Certain Patients

By Kelly Young Edited by André Sofair, MD, MPH Gabapentin and pregabalin may cause serious breathing problems in patients who have respiratory risk factors, such as using opioids or other central nervous system depressants, having an underlying respiratory condition like chronic obstructive pulmonary disease, or being elderly, according to a safety update from the FDA. The […]

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Uncategorized Published - 22 January, 2020    By - Dr Clemens
Adding dexmedetomidine to morphine-based analgesia reduces early postoperative nausea in patients undergoing gynecological laparoscopic surgery

Authors: Huai Jin Li et al BMC Anesthesiology volume 20, Article number: 11 (2020) Background Few studies have investigated the effect of dexmedetomidine on postoperative nausea and vomiting (PONV) in patients underwent gynecological laparoscopic surgery. We investigated if adding dexmedetomidine to a morphine-based patient-controlled analgesia (PCA) could decrease the incidence of PONV in this high-risk patient population. Methods In this […]

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Uncategorized Published - 22 January, 2020    By - Dr Clemens
Perioperative Care for Transgender Patients

Radius Anesthesia blog Dec 2019 Transgender is an umbrella term that describes people whose gender identity and/or gender expression differs from what is typically associated with the sex they were assigned at birth.1 Some researchers estimate that one million adults in the United States and 25 million adults worldwide identify as transgender, and that future surveys […]

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Uncategorized Published - 22 January, 2020    By - Dr Clemens
Intranasal Dexmedetomidine for Procedural Distress in Children

Authors: Naveen Poonai et al  Pediatrics January 2020, 145 (1) e20191623;  CONTEXT: Intranasal dexmedetomidine (IND) is an emerging agent for procedural distress in children. OBJECTIVE: To explore the effectiveness of IND for procedural distress in children. RESULTS: Among 19 trials (N = 2137), IND was superior to oral chloral hydrate (3 trials), oral midazolam (1 trial), intranasal midazolam (1 trial), and oral dexmedetomidine […]

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Uncategorized Published - 22 January, 2020    By - Dr Clemens
Excess Tongue Fat Could Be Leading to Sleep Apnea

By Megan Schmidt Discover A 10-percent reduction in body weight improves sleep apnea symptoms, thanks to a slimmer tongue. The size of your tongue matters when it comes to sleep apnea. (Credit: Shutterstock) Our tongues can get fat. And scientists say losing tongue weight might be an effective way to manage obstructive sleep apnea, a condition […]

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